Individual provider Active NPI

Andrew Schano, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1598776106
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09133 Issued in NC
Practice address
5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688
Phone
(919) 791-0840
Fax
(919) 791-0911
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-09133 NC Primary

Addresses

Primary practice location

5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 791-0840

Other identifiers 2

IdentifierTypeStateIssuer
081511845AMedicaidGA
081511845MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080218000004 GA Practitioner - Physician Assistant 8820171689 Reassigns benefits to 1 organization
I20190905001331 NC Practitioner - Physician Assistant 8820171689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

1505 SW Cary Pkwy
Suite 304
Cary, NC 27511-6219
Phone (919) 782-1806

3521 Haworth Dr
Raleigh, NC 27609-7244
Phone (919) 782-1806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09133NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flynn Dermatology PA CurrentSince May 12, 2003 Accepting new patients
Georgia Dermatology &Skin Cancer Center, PC Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

860 Perry Rd
Apex, NC 27502
Phone (919) 267-2222

5603 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (919) 791-0840

Interoperability endpoints

  • Direct secure messaging: aschano@familydermatology.emadirect.md

Organizations & group practices 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1598776106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 DURALEIGH RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122688",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANO",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081511845A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081511845",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.