NPIMap

Individual provider Active NPI

Sarah Lynneraven Petty Butler, PA-C

  • Surgical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1033716634
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893
Phone
(919) 785-3400
Fax
(919) 783-7778
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893

Mailing address

2016 Osbourne CT
Raleigh, NC 27604-4776
Phone (919) 618-1534

Other practice location 1

3000 New Bern Ave
Raleigh, NC 27610-1295
Phone (919) 350-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrodman@raleighneurosurgical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109002594 NC Practitioner - Physician Assistant 0244640951 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Mar 6, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

Interoperability endpoints

  • Direct secure messaging: sbutler328224@directhisp.wakemed.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1033716634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 OSBOURNE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044776",
            "telephone_number": "919-618-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093893",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101295",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SARAH",
        "middle_name": "LYNNERAVEN PETTY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrodman@raleighneurosurgical.com",
            "affiliation": "N",
            "address_1": "5838 Six Forks Rd Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276093893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.