Individual provider Active NPI

Olivia Marie Bruff-Younts, PA

  • Physician Assistant
  • Fuquay Varina, NC
National Provider Identifier
1386357440
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13448 Issued in NC
Practice address
400 Attain St Ste 202
Fuquay Varina, NC 27526-2776
Phone
(984) 377-8675
Fax
(984) 377-8687
NPI assigned
Jan 3, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 0010-13448 NC Primary

Addresses

Primary practice location

400 Attain St Ste 202
Fuquay Varina, NC 27526-2776

Mailing address

4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (919) 237-1337

Other practice location 1

444 SW Center St
Faison, NC 28341-8820
Phone (910) 267-0421

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
I20231020001452 NC Practitioner - Physician Assistant 4385090778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

400 Attain St
Suite 202
Fuquay Varina, NC 27526-2702
Phone (984) 377-8675

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-13448NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center, Incorporated CurrentSince Oct 6, 2023 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 6, 2023 Accepting new patients
Avance Care, PA CurrentSince Jan 1, 2026 Accepting new patients
Raleigh Medical Group, PA PastSince Nov 8, 2025 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

400 Attain St
Ste 202
Fuquay Varina, NC 27526
Phone (984) 377-8675

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

Interoperability endpoints

  • Direct secure messaging: obyounts@goshenmedical.cloudcraftdirect.com

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1386357440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-237-1337",
            "fax_number": "866-538-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ATTAIN ST STE 202",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262776",
            "telephone_number": "984-377-8675",
            "fax_number": "984-377-8687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 SW Center St",
            "address_purpose": "LOCATION",
            "city": "Faison",
            "state": "NC",
            "postal_code": "283418820",
            "country_code": "US",
            "telephone_number": "910-267-0421",
            "fax_number": "855-996-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUFF-YOUNTS",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.