Nathan Dakota Faris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13395 Issued in NC

Practice address

1004 Werrington Dr Ste 200
Holly Springs, NC 27540-6018

Phone

(919) 552-9952

Fax

(919) 552-3062

NPI assigned

Jan 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of South Florida College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Cary Endocrine and Diabetes Center PAGroup PAC ID 9931379708, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Avance Care, PA

  • Clinic/Center
  • Fuquay Varina, NC
  • NPI 1487845020
  Medicare reassignment Care Compare group NPD
• Cary Endocrine & Diabetes Center PA

  • Specialist
  • Cary, NC
  • NPI 1417235805
  Medicare reassignment Care Compare group
• Moduwell, LLC

  • Community/Retail Pharmacy
  • Cary, NC
  • NPI 1922872043
  NPD

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1164012027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-237-1337",
            "fax_number": "866-538-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 WERRINGTON DR STE 200",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406018",
            "telephone_number": "919-552-9952",
            "fax_number": "919-552-3062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 Tryon Rd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187056",
            "country_code": "US",
            "telephone_number": "919-378-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIS",
        "first_name": "NATHAN",
        "middle_name": "DAKOTA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-24",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyecare Specialties of North Carolina OD PLLC
• Lauren Elizabeth Faidley, PA-C
• Family Focus Chiropractic
• Elisa Angelyn Fanlo, MS, MA, LCMHC, LCAS
• Aliya Farah
• Todd Henry Farishian, DC
• Mary Faulconer
• Elizabeth Liles McGee Fegert, MS, CCC-SLP
• Sarah Ferguson, MPT
• Heather Rose Ferreira, LCSW

• Physician Assistant in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.

Verify at the official NPI Registry.