Active NPI
Amy Lynn Cavanagh, MSN, FNP
- Family Nurse Practitioner
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5018789
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902856776 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCPolley Clinic of Dermatology and Dermatologic Surgery
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168749 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Dermatology and Skin Surgery Specialists, PLLC | Current | Accepting new patients | |
| Polley Clinic of Dermatology & Dermatologic Surgery | Current | 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
- 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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1619400033
NC
-
- Dermatopathology Physician
- Wilson, NC
- NPI 1104847714
NC
-
- Dermatology Physician
- Bonita Springs, FL
- NPI 1235343302
-
- Specialist
- Port Charlotte, FL
- NPI 1841244266
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.