Individual provider Active NPI

Dana Lynn Keys, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1396393138
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09384 Issued in NC
Practice address
115 Kildaire Park Dr Ste 402
Cary, NC 27518-8130
Phone
(919) 443-4100
NPI assigned
Aug 26, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 0010-09384 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 402
Cary, NC 27518-8130

Mailing address

21 Diamante Dr
Clayton, NC 27527-9318
Phone (703) 517-9323

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
I20200106000019 NC Practitioner - Physician Assistant 5193159812 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09384NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Minds Psychiatry PLLC CurrentSince Mar 9, 2026 Accepting new patients

Locations

1513 Walnut St
Ste 270
Cary, NC 27511
Phone (919) 230-2655

Organizations & group practices 1

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1396393138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DIAMANTE DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279318",
            "telephone_number": "703-517-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 402",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188130",
            "telephone_number": "919-443-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.