Active NPI
North, Inc.
- Developmental Disabilities Clinic/Center
- Raleigh, NC
National Provider Identifier
1366549636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- NORTH, INC.
- Practice address
- 4505 Fair Meadows LN
Suite 203
Raleigh, NC 27607-6465 - Phone
- (919) 781-0661
- Fax
- (919) 881-6580
- NPI assigned
- Sep 20, 2006
- 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
- Ms. Mary Sullivan
- Title
- Executive Director
- Phone
- (919) 781-0661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NC | Primary |
Addresses
Primary practice location
4505 Fair Meadows LN
Suite 203
Raleigh, NC 27607-6465
Mailing address
PO Box 445
Aberdeen, NC 28315-0445
Phone (910) 944-8125
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408784 | Medicaid | NC | |
| 3418526 | Medicaid | NC | |
| 6005619 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
4505 Fair Meadows Ln
Ste 203
Raleigh, NC 27607
Phone (919) 781-0661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1366549636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283150445",
"telephone_number": "910-944-8125",
"fax_number": "910-944-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 FAIR MEADOWS LN",
"address_2": "SUITE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076465",
"telephone_number": "919-781-0661",
"fax_number": "919-881-6580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-781-0661",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408784",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418526",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005619",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- North Wake Counseling Partners
- North Wake Internal Medicine Associates
- North Wake Internal Medicine Associates PLLC
- North Wake Pediatrics
- Abigail Weiland North, MS, RD, MHS, PA-C
- Andrea Northcutt, RPH
- Sheridan Northcutt
- Northeastern Human Services
- Northgate Medical Supplies, Inc
- Northland Hearing Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.