Provider Demographics
NPI:1538444336
Name:SARVIS, ASHLEY TAYLOR (NP-C)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TAYLOR
Last Name:SARVIS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:10616 METROMONT PKWY UNIT 210
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7656
Practice Address - Country:US
Practice Address - Phone:704-774-6569
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012090363LF0000X, 363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2060GOtherBCBS NC
NCNN9619BOtherMEDICARE
SCP01004523OtherRAILROAD MEDICARE
SCNP1928Medicaid
SC80036242OtherSELECT HEALTH
NCNN9619AOtherMEDICARE PTAN
SCP01585589OtherRR MEDICARE
SC30108093OtherSELECT HEALTH
SCNP1928Medicaid
SCNP1928Medicaid
SCSC72398568Medicare PIN