Individual provider Active NPI

Cara Milburn, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1306932132
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10610 Issued in NC
Practice address
4909 Green Rd
Raleigh, NC 27616-3418
Phone
(919) 790-0288
Fax
(919) 790-0723
NPI assigned
Oct 5, 2006
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004820 MI
Physician Assistant 363A00000X 0010-10610 NC Primary

Addresses

Primary practice location

4909 Green Rd
Raleigh, NC 27616-3418

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6769
Phone (248) 423-2481

Other practice location 1

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

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
I20210915003564 NC Practitioner - Physician Assistant 1355349937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

11009 Ingleside PL
Raleigh, NC 27614-6697

2301 Rexwoods Dr
Suite 100
Raleigh, NC 27607-3366
Phone (919) 782-1806

2601 Lake Dr
Suite 201
Raleigh, NC 27607-6689
Phone (919) 783-4888

3521 Haworth Dr
Raleigh, NC 27609-7244
Phone (919) 782-1806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004820MIMDPhysician Assistant
0010-10610NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of North Carolina, P.C. CurrentSince Aug 2, 2021 Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

4909 Green Rd
Raleigh, NC 27616
Phone (919) 790-0288

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, 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1306932132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GREEN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163418",
            "telephone_number": "919-790-0288",
            "fax_number": "919-790-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 DEQUINDRE RD",
            "address_purpose": "LOCATION",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "CARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004820",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.