Active NPI
Glenn Louis Feole, M.D.
- Pediatrics Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2002- 01244
- Practice address
- 1011 Rock Quarry Rd
Raleigh, NC 27610-3825 - Phone
- (919) 833-3111
- Fax
- (919) 834-3118
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2002- 01244 | NC | Primary |
Addresses
Primary practice location
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Mailing address
1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106002211 | NC | Practitioner - Pediatric Medicine | 8325078066 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002- 01244 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Advance Community Health, Inc | Current | Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Past | Accepting new patients | |
| Advance Community Health, Inc | Past | Accepting new patients |
Locations
212 S Salem St
Apex, NC 27502
Phone (919) 362-5201
187 High House Rd
Cary, NC 27511
130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499
111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500
1011 Rock Quarry Rd
Raleigh, NC 27610
1430 S Wilmington St
Raleigh, NC 27603
2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721
1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610
1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934
102 N Tarboro St
Raleigh, NC 27610
Phone (919) 743-3315
Interoperability endpoints
- gfeole326617@direct.ochin.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Raleigh, NC
- NPI 1245223783
NC
-
- Federally Qualified Health Center (FQHC)
- Fuquay Varina, NC
- NPI 1114913092
-
- Federally Qualified Health Center (FQHC)
- Louisburg, NC
- NPI 1497918338
-
- Federally Qualified Health Center (FQHC)
- Apex, NC
- NPI 1598751463
-
- Community/Retail Pharmacy
- Oak Hall, VA
- NPI 1174224604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356471007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-833-3111",
"fax_number": "919-834-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-833-3111",
"fax_number": "919-834-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEOLE",
"first_name": "GLENN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2002- 01244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.