Organization Active NPI

Goli Emergency Medicine PLLC

Doing business as Fettle Healthcare

  • Emergency Medicine Physician
  • Raleigh, NC
National Provider Identifier
1407670979
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GOLI EMERGENCY MEDICINE PLLC
Doing business as
Fettle Healthcare
Practice address
500 Pendleton Lake Rd
Raleigh, NC 27614-9092
Phone
(202) 701-7644
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mallikha Goli
Title
Founder
Phone
(202) 701-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

500 Pendleton Lake Rd
Raleigh, NC 27614-9092

Mailing address

500 Pendleton Lake Rd
Raleigh, NC 27614-9092
Phone (202) 701-7644

Other identifiers 1

IdentifierTypeStateIssuer
1528049517OtherNCNPI

Other names 1

  • Fettle Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drgoli@fettlehealth.com

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1407670979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PENDLETON LAKE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149092",
            "telephone_number": "202-701-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PENDLETON LAKE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149092",
            "telephone_number": "202-701-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLI EMERGENCY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "MALLIKHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "202-701-7644"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528049517",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgoli@fettlehealth.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "500 Pendleton Lake Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276149092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fettle Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.