Individual provider Active NPI

Susan Dumire, PMHNP

  • Nurse Practitioner
  • Cary, NC
National Provider Identifier
1285230169
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013861 Issued in NC
Practice address
212 Towne Village Dr
Cary, NC 27513-8910
Phone
(919) 377-1042
NPI assigned
Dec 7, 2020
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013861 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013861 NC

Addresses

Primary practice location

212 Towne Village Dr
Cary, NC 27513-8910

Mailing address

212 Towne Village Dr
Cary, NC 27513-8910

Other practice location 1

5102 Durham Chapel Hill Blvd Ste 210
Durham, NC 27707-3394
Phone (984) 212-0028

Other practice location 2

4030 Wake Forest Rd Ste 206
Raleigh, NC 27609-6800
Phone (919) 713-0260

Other names 1

  • S S Professional name

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
I20210608003724 NC Practitioner - Nurse Practitioner 4587064837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Cary Psychiatry PLLCGroup PAC ID 2062656366, 2 clinicians
Kelly Harrison Counseling PLLCGroup PAC ID 0648775429, 2 clinicians

Practice addresses (Care Compare)

212 Towne Village Dr
Cary, NC 27513-8910
Phone (919) 377-1042

4030 Wake Forest Rd
Suite 206
Raleigh, NC 27609-6800
Phone (919) 713-0260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Cary Psychiatry, PLLC CurrentSince May 26, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 13, 2025 Accepting new patients
LLD Laboratories, LLC CurrentSince May 15, 2021 Accepting new patients
Kelly Harrison Counseling PLLC CurrentSince Oct 9, 2025 Accepting new patients
Cedar Oaks Clinic PLLC Psychiatric/Mental Health Past Accepting new patients
Cary Physical Therapy and Rehabilitation Inc. PastSince Feb 13, 2022 Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Locations

212 Towne Village Dr
Cary, NC 27513
Phone (919) 377-1042

249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

4030 Wake Forest Rd
Ste 206
Raleigh, NC 27609
Phone (919) 713-0260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGHCA/Endpoint/AAGHCA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1285230169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910",
            "telephone_number": "919-377-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5102 Durham Chapel Hill Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277073394",
            "country_code": "US",
            "telephone_number": "984-212-0028",
            "fax_number": "919-591-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4030 Wake Forest Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096800",
            "country_code": "US",
            "telephone_number": "919-713-0260",
            "fax_number": "919-591-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMIRE",
        "first_name": "SUSAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013861",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.