Individual provider Active NPI

Cheryl Patricia Jones, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1679585434
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05185 Issued in NC
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

Updated by the provider on Mar 27, 2026

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 0010-05185 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

IdentifierTypeStateIssuer
1679585434MedicaidNC
1679585434OtherNCFIRST HEALTH
189AAOtherNCBCBSNC
286534OtherNCMEDCOST

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
I20141105000104 NC Practitioner - Physician Assistant 4981796406 Reassigns benefits to 1 organization

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
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

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

LicenseStateTypeSpecialty
0010-05185NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Dermatology Associates PA PastSince Apr 21, 1994 Accepting new patients
Anne Arundel Dermatology Affiliates PC PastSince Aug 18, 2024 Accepting new patients
Audrey F. Echt, MD, PA PastSince Mar 7, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.