Organization Active NPI

North Carolina Vascular Center PLLC

  • Interventional Cardiology Physician
  • Clayton, NC, NC
National Provider Identifier
1043947104
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NORTH CAROLINA VASCULAR CENTER PLLC
Practice address
320 Veterans Parkway
Suite 200
Clayton, NC, NC 27520
Phone
(919) 971-4580
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Robert Alan Chalifour, RN
Title
Caeo
Phone
(919) 971-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

320 Veterans Parkway
Suite 200
Clayton, NC, NC 27520

Mailing address

320 Veterans Parkway
Suite 200
Clayton, NC, NC 27520
Phone (984) 989-6020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220930000622 NC Part B Supplier - Clinic/Group Practice 6800272741 Receives reassigned benefits from 9 practitioners
Practice locations: Clayton, NC

National Provider Directory

National Provider Directory

Locations

320 Veterans Pkwy
Ste 200
Clayton, NC 27520
Phone (919) 971-4580

920 S Lombard St
#200
Clayton, NC 27520
Phone (984) 989-6020

2605 Forest Hills Rd SW
Wilson, NC 27893
Phone (252) 243-7161

Practitioners & affiliated clinicians

Practitioners 10

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": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1043947104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 VETERANS PARKWAY",
            "address_2": "SUITE 200",
            "city": "CLAYTON, NC",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "984-989-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 VETERANS PARKWAY",
            "address_2": "SUITE 200",
            "city": "CLAYTON, NC",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-971-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "CHALIFOUR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CAEO",
        "authorized_official_telephone_number": "919-971-4580",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.