Centricity Care, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2018-01932 Issued in NC

Legal business name

CENTRICITY CARE, PLLC

Practice address

2417 Bryarton Woods Dr
Raleigh, NC 27606-4022

Phone

(571) 239-1139

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kashif Malik

Title

Healthcare Administrator

Phone

(571) 239-1139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1295217008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 BRYARTON WOODS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064022",
            "telephone_number": "571-239-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 BRYARTON WOODS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064022",
            "telephone_number": "571-239-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRICITY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "571-239-1139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2018-01932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerwell Senior Primary Care NC JV PC
• Centerwell Senior Primary Care NC JV PC
• Central One
• Centre OB/GYN
• Centricare Benefits LLC
• Centurion Asm, LLC
• Patrice M Cepull, RD, LDN
• Brooke Alyssa Cerak, MS
• Samuel Cerda
• Carleigh Gianna Cerra

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.