Individual provider Active NPI

Caroline Cordell Day, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1184075301
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06489 Issued in NC
Practice address
3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060
Phone
(919) 781-1050
Fax
(919) 510-5090
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-06489 NC
Physician Assistant 363A00000X 0010-06489 NC Primary

Addresses

Primary practice location

3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060

Mailing address

3225 Blue Ridge Rd Ste 101
Raleigh, NC 27612-8060
Phone (919) 781-1050

Other practice location 1

155 Parkway Office Ct Ste 204
Cary, NC 27518-7427
Phone (919) 781-1050 ext. 102

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
I20170308000283 NC Practitioner - Physician Assistant 1153605340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Dermatology AssociatesGroup PAC ID 7618941444, 16 clinicians

Practice addresses (Care Compare)

1110 SE Cary Pkwy
Suite 100
Cary, NC 27518-7420
Phone (919) 781-1050

4225 Macon Pond Rd
Suite 300
Raleigh, NC 27607-6320
Phone (919) 781-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06489NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Skin Surgery Center PA PastSince Feb 16, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1184075301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Parkway Office Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187427",
            "country_code": "US",
            "telephone_number": "919-781-1050 x102",
            "fax_number": "919-510-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAY",
        "first_name": "CAROLINE",
        "middle_name": "CORDELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-06489",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.