Individual provider Active NPI

Megan Elizabeth Cavanaugh

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1528808763
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14323 Issued in NC
Practice address
370 Knollwood St Ste 300
Winston Salem, NC 27103-1864
Phone
(336) 252-4440
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 0010-14323 NC Primary

Addresses

Primary practice location

370 Knollwood St Ste 300
Winston Salem, NC 27103-1864

Mailing address

370 Knollwood St Ste 300
Winston Salem, NC 27103-1864

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
I20240829002591 NC Practitioner - Physician Assistant 9335688753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

370 Knollwood St
Suite 301
Winston Salem, NC 27103-1835
Phone (336) 252-4440

445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-14323NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: apogeebehavioralmedicine.megancavanaugh@153105.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1528808763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 KNOLLWOOD ST STE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 KNOLLWOOD ST STE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031864",
            "telephone_number": "336-252-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.