NPIMap

Organization Active NPI

Raleigh Durham Medical Group PA

Doing business as Orange Family Medical Group

  • Family Medicine Physician
  • Hillsborough, NC
National Provider Identifier
1194828145
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Doing business as
Orange Family Medical Group
Practice address
210 S Cameron St
Hillsborough, NC 27278-2505
Phone
(919) 732-9311
Fax
(919) 732-9315
NPI assigned
Sep 6, 2006
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
RALEIGH DURHAM MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
David K Moye
Title
Senior Vice President
Phone
(919) 851-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

210 S Cameron St
Hillsborough, NC 27278-2505

Mailing address

5420 Wade Park Blvd
Suite 106
Raleigh, NC 27607-4188
Phone (919) 851-2174

Other identifiers 2

IdentifierTypeStateIssuer
0282COtherNCBCBS
890282CMedicaidNC

Other names 1

  • Orange Family Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000155 NC Part B Supplier - Clinic/Group Practice 2365409588 Receives reassigned benefits from 103 practitioners
12 other NPIs on this enrollment
Practice locations: Greensboro, NC; Four Oaks, NC; Greenville, NC; Morrisville, NC; Raleigh, NC; Wake Forest, NC; Cary, NC; Fayetteville, NC…

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Part of
McCrimmon Primary Care Plus

Locations

600 Julian Ln
Ste 670
Arden, NC 28704
Phone (828) 651-0450

1 Saint Dunstans Rd
Ste 100
Asheville, NC 28803
Phone (828) 252-4020

141 Asheland Ave
Ste 100
Asheville, NC 28801
Phone (828) 222-0036

1998 Hendersonville Rd
Ste 51
Asheville, NC 28803
Phone (828) 651-0450

260 Merrimon Ave
Ste 200
Asheville, NC 28801
Phone (828) 254-2444

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

111 Advent Ct
Ste 100
Cary, NC 27518
Phone (919) 859-5650

114 Brady Ct
Cary, NC 27511
Phone (919) 469-1252

305 S Academy St
Ste A
Cary, NC 27511
Phone (919) 467-7528

13271 Strickland Rd
Ste 120
Raleigh, NC 27613
Phone (919) 741-4677

2406 Blue Ridge Rd
Ste 170
Raleigh, NC 27607
Phone (919) 782-4884

2800 Blue Ridge Rd
#403
Raleigh, NC 27607
Phone (919) 784-3198

3721 Lynn Rd
Ste 104
Raleigh, NC 27613
Phone (919) 510-5561

4301 Lake Boone Trl
Ste 205
Raleigh, NC 27607
Phone (919) 881-0077

4905 Green Rd
Ste 100
Raleigh, NC 27616
Phone (919) 872-5411

5816 Creedmoor Rd
Ste 209
Raleigh, NC 27612
Phone (919) 614-9811

701 Exposition Pl
#212
Raleigh, NC 27615
Phone (919) 791-2900

7205 Stonehenge Dr
Raleigh, NC 27613
Phone (919) 848-2229

228 S Madison Blvd
Roxboro, NC 27573
Phone (336) 598-5480

609 Professional Dr
Roxboro, NC 27573
Phone (336) 599-9257

1038 Albemarle Rd
Troy, NC 27371
Phone (910) 417-4105

1908 Meeting Ct
Wilmington, NC 28401
Phone (910) 342-9969

Practitioners & affiliated clinicians

Practitioners 131

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 131

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1194828145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WADE PARK BLVD",
            "address_2": "SUITE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074188",
            "telephone_number": "919-851-2174",
            "fax_number": "919-854-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CAMERON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782505",
            "telephone_number": "919-732-9311",
            "fax_number": "919-732-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH DURHAM MEDICAL GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALEIGH DURHAM MEDICAL GROUP PA",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "919-851-2174"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0282C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890282C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.

Verify at the official NPI Registry.