Active NPI
Dawn Priscilla Evancho, PA-C
- Physician Assistant
- Cary, NC
National Provider Identifier
1053520486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102457
- Practice address
- 1000 Crescent GRN Ste 102
Cary, NC 27518-8117 - Phone
- (919) 233-0410
- Fax
- (919) 233-0872
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102457 | NC | Primary |
Addresses
Primary practice location
1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Mailing address
1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Phone (919) 233-0410
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Crescent GRN
Suite 102
Cary, NC 27518-8117
Phone (919) 233-0410
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102457 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Family Practice, PA | Current | Accepting new patients | |
| North Carolina Surgery Center LLC | Past | Accepting new patients | |
| David Paul Adams, M.D., P.a. | Past | Accepting new patients |
Locations
1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHJCDD/Endpoint/GHJCDD
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73144
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Cary, NC
- NPI 1295507739
-
- Vascular & Interventional Radiology Physician
- Cary, NC
- NPI 1073148581
-
- Family Medicine Physician
- Cary, NC
- NPI 1407902059
-
- Family Medicine Physician
- Wendell, NC
- NPI 1588256754
-
- Non-Pharmacy Dispensing Site
- Cary, NC
- NPI 1154461127
-
- Ambulatory Surgical Clinic/Center
- Cary, NC
- NPI 1265361059
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1053520486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CRESCENT GRN STE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275188117",
"telephone_number": "919-233-0410",
"fax_number": "919-233-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CRESCENT GRN STE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275188117",
"telephone_number": "919-233-0410",
"fax_number": "919-233-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANCHO",
"first_name": "DAWN",
"middle_name": "PRISCILLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.