Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sally Ravanos, MD

Individual provider Pediatrics Physician · NPI 1083835078

Sally Ravanos, MD is an Internal Medicine in Raleigh, North Carolina. Graduated from University of Alabama School of Medicine in 2005, 21 years ago. Practices with North Carolina Mg LLC, a 712-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Trained at
University of Alabama School of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-7093
Fax: (919) 784-7395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2009-00012 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 2009-00012 (NC)

Record details

NPI number1083835078
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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