Individual provider Active NPI

Sarah Ashlyn Djali Purvis, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1225532666
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07970 Issued in NC
Practice address
5904 Six Forks Rd Ste 211
Raleigh, NC 27609-8228
Phone
(984) 242-0510
Fax
(984) 242-0520
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07970 NC Primary

Addresses

Primary practice location

5904 Six Forks Rd Ste 211
Raleigh, NC 27609-8228

Mailing address

5904 Six Forks Rd Ste 211
Raleigh, NC 27609-8228
Phone (984) 242-0510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdjali@directaddress.net Direct

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
I20180510000809 NC Practitioner - Physician Assistant 3173887502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Dermatology, PCGroup PAC ID 2062632599, 5 clinicians

Practice addresses (Care Compare)

4056 Capital Dr
Rocky Mount, NC 27804-3123
Phone (984) 242-0510

5904 Six Forks Rd
Suite 211
Raleigh, NC 27609-8228
Phone (984) 242-0510

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07970NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Neurosurgery Consultants, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdjali@directaddress.net

Organizations & group practices 2

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1225532666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "984-242-0510",
            "fax_number": "984-242-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "984-242-0510",
            "fax_number": "984-242-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJALI PURVIS",
        "first_name": "SARAH",
        "middle_name": "ASHLYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdjali@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Nextech DirectAddress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5904 Six Forks Rd Ste 211",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276098228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.