Javius Pettiford

ActiveIndividual ProviderNurse Practitioner
NPI issued: November 17, 2025

Quick Facts

NPI Number
1558221978
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(336) 495-1001
StateNC

NPI Validation Status: Verified

Valid 10-digit NPI number (1558221978)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 17, 2025)
Data source: CMS NPPES

Provider Overview

JAVIUS PETTIFORD is a Nurse Practitioner provider based in Randleman, NC who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1558221978
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateNovember 17, 2025

Practice Location

CityRandleman
StateNC
ZIP Code27317-9748
Phone(336) 495-1001

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateNC

Mailing Address

CityRandleman
StateNC
ZIP Code27317-9748
Phone(336) 495-1001
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1558221978 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1558221978for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1558221978 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
224,221
Nurse Practitioner Providers in the US

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Kelly Lucas

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Paul Taylor, FNP-C

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Maci Coward

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National Vision, Inc.

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Randleman Medical Center Llc

Specialty not listed

People Also Ask

What is Javius Pettiford's NPI number?
Javius Pettiford's NPI number is 1558221978, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Javius Pettiford's NPI currently active?
Yes, Javius Pettiford's NPI status is Active as of the latest CMS NPPES database updates.
What does Javius Pettiford specialize in?
Javius Pettiford specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Javius Pettiford practice?
Javius Pettiford practices in Randleman, NC 27317-9748.
When was Javius Pettiford's NPI issued?
Javius Pettiford's NPI was issued on November 17, 2025.
What is Javius Pettiford's provider type?
Javius Pettiford is registered as an Individual Provider under CMS NPI Type 1.