Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juanita Perdomo, PA-C

Individual provider Physician Assistant · NPI 1639887193

Juanita Perdomo, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from Duke University School of Medicine in 2022, 4 years ago. Practices with International Clinic of the Carolinas PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2406 Blue Ridge Rd Ste 205
Raleigh, NC 27607-6666
Phone: (919) 782-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12669 (NC)

Record details

NPI number1639887193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice International Clinic Of The Carolinas Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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