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JOHN SARDELLA PA-C
NPI 1356433171
Physician Assistant - Medical in Southport, NC

Active since September 29, 2006
4654 LONG BEACH RD SE, SOUTHPORT, NC 28461(910) 457-9564 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Sardella Pa-c NPPES

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

JOHN SARDELLA PA-C (NPI 1356433171) is an individual medical provider in Southport, North Carolina, licensed in North Carolina (101496) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356433171
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN SARDELLACredential: PA-C
Location Address4654 LONG BEACH RD SESouthport, NC 28461-8799
Mailing Address10250 Timber Ridge Ct SeLeland, NC 28451-8536 · (910) 520-1514
Phone(910) 457-9564
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1356433171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 101496
4654 LONG BEACH RD SE, Southport, NC 28461
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Other Identifiers 2

Medicare UPINS44332NC
Medicare PIN2744849CNC

Other Providers at the Same Location NPPES 4

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

DR. JOHN D IRVIN MD
Family Medicine
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 457-9564
GOSHEN MEDICAL CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 457-0070
JAMES R FORSTNER
Legal Medicine
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 457-9564
CAROLINA COMPREHENSIVE HEALTH
Clinic/Center (Urgent Care)
4654 LONG BEACH RD SE
SOUTHPORT, NC 28461
Brunswick County (910) 457-9564

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 John Sardella's NPI number?

The NPI number for John Sardella is 1356433171. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is John Sardella located?

John Sardella practices at 4654 Long Beach Rd SE, Southport, NC 28461. The listed phone number is (910) 457-9564.

What is John Sardella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Sardella was last updated on December 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.