JAVIUS PETTIFORD
NPI 1558221978
Nurse Practitioner - Family in Randleman, NC

Q: What is Javius Pettiford's NPI number?

The NPI number for Javius Pettiford is 1558221978. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Q: What is Javius Pettiford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Javius Pettiford was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since November 17, 2025

608 W ACADEMY ST, RANDLEMAN, NC 27317(336) 495-1001 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Nov 17, 2025 (2 updates tracked since 2025).

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About Javius Pettiford NPPES

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

JAVIUS PETTIFORD (NPI 1558221978) is an individual family provider in Randleman, North Carolina, licensed in North Carolina (5023290) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1558221978

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAVIUS PETTIFORD

Location Address608 W ACADEMY STRandleman, NC 27317-9748

Mailing Address4449 Baylor StGreensboro, NC 27455-2565 · (336) 583-4413

Phone(336) 495-1001

Sole ProprietorNo

Enumeration DateNovember 17, 2025

Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1558221978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5023290

608 W ACADEMY ST, Randleman, NC 27317

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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.

WHITE OAK FAMILY PHYSICIANS, PA

Emergency Medicine

608 W ACADEMY ST
RANDLEMAN, NC 27317

Randolph County (336) 495-1001

RUBEN FERNANDEZ VAZQUEZ

Physician Assistant

608 W ACADEMY ST
RANDLEMAN, NC 27317

Randolph County (336) 495-1001

DAVID G. SKOWRONEK MD

Legal Medicine

608 W ACADEMY ST
RANDLEMAN, NC 27317

Randolph County (336) 495-1001

PHILIP T OLSHINSKI F.N.P.

Nurse Practitioner (Family)

608 W ACADEMY ST
RANDLEMAN, NC 27317

Randolph County (336) 495-1001

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 Javius Pettiford's NPI number?

The NPI number for Javius Pettiford is 1558221978. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Javius Pettiford located?

Javius Pettiford practices at 608 W Academy St, Randleman, NC 27317. The listed phone number is (336) 495-1001.

What is Javius Pettiford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Javius Pettiford was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.