Healthcare Provider Details

I. General information

NPI: 1558291880
Provider Name (Legal Business Name): BEVERLY SWEAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E MAIN ST
ROWLAND NC
28383-9400
US

IV. Provider business mailing address

152 CUCKOO RD
MAXTON NC
28364-2651
US

V. Phone/Fax

Practice location:
  • Phone: 910-705-6696
  • Fax:
Mailing address:
  • Phone: 910-705-6696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number2025-15153-01
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: