Individual provider Active NPI

Jillian A McNelis, PA-C

  • Medical Physician Assistant
  • Durham, NC
National Provider Identifier
1437328671
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001001171 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 477-5152
Fax
(919) 477-5474
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001001171 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

PO Box 15133
Durham, NC 27704-0133
Phone (919) 477-5152

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
I20091202000370 NC Practitioner - Physician Assistant 4587703632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

601 E Six Forks Rd
Suite 103
Raleigh, NC 27609-7742
Phone (984) 960-1810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001001171NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

1059 Beaver Creek Commons Dr
Unit 230
Apex, NC 27502
Phone (984) 960-1300

1617 N Main St
#101
Fuquay Varina, NC 27526
Phone (984) 215-6595

1165 US 70 Hwy W
Garner, NC 27529
Phone (984) 960-1400

781 Avent Ferry Rd
Ste 102
Holly Springs, NC 27540
Phone (919) 567-6120

6602 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 747-5210

1104 Market Center Dr
#130
Morrisville, NC 27560
Phone (984) 960-1200

601 E Six Forks Rd
Ste 103
Raleigh, NC 27609
Phone (984) 960-1810

3050 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (984) 215-6990

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11200 Governor Manly Way
Ste 114
Raleigh, NC 27614
Phone (919) 570-7660

Interoperability endpoints

  • Direct secure messaging: jmcnelis559434@direct.unc.nchie.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1437328671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15133",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040133",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNELIS",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001001171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.