Individual provider Active NPI

Austin Laine Dages, PA

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1770131708
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13019 Issued in NC
Practice address
115 Kildaire Park Dr Ste 205
Cary, NC 27518-8144
Phone
(919) 787-7246
Fax
(919) 787-7247
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13019 NC Primary
Medical Physician Assistant 363AM0700X AL
Surgical Physician Assistant 363AS0400X AL

Addresses

Primary practice location

115 Kildaire Park Dr Ste 205
Cary, NC 27518-8144

Mailing address

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other practice location 1

1209 Pointe Pl
Old Hickory, TN 37138-1978
Phone (615) 604-8456

Other practice location 2

201 Governors Dr SW Fl 1
Huntsville, AL 35801-5171
Phone (256) 533-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, 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
I20200106000456 AL Practitioner - Physician Assistant 2567896202 Reassigns benefits to 1 organization
I20230420001026 NC Practitioner - Physician Assistant 2567896202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

115 Kildaire Park Dr
Suite 205
Cary, NC 27518-8144
Phone (919) 787-7246

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Spine and Pain Specialists, PC CurrentSince Apr 8, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 16, 2026 Accepting new patients
Wake Spine & Pain Specialists PC CurrentSince Apr 8, 2024 Accepting new patients

Locations

115 Kildaire Park Dr
Ste 205
Cary, NC 27518

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

Interoperability endpoints

  • Direct secure messaging: adages113396@capefearvalley.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1770131708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 205",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Pointe Pl",
            "address_purpose": "LOCATION",
            "city": "Old Hickory",
            "state": "TN",
            "postal_code": "371381978",
            "country_code": "US",
            "telephone_number": "615-604-8456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Governors Dr SW Fl 1",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015171",
            "country_code": "US",
            "telephone_number": "256-533-1600",
            "fax_number": "256-539-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGES",
        "first_name": "AUSTIN",
        "middle_name": "LAINE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13019",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.