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

Therese P. Rivard, PA

Individual provider Physician Assistant · NPI 1245418722

Therese P. Rivard, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 2003, 23 years ago. Practices with North Carolina Mg LLC, a 712-clinician group and accepts Medicare assignment. Licensed in Massachusetts, North Carolina and Vermont.

Years since qualifying
23
Licensed in
MA, NC, VT
In the registry since
2008
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2800 Blue Ridge Rd Ste 201
Raleigh, NC 27607-6477
Phone: (919) 784-7110
Fax: (919) 784-7111
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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 0010-03434 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 180313 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1980 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 055.0031325 (VT)

Record details

NPI number1245418722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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