Individual provider Active NPI

Suzanne Craven, PA

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1750794335
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07179 Issued in NC
Practice address
115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144
Phone
(919) 283-1099
Fax
(984) 220-9248
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 0010-07179 NC Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 406
Cary, NC 27518-8144

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (919) 283-1099

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

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
I20171107000008 NC Practitioner - Physician Assistant 8325265341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
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)

10931 Raven Ridge Rd
Suite 101
Raleigh, NC 27614-6499
Phone (919) 870-6600

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

800 Springfield Commons Dr
Suite 115
Raleigh, NC 27609-8533
Phone (919) 876-3656

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Dermatology Associates PA PastSince Apr 21, 1994 Accepting new patients
The Dermatology Center of Raleigh PastSince Jul 9, 2007 Accepting new patients
Audrey F. Echt, MD, PA PastSince Mar 7, 2003 Accepting new patients
Anne Arundel Dermatology Affiliates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scraven@aadermaffiliates.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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1750794335",
    "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",
            "telephone_number": "919-283-1099",
            "fax_number": "984-220-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 406",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-283-1099",
            "fax_number": "984-220-9248"
        }
    ],
    "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": "CRAVEN",
        "first_name": "SUZANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.