Active NPI
Hometown Direct Primary Care PLLC
- Primary Care Clinic/Center
- Coats, NC
National Provider Identifier
1164042412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HOMETOWN DIRECT PRIMARY CARE PLLC
- Practice address
- 124 E Stewart St
Coats, NC 27521-8352 - Phone
- (919) 901-7344
- Fax
- (877) 807-8251
- NPI assigned
- Apr 16, 2020
- Last updated
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal B Rambeau, MD
- Title
- Owner
- Phone
- (919) 901-7344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
124 E Stewart St
Coats, NC 27521-8352
Mailing address
3949 Chalybeate Springs Rd
Fuquay Varina, NC 27526-6207
Phone (919) 910-7344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 E Stewart St
Coats, NC 27521
Phone (919) 901-7344
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Coats, NC
- NPI 1518930783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1164042412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 CHALYBEATE SPRINGS RD",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275266207",
"telephone_number": "919-910-7344",
"fax_number": "319-250-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E STEWART ST",
"city": "COATS",
"state": "NC",
"postal_code": "275218352",
"telephone_number": "919-901-7344",
"fax_number": "877-807-8251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN DIRECT PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-16",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "RAMBEAU",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-901-7344",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coats, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.