Active NPI
Austin Laine Dages, PA
- Physician Assistant
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Legacy Healthcare Services Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Spine and Pain Specialists, PC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Wake Spine & Pain Specialists PC | Current | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Cary, NC
- NPI 1568696748
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Specialist
- Huntsville, AL
- NPI 1407210925
-
- Pain Medicine (Anesthesiology) Physician
- Winston Salem, NC
- NPI 1376287714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.