Active NPI
Cheryl Patricia Jones, PA
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1679585434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05185
- Practice address
- 4201 Lake Boone TRL Ste 200
Raleigh, NC 27607-7511 - Phone
- (919) 782-2152
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05185 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL Ste 200
Raleigh, NC 27607-7511
Mailing address
PO Box 23329
New York, NY 10087-3329
Other practice location 1
800 Springfield Commons Dr
Raleigh, NC 27609-8532
Phone (919) 876-3656
Other practice location 2
10931 Raven Ridge Rd Ste 101
Raleigh, NC 27614-6499
Phone (919) 870-6600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679585434 | Medicaid | NC | |
| 1679585434 | Other | NC | FIRST HEALTH |
| 189AA | Other | NC | BCBSNC |
| 286534 | Other | NC | MEDCOST |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Detroit Mercy School of Dentistry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05185 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Dermatology Associates PA | Past | Accepting new patients | |
| Anne Arundel Dermatology Affiliates PC | Past | Accepting new patients | |
| Audrey F. Echt, MD, PA | Past | Accepting new patients |
Interoperability endpoints
- cpjones@aadermaffiliates.emadirect.md
Organizations & group practices 4
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.
-
- Specialist
- Raleigh, NC
- NPI 1568415586
-
- Medical Specialty Clinic/Center
- Raleigh, NC
- NPI 1205895950
-
- Dermatology Physician
- Raleigh, NC
- NPI 1285674952
-
- Dermatology Physician
- Hunt Valley, MD
- NPI 1083200794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1679585434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-782-2152"
}
],
"practiceLocations": [
{
"address_1": "800 Springfield Commons Dr",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276098532",
"country_code": "US",
"telephone_number": "919-876-3656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10931 Raven Ridge Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276146499",
"country_code": "US",
"telephone_number": "919-870-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "CHERYL",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679585434",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1679585434",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "189AA",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "286534",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.