John Laisure, PA-C
NPI 1174963359 · Physician Assistant · Winston Salem, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Laisure, PA-C is a Physician Assistant provider in Winston Salem, NC (NPI 1174963359).
Provider details
- NPI number
- 1174963359
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-04044 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2010 Baldwin LnWinston Salem, NC 27103-5846Phone: (336) 277-1717
Registry dates
- Enumerated
- 2013-07-02
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Frequently asked questions
- What is John Laisure's NPI number?
- John Laisure's National Provider Identifier (NPI) is 1174963359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Laisure's specialty?
- John Laisure is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Laisure located?
- John Laisure's practice location on file with NPPES is Medical Center Blvd, Winston Salem, NC 27157-5846.
- What is John Laisure's phone number?
- The practice phone number listed in the NPPES registry for John Laisure is (336) 713-4500.
- Does John Laisure accept Medicare?
- John Laisure is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Laisure's NPI active?
- Yes — John Laisure's NPI (1174963359) is active in the NPPES registry as of the last update on 2022-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.