Individual provider Active NPI

Juan Justin Powe

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1194348946
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016078 Issued in NC
Practice address
115 Kildaire Park Dr
Cary, NC 27518-8130
Phone
(919) 238-1110
Fax
(833) 428-3628
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016078 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr
Cary, NC 27518-8130

Mailing address

PO Box 39240
Belfast, ME 04915-1234

Other practice location 1

1991 Fordham Dr
Fayetteville, NC 28304-3773
Phone (910) 491-6793

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
I20220613001164 NC Practitioner - Nurse Practitioner 5193103661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians
Teamwork Health PLLCGroup PAC ID 6305374778, 8 clinicians
DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians

Practice addresses (Care Compare)

1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone (919) 719-0119

1991 Fordham Dr
Suite 302
Fayetteville, NC 28304-3774
Phone (910) 491-6793

2913 Wake Forest Rd
Raleigh, NC 27609-7841
Phone (919) 899-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5016078NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care Raleigh Midtown PLLC CurrentSince Apr 1, 2022 Accepting new patients
Teamwork Health PLLC CurrentSince Mar 1, 2025 Accepting new patients
DRX High Point, PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

115 Kildaire Park Dr
Ste 309
Cary, NC 27518
Phone (919) 238-1110

1991 Fordham Dr
Ste 302
Fayetteville, NC 28304
Phone (910) 484-7744

1991 Fordham Dr
Fayetteville, NC 28304
Phone (910) 484-3114

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2913 Wake Forest Rd
Raleigh, NC 27609
Phone (404) 960-9857

Interoperability endpoints

  • Direct secure messaging: juan.powe.1@32082.direct.athenahealth.com

Organizations & group practices 4

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1194348946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39240",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188130",
            "telephone_number": "919-238-1110",
            "fax_number": "833-428-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Fordham Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043773",
            "country_code": "US",
            "telephone_number": "910-491-6793",
            "fax_number": "833-428-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWE",
        "first_name": "JUAN",
        "middle_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.