NPIMap

Organization Active NPI

Advance Community Health, Inc

Doing business as Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Fuquay Varina, NC
National Provider Identifier
1114913092
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ADVANCE COMMUNITY HEALTH, INC
Doing business as
Advance Community Health
Amplify Health
Practice address
130 N Judd Pkwy NE
Fuquay Varina, NC 27526-2367
Phone
(919) 557-1110
Fax
(919) 557-1102
NPI assigned
Sep 26, 2005
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Scot McCrayNPI 1255703609
Title
Chief Executive Officer
Phone
(856) 449-4068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

130 N Judd Pkwy NE
Fuquay Varina, NC 27526-2367

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other names 2

  • Advance Community Health Doing business as
  • Amplify Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040824000695 NC Part B Supplier - Clinic/Group Practice 3577471697 Receives reassigned benefits from 91 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wendell, NC; Wake Forest, NC; Raleigh, NC; Louisburg, NC; Apex, NC; Cary, NC; Holly Springs, NC; Fuquay Varina, NC
O20111209000221 NC Part A Provider - Federally Qualified Health Center (FQHC) 3577471697 Practice locations: Fuquay Varina, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114913092. Details of each certification follow.

Federally qualified health center certification: CCN 341864

Legal name
ADVANCE COMMUNITY HEALTH INC
Doing business as
ADVANCE COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 12, 2001
Last certification
Sep 12, 2001
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1972 in NC
Enrollment address
130 N Judd Pkwy NE
Fuquay Varina, NC 27526-2367

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

618 W Jones St
Ste 102
Raleigh, NC 27603
Phone (919) 576-0252

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scot McCray Individual Corporate OfficerCeo Feb 1, 2021
W-2 Managing EmployeeCeo Feb 1, 2021
Operational/Managerial ControlCeo Feb 1, 2021
Desiree Bolling Individual Corporate DirectorBoard Member Jun 22, 2020
Tara N Minter Individual Corporate DirectorBoard Member Dec 17, 2017
Parris Solomon Individual Corporate DirectorBoard Member Apr 26, 2021
Alecia Smith Taylor Individual Corporate DirectorBoard Member Jan 27, 2020

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1114913092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111",
            "fax_number": "919-834-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262367",
            "telephone_number": "919-557-1110",
            "fax_number": "919-557-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "856-449-4068"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amplify Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.