Dawn Marie Delo O'Reilly, PH.D., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03658 Issued in NC

Practice address

186 Kimel Park Dr
Winston Salem, NC 27103

Phone

(336) 277-2000

Fax

(336) 277-2050

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

State licenses

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.

• Wake Forest Health Network LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1477785756
  Medicare reassignment
• Wake Forest Health Network LLC

  • Family Medicine Physician
  • Granite Falls, NC
  • NPI 1770858938
  NPD
• Wake Forest Health Network, LLC

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1053175299
  NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1255682415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10479 N NC Hwy109 Suite 107A",
            "address_2": "Novant Health Wallburg Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "27107",
            "country_code": "US",
            "telephone_number": "336-769-0246",
            "fax_number": "336-769-9366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10479 N NC Hwy109 Suite 107A",
            "address_2": "Novant Health Wallburg Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "27107",
            "country_code": "US",
            "telephone_number": "336-769-0246",
            "fax_number": "336-769-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "DAWN MARIE",
        "middle_name": "DELO",
        "name_prefix": "Mrs.",
        "credential": "PH.D., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doreilly41360@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10479 N NC Hwy109 Suite 107A",
            "address_2": "Novant Health Wallburg Family Medicine",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oona Likhyani O'Neill, MD
• Shawn Christopher O'Neill, DPT
• Stacey O'Neill, MD
• Tiffany Erin O'Neill, D.O.
• Landen Keith O'Quinn, DO
• Lauren Elizabeth O'Rourke, M.D.
• Sallie O'Shaughnessy, ME, CCC-SLP
• Sarah Catherine O'Toole, NP
• Oak & Horizon Consulting LCC
• Oak Forest Health and Rehabilitation Company

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, 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 Oct 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.