Organization Active NPI

Loginclinics, PLLC

  • Primary Care Nurse Practitioner
  • Youngsville, NC
National Provider Identifier
1003472804
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LOGINCLINICS, PLLC
Practice address
406 US 1 Hwy Ste a
Youngsville, NC 27596-7847
Phone
(919) 679-1880
Fax
(800) 507-0902
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jaclyn S Qualter, AGPCNP-BC, ACNP-BCNPI 1174543730
Title
Owner/Provider
Phone
(919) 679-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

406 US 1 Hwy Ste a
Youngsville, NC 27596-7847

Mailing address

406 US 1 Hwy Ste a
Youngsville, NC 27596-7847
Phone (919) 679-1880

Other names 1

  • Healix Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428001830 NC Part B Supplier - Clinic/Group Practice 4385052562 Receives reassigned benefits from 1 practitioner
Practice locations: Youngsville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2234042Loginclinics, PLLC406 US 1 Hwy, Ste a, Youngsville, NC 27596Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

406 US 1 Hwy
Ste A
Youngsville, NC 27596
Phone (919) 679-1880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1003472804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 US 1 HWY STE A",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967847",
            "telephone_number": "919-679-1880",
            "fax_number": "800-507-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 US 1 HWY STE A",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967847",
            "telephone_number": "919-679-1880",
            "fax_number": "800-507-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGINCLINICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "QUALTER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-679-1880",
        "authorized_official_credential": "AGPCNP-BC, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healix Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.