Raleigh Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

84061 Issued in NC

Legal business name

RALEIGH FAMILY PRACTICE PA

Practice address

4414 Lake Boone TRL
Suite 502
Raleigh, NC 27607-7513

Phone

(919) 875-0539

Fax

(919) 875-1051

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin T Fisher

Title

Practice Administrator

Phone

(919) 875-0539

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/30034/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Carl Babcock, M.D.

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1023219276
  Medicare reassignment Care Compare group NPD
• Jaimita V Patel, M.D.

  • Family Medicine Physician
  • Angier, NC
  • NPI 1851442677
  Medicare reassignment Care Compare group NPD
• Aaron David Jarrett, M.D.

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1689017394

  NC

  Medicare reassignment Care Compare group NPD
• Tyler Ryan Cassidy, PA-C

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1518308907
  Medicare reassignment Care Compare group
• Amie Lyons Clarke, P.A.-C

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1720058126
  Medicare reassignment Care Compare group
• Lanlen Luke Venable, PA-C

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1306300520
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063571040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 502",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-875-0539",
            "fax_number": "919-875-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 502",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-875-0539",
            "fax_number": "919-875-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-875-0539"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "84061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901842",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Express Transportation LLC
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• Raleigh Eye Center, PA
• Raleigh Family and Injury Chiropractic (Falls Chiropractic and Injury)
• Raleigh Family Health Care
• Raleigh Family Practice, P.a.
• Raleigh Foot Center,PA
• Raleigh Gastroenterology, P.a.
• Raleigh Geriatrics, P.a.
• Raleigh Gynecology & Wellness PA

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.