NC Telehealth

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NC TELEHEALTH

Practice address

1030 N Rogers LN Ste 121
Raleigh, NC 27610-6083

Phone

(877) 561-5899

Fax

(910) 370-9643

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Mack, DNP, FNP-C, APRNNPI 1699191163

Title

NP

Phone

(877) 561-5899

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carolina Health Associates PC

  dba Carolina Health and wellness

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1154112274
  NPPES parent name

Practitioners 1

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.

• Michelle Angelina Mack, FNP

  • Family Nurse Practitioner
  • Durham, NC
  • NPI 1699191163
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1093339368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1516",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481516",
            "telephone_number": "877-561-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083",
            "telephone_number": "877-561-5899",
            "fax_number": "910-370-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "877-561-5899",
        "authorized_official_credential": "DNP, FNP-C, APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NC Physical Therapy and Balance LLC (FYZICAL Therapy & Balance Centers)
• NC Preventative Medicine and Wellness Clinic
• NC Recovery Support Services
• NC Recovery Support Services
• NC State University Student Health
• NC Training Help, PLLC (NC Family CARE)
• Nceps Services, PLLC
• Ncmwc, Inc
• Patricia Ndombe
• Sifon Udeme Ndon, MD

• 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 May 20, 2021; 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.