NPIMap

Organization Active NPI

Devoted Medical NC PC

  • Primary Care Clinic/Center
  • Zirconia, NC
National Provider Identifier
1295443554
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DEVOTED MEDICAL NC PC
Practice address
5576 Greenville Hwy
Zirconia, NC 28790-4000
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Nov 7, 2022
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Aracely Courtney
Title
PM
Phone
(866) 849-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5576 Greenville Hwy
Zirconia, NC 28790-4000

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dm-practice-management@devoted.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418004036 NC Part B Supplier - Clinic/Group Practice 1759720014 Receives reassigned benefits from 30 practitioners
Practice locations: Swannanoa, NC; Morganton, NC; Linwood, NC; Holly Springs, NC; Huntersville, NC; Beech Mountain, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1295443554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 GREENVILLE HWY",
            "city": "ZIRCONIA",
            "state": "NC",
            "postal_code": "287904000",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED MEDICAL NC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_title_or_position": "PM",
        "authorized_official_telephone_number": "866-849-0692"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dm-practice-management@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5576 Greenville Hwy",
            "city": "Zirconia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287904000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zirconia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.