Active NPI
Raleigh Neurosurgical Clinic, Inc.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Charlotte, NC
National Provider Identifier
1295612505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- RALEIGH NEUROSURGICAL CLINIC, INC.
- Practice address
- 12610 N Community House Rd Ste 200
Charlotte, NC 28277-4137 - Phone
- (919) 785-3400
- NPI assigned
- Aug 19, 2025
- Last updated
- Aug 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob A Rodman
- Title
- Ceo
- Phone
- (919) 785-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | Primary |
Addresses
Primary practice location
12610 N Community House Rd Ste 200
Charlotte, NC 28277-4137
Mailing address
5241 Six Forks Rd Ste 100
Raleigh, NC 27609-4431
Phone (919) 277-9839
National Provider Directory
National Provider Directory- Tax ID family
- Raleigh Neurosurgical C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Goldsboro, NC
- NPI 1801660212
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.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1801861406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1295612505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5241 SIX FORKS RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094431",
"telephone_number": "919-277-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12610 N COMMUNITY HOUSE RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774137",
"telephone_number": "919-785-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALEIGH NEUROSURGICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "RODMAN",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-785-3400"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.