Individual provider Active NPI

Paige Davenport Myers, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1972041804
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07069 Issued in NC
Practice address
1021 Darrington Dr Ste 101
Cary, NC 27513-8158
Phone
(919) 852-3999
Fax
(919) 378-9114
NPI assigned
Feb 12, 2017
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07069 NC Primary

Addresses

Primary practice location

1021 Darrington Dr Ste 101
Cary, NC 27513-8158

Mailing address

1021 Darrington Dr Ste 101
Cary, NC 27513-8158
Phone (919) 852-3999

Other practice location 1

910 N Madison Blvd
Roxboro, NC 27573-0040
Phone (336) 592-2230

Other practice location 2

6729 Falls Of Neuse Rd Ste 102
Raleigh, NC 27615-5383
Phone (919) 921-8219

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
I20170425001295 NC Practitioner - Physician Assistant 2769768951 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07069NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA CurrentSince Feb 15, 2023 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Dec 22, 2017 Accepting new patients
Generations Family Practice, PA CurrentSince Feb 15, 2023 Accepting new patients
Emergeortho PA CurrentSince Dec 22, 2017 Accepting new patients

Locations

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

6729 Falls of Neuse Rd
Ste 102
Raleigh, NC 27615
Phone (919) 921-8219

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1972041804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "919-852-3999",
            "fax_number": "919-378-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "919-852-3999",
            "fax_number": "919-378-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 N Madison Blvd",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275730040",
            "country_code": "US",
            "telephone_number": "336-592-2230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6729 Falls Of Neuse Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155383",
            "country_code": "US",
            "telephone_number": "919-921-8219",
            "fax_number": "919-378-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAIGE",
        "middle_name": "DAVENPORT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.