Individual provider Active NPI

Rebecca Paige Borg, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1417618786
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12490 Issued in NC
Practice address
115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144
Phone
(919) 283-1099
Fax
(984) 220-9248
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 0010-12490 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144

Mailing address

2716 Upper Dry Falls CT
Raleigh, NC 27603-5952
Phone (828) 808-7714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230328000350 NC Practitioner - Physician Assistant 9830563154 Reassigns benefits to 1 organization
I20240521003763 NC Practitioner - Dermatology 9830563154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Campbell Univ School of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Dermatology PAGroup PAC ID 8921278201, 4 clinicians

Practice addresses (Care Compare)

480 W Webb Ave
Burlington, NC 27217-3700
Phone (336) 395-2142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of skin lesions602
Removal or shaving of skin growth96
Skin biopsy244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-12490NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Dermatology, P.a. Current Accepting new patients
Alamance Dermatology, P.a. CurrentSince Apr 8, 2024 Accepting new patients

Locations

480 W Webb Ave
Burlington, NC 27217
Phone (336) 226-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1417618786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 UPPER DRY FALLS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035952",
            "telephone_number": "828-808-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 406",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-283-1099",
            "fax_number": "984-220-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORG",
        "first_name": "REBECCA",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.