NPIMap

Organization Active NPI

Med One

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1093146177
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
252852 Issued in NC
Legal business name
MED ONE
Practice address
2431 Spring Forest Rd Ste 111
Raleigh, NC 27615-7525
Phone
(919) 850-1300
NPI assigned
Nov 27, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Tiffany Conner
Title
Billing Manager
Phone
(919) 850-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 252852 NC Primary

Addresses

Primary practice location

2431 Spring Forest Rd Ste 111
Raleigh, NC 27615-7525

Mailing address

2431 Spring Forest Rd Ste 111
Raleigh, NC 27615-7525
Phone (919) 850-1300

National Provider Directory

National Provider Directory
Tax ID family
Med One Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1093146177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 SPRING FOREST RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157525",
            "telephone_number": "919-850-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 SPRING FOREST RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157525",
            "telephone_number": "919-850-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "919-850-1300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "252852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.