Individual provider Active NPI

Angela Miki McIver, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1336924919
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13753 Issued in NC
Practice address
2216 E NC Highway 54
Durham, NC 27713-2208
Phone
(919) 350-0365
NPI assigned
Aug 30, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X
Physician Assistant 363A00000X 0010-13753 NC Primary

Addresses

Primary practice location

2216 E NC Highway 54
Durham, NC 27713-2208

Mailing address

PO Box 602195
Charlotte, NC 28260-2195

Other practice location 1

1125 Hwy 54
Durham, NC 27707
Phone (919) 350-8000

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
I20240109001882 NC Practitioner - Physician Assistant 1759732209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

126 Pritchard Rd
Clayton, NC 27527-9297
Phone (919) 235-1036

12701 US 70 Business Hwy W
Clayton, NC 27520-2195
Phone (919) 350-0554

2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 235-1930

237 S Estes Dr
Chapel Hill, NC 27514-7009
Phone (919) 235-1520

6800 Glenwood Ave
Raleigh, NC 27612-7133
Phone (919) 235-1939

7750 Ten Ten Rd
Raleigh, NC 27603-8852
Phone (919) 235-1500

815 Springfield Commons Dr
Raleigh, NC 27609-8529
Phone (919) 235-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-13753NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC CurrentSince Jan 8, 2024 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Jan 8, 2024 Accepting new patients
Wake Specialty Physicians LLC PastSince Nov 8, 2025 Accepting new patients
Wake Specialty Physicians, LLC Single Specialty Past Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939

815 Springfield Commons Dr
Raleigh, NC 27609
Phone (919) 235-1400

938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525

2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155

1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326

Interoperability endpoints

  • Direct secure messaging: amciver491986@directhisp.wakemed.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1336924919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-350-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Hwy 54",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCIVER",
        "first_name": "ANGELA",
        "middle_name": "MIKI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.