Jordan Nicholas De Lay, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-11134 Issued in NC

Practice address

815 Springfield Commons Dr
Raleigh, NC 27609-8529

Phone

(919) 235-1400

NPI assigned

Apr 9, 2021

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Orthopaedic Specialists of North Carolina, P.a.Group PAC ID 7810974375, 49 clinicians

Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Health Agency Home health agency, Raleigh, NC, CCN 347237
• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdelay351994@directhisp.wakemed.org
• Direct secure messaging: jordan.de.lay.1@12529.direct.athenahealth.com

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.

• Orthopaedic Specialists of North Carolina, P.a.

  dba OrthoNC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1649327750
  Medicare reassignment Care Compare group NPD
• Wake Specialty Physicians, LLC

  • Surgery Physician
  • Raleigh, NC
  • NPI 1942440375
  Medicare reassignment Care Compare group
• Orthopaedic Specialists of North Carolina, P.a.

  dba OrthoNC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1447553870
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed Primary Care Forestville Crossing

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1255851424
  NPD
• Wake Specialty Physicians LLC

  dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park

  • Pediatrics Physician
  • Fuquay Varina, NC
  • NPI 1578334892
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical Services of America, Inc.

  dba Medi Home Health Agency

  • Home Health Agency
  • Raleigh, NC
  • NPI 1942252853
  Care Compare affiliation
• Rex Hospital Inc.

  dba Rex Hospital

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1174103626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SPRINGFIELD COMMONS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098529",
            "telephone_number": "919-235-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Poole Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276102918",
            "country_code": "US",
            "telephone_number": "919-902-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LAY",
        "first_name": "JORDAN",
        "middle_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11134",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-11134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174103626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis De Carvalho Leao, AA
• Oliver Louis De Gravelle III, APRN
• Ruth De la Cruz, LCSW
• Alexa Viridiana De la Rosa
• Rosanna De la Rosa, LPC
• Arthur J De Leon, PT
• Arturo De Jesus De Leon, M.D.
• Frances Monserrat De Los Santos, LCMHCA
• Jacqueline Louise De Senglau, PT, DPT
• Sarah Anne Deacon, OTR/L

• Medical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.