Individual provider Active NPI

Alison P Guptill, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1093746570
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200600437 Issued in NC
Practice address
11200 Governor Manly Way
Suite 205
Raleigh, NC 27614-6830
Phone
(919) 570-7700
Fax
(919) 570-7701
NPI assigned
Jul 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200600437 NC Primary

Addresses

Primary practice location

11200 Governor Manly Way
Suite 205
Raleigh, NC 27614-6830

Mailing address

1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421

Other identifiers 1

IdentifierTypeStateIssuer
5903945MedicaidNC

Other names 1

  • Alison Erin Prestia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000393 NC Practitioner - Family Practice 1355381013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200600437NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network, LLC Family Medicine CurrentSince Mar 8, 2011 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Mar 8, 2011 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients

Locations

1515 SW Cary Pkwy
Ste 200
Cary, NC 27511
Phone (919) 387-3176

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 552-8911

1600 Perimeter Park Dr
Ste 225
Morrisville, NC 27560
Phone (919) 804-5064

11200 Governor Manly Way
Ste 205
Raleigh, NC 27614
Phone (919) 570-5900

Interoperability endpoints

  • Direct secure messaging: aguptill9990@direct.unc.nchie.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093746570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERIMETER PARK DR",
            "address_2": "SUITE 225",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "SUITE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146830",
            "telephone_number": "919-570-7700",
            "fax_number": "919-570-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTILL",
        "first_name": "ALISON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200600437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "PRESTIA",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.