Active NPI
Loginclinics, PLLC
- Primary Care Nurse Practitioner
- Youngsville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2234042 | Loginclinics, PLLC | Certificate of waiver | Aug 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Care Nurse Practitioner
- Youngsville, NC
- NPI 1174543730
NC, Primary Care
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.