NPIMap

Organization Active NPI

Premier Health Center Internal Medicine and Palliative Care Service

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fuquay Varina, NC
National Provider Identifier
1295033751
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
200401463 Issued in NC
Legal business name
PREMIER HEALTH CENTER INTERNAL MEDICINE AND PALLIATIVE CARE SERVICE
Practice address
409 Wake Chapel Rd
Fuquay Varina, NC 27526-1956
Phone
(919) 567-9001
Fax
(919) 557-5540
NPI assigned
Mar 8, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Afaque AkhtarNPI 1053309419
Title
M.D
Phone
(919) 567-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X 200401463 NC Primary

Addresses

Primary practice location

409 Wake Chapel Rd
Fuquay Varina, NC 27526-1956

Mailing address

708 Rushing Falls Place
Fuquay Varina, NC 27526-1956
Phone (919) 567-9001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1295033751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 RUSHING FALLS PLACE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261956",
            "telephone_number": "919-567-9001",
            "fax_number": "919-557-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WAKE CHAPEL RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261956",
            "telephone_number": "919-567-9001",
            "fax_number": "919-557-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CENTER INTERNAL MEDICINE AND PALLIATIVE CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "AFAQUE",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "919-567-9001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "200401463",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 9, 2011; 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.