Organization Active NPI

Prana Health PLLC

  • Urgent Care Clinic/Center
  • Sanford, NC
National Provider Identifier
1306523071
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRANA HEALTH PLLC
Practice address
4546 NC 87 S
Sanford, NC 27332-0212
Phone
(910) 824-7619
Fax
(910) 824-7619
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRANA HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Rahul Kumar Kakkar, MDNPI 1821038209
Title
Director
Phone
(910) 824-7619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4546 NC 87 S
Sanford, NC 27332-0212

Mailing address

4546 NC 87 S
Sanford, NC 27332-0212
Phone (910) 824-7619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160512002136 NC Part B Supplier - Clinic/Group Practice 0143519264 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC; Sanford, NC; Lumberton, NC; Raleigh, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Prana Health PLLC

Locations

901 Denim Dr
Erwin, NC 28339
Phone (910) 897-5521

3906 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 766-8989

1212 Central Dr
Ste 103
Sanford, NC 27330
Phone (910) 824-7619

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1306523071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 NC 87 S",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320212",
            "telephone_number": "910-824-7619",
            "fax_number": "910-824-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 NC 87 S",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320212",
            "telephone_number": "910-824-7619",
            "fax_number": "910-824-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRANA HEALTH PLLC",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "KAKKAR",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-824-7619",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.