Organization Active NPI

Ajey B Golwala, MD ,PC

  • Clinic/Center
  • Fuquay Varina, NC
National Provider Identifier
1255516548
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
207R00000X Issued in NC
Legal business name
AJEY B GOLWALA, MD ,PC
Practice address
1012 Procure St
Fuquay Varina, NC 27526-2620
Phone
(919) 552-5303
Fax
(919) 567-0004
NPI assigned
Jan 4, 2008
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Ajey Babubhai Golwala
Title
Provider
Phone
(919) 552-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 207R00000X NC Primary

Addresses

Primary practice location

1012 Procure St
Fuquay Varina, NC 27526-2620

Mailing address

1012 Procure St
Fuquay Varina, NC 27526-2620
Phone (919) 552-5303

Other identifiers 3

IdentifierTypeStateIssuer
110105438OtherNCRR MEDICARE
8936145MedicaidNC
36415OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000699 NC Part B Supplier - Clinic/Group Practice 1052498078 Receives reassigned benefits from 1 practitioner
Practice locations: Fuquay Varina, NC

National Provider Directory

National Provider Directory

Locations

1012 Procure St
Fuquay Varina, NC 27526
Phone (919) 552-5303

1012 Procure St
Ste 327
Fuquay Varina, NC 27526

905 S Main St
Fuquay Varina, NC 27526
Phone (919) 552-5303

2500 Blue Ridge Rd
Ste 327
Raleigh, NC 27607
Phone (919) 552-5303

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.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1255516548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 PROCURE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262620",
            "telephone_number": "919-552-5303",
            "fax_number": "919-567-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 PROCURE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262620",
            "telephone_number": "919-552-5303",
            "fax_number": "919-567-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJEY B GOLWALA, MD ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "GOLWALA",
        "authorized_official_first_name": "AJEY",
        "authorized_official_middle_name": "BABUBHAI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "919-552-5303"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110105438",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936145",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.