Individual provider Active NPI

Donald Serafin, M.D.

  • Surgery Physician
  • Henderson, NC
National Provider Identifier
1912985482
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14298 Issued in NC
Practice address
511 Ruin Creek Rd
#104B
Henderson, NC 27536-5919
Phone
(252) 438-8252
Fax
(919) 220-7722
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 14298 NC
Surgery Physician 208600000X 14298 NC Primary

Addresses

Primary practice location

511 Ruin Creek Rd
#104B
Henderson, NC 27536-5919

Mailing address

824 Anderson St
Durham, NC 27705-1054
Phone (919) 220-7711

Other identifiers 2

IdentifierTypeStateIssuer
128PPOtherNCBCBSNC
89128PPMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14298NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gunn Plastic Surgery Center PLLC Plastic Surgery CurrentSince Sep 16, 2015 Accepting new patients
Duke Health Integrated Practice, Inc. Past Accepting new patients
North Carolina Eye Ear Nose & Throat, PA Past Accepting new patients
Private Diagnostic Clinic, PLLC Past Accepting new patients
North Carolina Eye Ear Nose & Throat PA PastSince Jun 16, 2006 Accepting new patients

Locations

300 Crutchfield St
Durham, NC 27704
Phone (919) 220-7711

Organizations & group practices 5

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912985482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 ANDERSON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051054",
            "telephone_number": "919-220-7711",
            "fax_number": "919-220-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 RUIN CREEK RD",
            "address_2": "#104B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365919",
            "telephone_number": "252-438-8252",
            "fax_number": "919-220-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFIN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "14298",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "14298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "128PP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128PP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.