Individual provider Active NPI

Joellen C Speca, M.D.

  • Hematology & Oncology Physician
  • Raleigh, NC
National Provider Identifier
1013180108
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Practice address
4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505
Phone
(919) 784-6818
Fax
(919) 784-6826
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NC
Hematology & Oncology Physician 207RH0003X NC Primary

Addresses

Primary practice location

4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505

Mailing address

4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505
Phone (919) 784-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000371 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5890873319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Vermont College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200800454NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Internal Medicine Current Accepting new patients
Rex Hospital, Inc CurrentSince Jun 20, 2014 Accepting new patients
North Carolina MG, LLC Hematology & Oncology CurrentSince Nov 1, 2025 Accepting new patients
Rex Hospital Inc CurrentSince Jun 20, 2014 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
#200
Raleigh, NC 27607
Phone (919) 784-6818

4420 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 784-1097

Interoperability endpoints

  • Direct secure messaging: jspeca12192@direct.unc.nchie.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1013180108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-6818",
            "fax_number": "919-784-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-6818",
            "fax_number": "919-784-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECA",
        "first_name": "JOELLEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.