NPIMap

Individual provider Active NPI

Darren A Ciccolini, PA-C

  • Medical Physician Assistant
  • Fuquay Varina, NC
National Provider Identifier
1952328759
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-09327 Issued in NC
Practice address
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone
(919) 235-6560
NPI assigned
Jul 16, 2006
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001121 CT
Medical Physician Assistant 363AM0700X 0010-09327 NC Primary

Addresses

Primary practice location

231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dciccolini312501@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527000240 NC Practitioner - Physician Assistant 6204822158 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors Urgent Care PLLCGroup PAC ID 9032500376, 4 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

1840 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-7415
Phone (984) 272-2422

231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 232-0322

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-5490
Phone (984) 215-6050

5234 N Roxboro Rd
Durham, NC 27712-2831
Phone (919) 797-9991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001121CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Jun 29, 2020 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Jun 29, 2020 Accepting new patients
Unc Physicians Network LLC CurrentSince Nov 9, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Connecticut Urgent Care Centers, LLC Past Accepting new patients
CT Emergency Medicine Specialists, LLC Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Medical Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

2920 Highwoods Blvd
Raleigh, NC 27604

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: dciccolini312501@directhisp.wakemed.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1952328759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262694",
            "telephone_number": "919-235-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCOLINI",
        "first_name": "DARREN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001121",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dciccolini312501@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "231 N Judd Pkwy NE",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275262694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.