Mdvip Medical Group NC PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MDVIP MEDICAL GROUP NC PLLC

Practice address

2301 Rexwoods Dr
Suite 118
Raleigh, NC 27607-0156

Phone

(919) 803-1417

NPI assigned

Mar 3, 2017

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Andrea Klemes

Title

Member

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Part of

Mdvip Medical Group Holdings LLC

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1194265595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276070156",
            "telephone_number": "919-803-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP MEDICAL GROUP NC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Marie McWilliams, M.D.
• Mary Devon McWilliams, D.O
• Mdfamily Medical Group
• Mdfamily Medical Group
• Mdpnc Physicians, P.C.
• Dawn Marie Meacham, MSCE
• Amy Mewborn Meadowcroft, PHARMD
• Amanda Meadows
• Ashley Gabrielle Meadows
• Madeline Meadows

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.