Individual provider Active NPI

Alexis Nichols Dillon, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1891409306
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021171 Issued in NC
Practice address
3700 Barrett Dr Ste 300
Raleigh, NC 27609-7172
Phone
(919) 782-1806
Fax
(919) 782-4756
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 307034 NC
Nurse Practitioner 363L00000X 5021171 NC
Family Nurse Practitioner 363LF0000X 5021171 NC Primary

Addresses

Primary practice location

3700 Barrett Dr Ste 300
Raleigh, NC 27609-7172

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 782-1806

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
I20250217003215 NC Practitioner - Nurse Practitioner 1052831377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

3700 Barrett Dr
Suite 300
Raleigh, NC 27609-7172
Phone (919) 782-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307034NCMDGeneral Practice Registered Nurse
5021171NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Jan 8, 2025 Accepting new patients

Locations

300 Veterans Pkwy
#106
Clayton, NC 27520

300 Veterans Pkwy
#104
Clayton, NC 27520

3200 Blue Ridge Rd
Ste 210
Raleigh, NC 27612
Phone (919) 781-9979

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

3700 Barrett Dr
Ste 300
Raleigh, NC 27609
Phone (919) 782-1806

Interoperability endpoints

  • Direct secure messaging: alexisdillon@rcmg.allscriptsdirect.net

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1891409306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-782-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BARRETT DR STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097172",
            "telephone_number": "919-782-1806",
            "fax_number": "919-782-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "ALEXIS",
        "middle_name": "NICHOLS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "307034",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021171",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.