Individual provider Active NPI

Elizabeth Honeycutt O'Leary, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1639115553
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102565 Issued in NC
Practice address
790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678
Phone
(919) 231-3966
Fax
(919) 231-3912
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 102565 NC Primary

Addresses

Primary practice location

790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678

Mailing address

3700 Barrett Dr Ste 200
Raleigh, NC 27609-7213
Phone (919) 231-3966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncnephrologyassociates@directaddress.net

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
I20040124000003 NC Practitioner - Physician Assistant 9830091313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina Nephrology PAGroup PAC ID 0244511483, 58 clinicians

Practice addresses (Care Compare)

2824 Rogers Rd
Suite 104
Wake Forest, NC 27587-3896
Phone (919) 876-7807

3031 New Bern Ave
Suite 200
Raleigh, NC 27610-2989
Phone (919) 747-7820

790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678
Phone (919) 235-0644

916 S Main St
Suite 240
Fuquay Varina, NC 27526-2420
Phone (919) 235-0644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102565NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Nephrology PA CurrentSince Jan 1, 2017 Accepting new patients
Wake Nephrology Associates, P.a. Past Accepting new patients

Locations

790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644

916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644

3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: eoleary24272@direct.acumenmd.com

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.

Hospital & facility affiliations 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1639115553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BARRETT DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097213",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SE CARY PKWY",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115678",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ELIZABETH",
        "middle_name": "HONEYCUTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncnephrologyassociates@directaddress.net",
            "affiliation": "N",
            "address_1": "790 SE Cary Pkwy",
            "address_2": "Suite 101",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275115678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.