Individual provider Active NPI

Dawn Priscilla Evancho, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1053520486
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102457 Issued in NC
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

Updated by the provider on Nov 4, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000616 NC Practitioner - Physician Assistant 2769533140 Reassigns benefits to 3 organizations

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
Aegis Medical Center PLLCGroup PAC ID 3870938848, 4 clinicians
Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Practice addresses (Care Compare)

1000 Crescent GRN
Suite 102
Cary, NC 27518-8117
Phone (919) 233-0410

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102457NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA CurrentSince Oct 17, 2018 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJCDD/Endpoint/GHJCDD
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.