Individual provider Active NPI

Amy Lynn Cavanagh, MSN, FNP

  • Family Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1902856776
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018789 Issued in NC
Practice address
3516 US Highway 301 S
Smithfield, NC 27577-9495
Phone
(800) 243-0566
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024168749 VA
Family Nurse Practitioner 363LF0000X 0024168749 VA
Family Nurse Practitioner 363LF0000X 5018789 NC Primary

Addresses

Primary practice location

3516 US Highway 301 S
Smithfield, NC 27577-9495

Mailing address

3516 US Highway 301 S
Smithfield, NC 27577-9495
Phone (800) 243-0566

Other practice location 1

8266 Atlee Rd Ste 230
Mechanicsville, VA 23116-1813
Phone (804) 789-5590

Other identifiers 1

IdentifierTypeStateIssuer
1902856776MedicaidFL

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
I20231213002505 NC Practitioner - Nurse Practitioner 2860412665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians
Polley Clinic of Dermatology and Dermatologic SurgeryGroup PAC ID 9638134364, 9 clinicians

Practice addresses (Care Compare)

10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926

3516 US Hwy 301 S
Smithfield, NC 27577-9495
Phone (252) 243-0566

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024168749VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC CurrentSince Oct 23, 2023 Accepting new patients
Polley Clinic of Dermatology & Dermatologic Surgery CurrentSince Jun 16, 2025 Accepting new patients
Morris J Lipnik MD PA Past Accepting new patients
Stephen a Spencer MD PA Past Accepting new patients

Locations

891 Willow Dr
Ste 1
Chapel Hill, NC 27514
Phone (919) 942-3106

10502 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 541-9092

106 Barcelona Dr
Fayetteville, NC 28303
Phone (252) 243-0566

1100 E Ash St
Goldsboro, NC 27530
Phone (800) 243-0566

110 Long Cir
Roanoke Rapids, NC 27870
Phone (252) 243-0156

131 Foy Dr
Rocky Mount, NC 27804
Phone (252) 243-0566

3516 US Highway 301 S
Smithfield, NC 27577
Phone (252) 243-0566

1806 Glendale Dr SW
Wilson, NC 27893
Phone (252) 243-0566

7835 Paragon Rd
Dayton, OH 45459
Phone (937) 434-2351

5300 Far Hills Ave
Ste 300
Kettering, OH 45429
Phone (937) 433-7536

Interoperability endpoints

  • Direct secure messaging: amy.cavanagh@forefrontdermatology.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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1902856776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 US HIGHWAY 301 S",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779495",
            "telephone_number": "800-243-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 US HIGHWAY 301 S",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779495",
            "telephone_number": "800-243-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8266 Atlee Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161813",
            "country_code": "US",
            "telephone_number": "804-789-5590",
            "fax_number": "804-789-5989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902856776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.