Individual provider Active NPI

Celena Bounvilay, PA-C

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1003426107
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10364 Issued in NC
Practice address
480 W Webb Ave
Burlington, NC 27217-3700
Phone
(336) 226-8000
Fax
(336) 228-7585
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10364 NC Primary

Addresses

Primary practice location

480 W Webb Ave
Burlington, NC 27217-3700

Mailing address

1913 Broadway Dr
Graham, NC 27253-4326

Other practice location 1

945 Golf House Rd W Ste A
Whitsett, NC 27377-9260
Phone (336) 226-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009000249 NC Practitioner - Physician Assistant 8325468564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Dermatology PAGroup PAC ID 8921278201, 4 clinicians

Practice addresses (Care Compare)

480 W Webb Ave
Burlington, NC 27217-3700
Phone (336) 395-2142

945 Golf House Rd W
Suite a
Whitsett, NC 27377-9260
Phone (336) 226-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Dermatology, P.a. Current Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

480 W Webb Ave
Burlington, NC 27217
Phone (336) 226-8000

908 S Williamson Ave
Elon, NC 27244
Phone (336) 538-1234

945 Golf House Rd W
#A
Whitsett, NC 27377
Phone (336) 226-8000

Interoperability endpoints

  • Direct secure messaging: cbounvilay469219@direct.medicine.duke.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1003426107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 BROADWAY DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W WEBB AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173700",
            "telephone_number": "336-226-8000",
            "fax_number": "336-228-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Golf House Rd W Ste A",
            "address_purpose": "LOCATION",
            "city": "Whitsett",
            "state": "NC",
            "postal_code": "273779260",
            "country_code": "US",
            "telephone_number": "336-226-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUNVILAY",
        "first_name": "CELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.