Prime NC Health, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

PRIME NC HEALTH, LLC

Practice address

160 Mine Lake CT Ste 200
Raleigh, NC 27615-6417

Phone

(404) 805-4288

NPI assigned

May 2, 2019

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey PoreeNPI 1669890430

Title

Manager

Phone

(404) 805-4288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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.

• Jeffrey Poree Jr., CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Atlanta, GA
  • NPI 1669890430
  NPD Authorized official
• Andrew Rudins, MD

  • Physical Medicine & Rehabilitation Physician
  • Asheville, NC
  • NPI 1851486542
  Medicare reassignment
• David N Adams, MD

  • Physical Medicine & Rehabilitation Physician
  • Shreveport, LA
  • NPI 1750373338

  NC

  Medicare reassignment

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1295390557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR. BLDG 3 STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-805-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MINE LAKE CT STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156417",
            "telephone_number": "404-805-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "POREE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-805-4288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Health, Inc. (Health Force)
• Prime Health, Inc. (Health Force)
• Prime MD PC
• Prime Medical Associates of North (North Raleigh Internal Medicine Associates)
• Prime Medical Supply LLC
• Prime Physical Therapy, LLC
• Primepath Medical Transport
• Jamie Prince, MD, MPH
• Latrice Pringle
• Priority Care Ambulance Inc.

• Electroneurodiagnostic Specialist/Technologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Electroneurodiagnostic Specialist/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.