Hometown Direct Primary Care PLLC
Organization Active NPI Primary Care Clinic/Center · Coats, NC
NPI 1164042412 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1164042412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- 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
- Organization subpart
- No
Authorized official
- Name
- Crystal B Rambeau, MD
- Title
- Owner
- Phone
- (919) 901-7344
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200708003652 | NC | Part B Supplier - Clinic/Group Practice | 9638592686 |
Receives reassigned benefits from 1 practitioner Practice locations: Coats, NC |
National Provider Directory
Locations
124 E Stewart St
Coats, NC 27521
Phone (919) 901-7344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
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
Other providers in Coats, NC
- Joanne Duke
- Thomas James Hatten
- Heritage Counseling and Wellness, PLLC
- Alex Quinton Herring
- Jennifer Odell Hill
- Meghan Clair Hubbard
- Johari Family Services
- Johari Family Services LLC
- Eric Bradley Lee
- Jennifer Cannady Norton
All providers in Coats, NC · Primary Care Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.