Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Jacquelyn Cavanaugh, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1063250462

Susan Jacquelyn Cavanaugh, AGNP-C is a Nurse Practitioner in Chapel Hill, North Carolina. Qualified in 2024, 2 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

102 Mason Farm Rd
Chapel Hill, NC 27599-6134
Phone: (919) 974-4175
Fax: (984) 974-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020484 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence CAVA-K7UWK (NC)

Record details

NPI number1063250462
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Chapel Hill