Individual provider Active NPI

Dawn Stanford Trollip, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1962530923
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
127564 Issued in NC
Practice address
4414 Lake Boone Trail
Suite 405
Raleigh, NC 27607-7513
Phone
(919) 876-8225
Fax
(919) 876-3371
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 127564 NC Primary

Addresses

Primary practice location

4414 Lake Boone Trail
Suite 405
Raleigh, NC 27607-7513

Mailing address

4414 Lake Boone Trail, Suite 405
Raleigh OB/GYN Centre, PA
Raleigh, NC 27607-7513
Phone (919) 876-8225

Other identifiers 1

IdentifierTypeStateIssuer
2009-01316OtherNCNC MEDICAL LICENSE

Other names 1

  • Miss Katherine Dawn Stanford Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000140 NC Practitioner - Obstetrics/Gynecology 4385780725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

11009 Ingleside PL
Suite 301
Raleigh, NC 27614-8577
Phone (919) 876-8225

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127564NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Mar 25, 2014 Accepting new patients
Kamm McKenzie OBGYN, PLLC Obstetrics & Gynecology CurrentSince Aug 27, 2020 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Mar 10, 2020 Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

4414 Lake Boone Trl
Ste 405
Raleigh, NC 27607
Phone (919) 876-8225

11200 Governor Manly Way
Ste 110
Raleigh, NC 27614
Phone (919) 570-5900

4414 Lake Boone Trl
Ste 407
Raleigh, NC 27607
Phone (919) 341-0915

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11009 Ingleside Pl
Ste 301
Raleigh, NC 27614
Phone (919) 876-8225

4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896

3805 Computer Dr
Raleigh, NC 27609
Phone (919) 781-6200

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: dawn.trollip.1@7773.direct.athenahealth.com

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1962530923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRAIL, SUITE 405",
            "address_2": "RALEIGH OB/GYN CENTRE, PA",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-876-8225",
            "fax_number": "919-876-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRAIL",
            "address_2": "SUITE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-876-8225",
            "fax_number": "919-876-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLLIP",
        "first_name": "DAWN",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "127564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "2009-01316",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "STANFORD",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.