Organization Active NPI

Iter Evigilans PLLC

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1437029196
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ITER EVIGILANS PLLC
Practice address
4242 Six Forks Rd
Raleigh, NC 27609-6084
Phone
(205) 493-0145
Fax
(919) 756-6667
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Aqua Burrell
Title
Office Manager
Phone
(252) 258-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4242 Six Forks Rd
Raleigh, NC 27609-6084

Mailing address

355 Parlier Dr
Cary, NC 27519-8964
Phone (205) 493-0145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507000137 NC Part B Supplier - Clinic/Group Practice 9335617422 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

4242 Six Forks Rd
Raleigh, NC 27609
Phone (919) 631-7148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1437029196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PARLIER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198964",
            "telephone_number": "205-493-0145",
            "fax_number": "919-756-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096084",
            "telephone_number": "205-493-0145",
            "fax_number": "919-756-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITER EVIGILANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "AQUA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-258-7192"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 May 12, 2026; 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.