Joyce Angela Struna, PA-C
Physician Assistant · Sylva, NC
At a glance
111 Central St, Sylva, NC 28779-5412
NPPES record updated Apr 11, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
111 Central StSylva, NC 28779-5412
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 1988
- CMS specialties
- Physician Assistant
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Reported hospital affiliations
- Angel Medical Center Franklin, NC
- Dlp Swain County Hospital Llc Bryson City, NC
- Harris Regional Hospital Sylva, NC
- Haywood Regional Medical Center Clyde, NC
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $517.24 |
Reporting companies
| Company | Amount |
|---|---|
| NOVO NORDISK INC | $161.98 |
| EXACT SCIENCES CORPORATION | $144.92 |
| LILLY USA, LLC | $53.17 |
| BAYER HEALTHCARE PHARMACEUTICALS INC. | $34.84 |
| PFIZER INC. | $32.59 |
| CORCEPT THERAPEUTICS | $31.83 |
| SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC | $22.60 |
| AMGEN INC. | $21.40 |
| Other reporting companies | $13.91 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant
- Taxonomy code
- 363A00000X
- Enumeration date
- Oct 21, 2008
- Record updated
- Apr 11, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PA-C
Reported taxonomies and licenses
363A00000X · Primary
License reported: 0010-06642 NC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
111 Central StSylva, NC 28779-5412
- Phone
- (828) 586-7705
- Fax
- (855) 308-2340
Mailing address
PO BOX 360SYLVA, NC 287790360
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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