Individual provider Active NPI

Joseph McCracken, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1144828310
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001011279 Issued in NC
Practice address
2222 E NC Highway 54 Ste 200
Durham, NC 27713-5271
Phone
(919) 405-2040
NPI assigned
Oct 11, 2020
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001011279 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2222 E NC Highway 54 Ste 200
Durham, NC 27713-5271

Mailing address

12 W Bayberry CT
Durham, NC 27713-9437
Phone (573) 544-4087

Other practice location 1

12 W Bayberry Ct
Durham, NC 27713-9437
Phone (573) 544-4087

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
I20230509002085 NC Practitioner - Physician Assistant 0042676447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Rheumatology PLLCGroup PAC ID 2365724127, 4 clinicians

Practice addresses (Care Compare)

10826 Mallard Creek Rd
Suite 100
Charlotte, NC 28262-7785
Phone (704) 774-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001011279NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Durhamnc Care Inc CurrentSince Jul 28, 2025 Accepting new patients
Integrative Rheumatology PLLC Current Accepting new patients

Locations

10826 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 593-0244

2222 E NC Highway 54
Ste 200
Durham, NC 27713
Phone (919) 405-2040

Interoperability endpoints

  • Direct secure messaging: joseph.mccracken.p1@direct.shanahanrheumatology.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1144828310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W BAYBERRY CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139437",
            "telephone_number": "573-544-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E NC HIGHWAY 54 STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135271",
            "telephone_number": "919-405-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W Bayberry Ct",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139437",
            "country_code": "US",
            "telephone_number": "573-544-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-11",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001011279",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.