Active NPI
Danielle McGinn, PA-C
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1073573705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113904
- Practice address
- 1416 Bailey Hill Dr
Raleigh, NC 27614-9704 - Phone
- (917) 579-4257
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PA9113904 | FL | Primary |
Addresses
Primary practice location
1416 Bailey Hill Dr
Raleigh, NC 27614-9704
Mailing address
1416 Bailey Hill Dr
Raleigh, NC 27614-9704
Phone (917) 579-4257
Other names 1
- Danielle Surace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113904 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1073573705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 BAILEY HILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149704",
"telephone_number": "917-579-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 BAILEY HILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149704",
"telephone_number": "917-579-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINN",
"first_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "SURACE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.