NPIMap

Organization Active NPI

Duke University Affiliated Physicians

  • Internal Medicine Physician
  • Pittsboro, NC
National Provider Identifier
1053671388
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DUKE UNIVERSITY AFFILIATED PHYSICIANS
Practice address
50 Craggenmore Close
Pittsboro, NC 27312-4000
Phone
(919) 545-2134
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Jennifer Roberts
Title
Director Finance
Phone
(919) 684-0439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

50 Craggenmore Close
Pittsboro, NC 27312-4000

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other names 1

  • Duke Primary Care-Galloway Ridge Doing business as

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
34D1046776Duke Primary Care Galloway Ridge Im50 Craggenmore Close, Pittsboro, NC 27312Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Park Internal Medicine15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

50 Craggenmore Dr
Pittsboro, NC 27312
Phone (919) 545-2215

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1053671388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRAGGENMORE CLOSE",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273124000",
            "telephone_number": "919-545-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY AFFILIATED PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "919-684-0439"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Primary Care-Galloway Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Primary Care-Galloway Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.