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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTONIO SIERRA D.P.M.
NPI 1205523602
Student in an Organized Health Care Education/Training Program in Mount Airy, NC

Active since April 18, 2023PECOS Enrolled
367 S ANDY GRIFFITH PKWY STE 200, MOUNT AIRY, NC 27030(336) 443-9190 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, May 21, 2026 (2 updates tracked since 2026).

About Antonio Sierra D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO SIERRA D.P.M. (NPI 1205523602) is an individual student in an organized health care education/training program in Mount Airy, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1205523602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO SIERRACredential: D.P.M.
Location Address367 S ANDY GRIFFITH PKWY STE 200Mount Airy, NC 27030-4010
Mailing Address1036 Branchview Dr Ste 216Concord, NC 28025-0113 · (704) 886-1918
Phone(336) 443-9190
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1205523602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPodiatristTaxonomy 213E00000X · License 877 (NC)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 877 (NC)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 877 (NC)
367 S ANDY GRIFFITH PKWY STE 200, Mount Airy, NC 27030
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Secondary Practice Locations 6

Location 1119 Ingram DrKing, NC 27021-8205 · Phone (336) 443-9190
Location 2205 S Front Street, Brady 905Harrisburg, PA 17104 · Phone (717) 231-8429
Location 36341 Cook Ave Ste DClemmons, NC 27012-9380 · Phone (336) 443-9190
Location 4147 Columbine DrWinston Salem, NC 27106-3106 · Phone (336) 443-9190
Location 5102 Village Lake RdSiler City, NC 27344-1821 · Phone (336) 443-9190
Location 6530 N Elam AveGreensboro, NC 27403-1153 · Phone (336) 443-9190

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Sierra D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES ROBERT SHIPLEY D.P.M.
Podiatrist (Foot & Ankle Surgery)
367 S ANDY GRIFFITH PKWY STE 200
MOUNT AIRY, NC 27030
Surry County (336) 443-9190
INSTRIDE FOOT & ANKLE SPECIALISTS, PLLC
Podiatrist (Primary Podiatric Medicine)
367 S ANDY GRIFFITH PKWY STE 200
MOUNT AIRY, NC 27030
Surry County (336) 443-9190
DR. DAVID S COLLARD DPM
Podiatrist (Primary Podiatric Medicine)
367 S ANDY GRIFFITH PKWY STE 200
MOUNT AIRY, NC 27030
Surry County (336) 443-9190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Sierra's NPI number?

The NPI number for Antonio Sierra is 1205523602. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Antonio Sierra located?

Antonio Sierra practices at 367 S Andy Griffith Pkwy Ste 200, Mount Airy, NC 27030. The listed phone number is (336) 443-9190.

What is Antonio Sierra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antonio Sierra enrolled in Medicare?

Yes. Antonio Sierra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Sierra was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.