Organization Active NPI

North Raleigh Integrated Primary Care PLLC

  • Adult Medicine Physician
  • Raleigh, NC
National Provider Identifier
1447844162
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
NORTH RALEIGH INTEGRATED PRIMARY CARE PLLC
Practice address
4040 Barrett Dr
Raleigh, NC 27609-6640
Phone
(919) 689-1010
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Treshell Herndon
Title
PM
Phone
(919) 689-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

4040 Barrett Dr
Raleigh, NC 27609-6640

Mailing address

4040 Barrett Dr
Raleigh, NC 27609-6640
Phone (919) 689-1010

Other identifiers 1

IdentifierTypeStateIssuer
7804626MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Nextgen Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209000193 NC Part B Supplier - Clinic/Group Practice 7113310467 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2191427North Raleigh Intergrated Primary Care4040 Barrett Dr, Raleigh, NC 27609Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

4040 Barrett Dr
Ste 100
Raleigh, NC 27609
Phone (919) 689-1010

Practitioners & affiliated clinicians

Practitioners 2

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1447844162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096640",
            "telephone_number": "919-689-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096640",
            "telephone_number": "919-689-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RALEIGH INTEGRATED PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "TRESHELL",
        "authorized_official_title_or_position": "PM",
        "authorized_official_telephone_number": "919-689-1010"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804626",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nextgen",
            "affiliation": "N",
            "endpointDescription": "patient mgnt",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telehealth",
            "address_1": "4040 Barrett Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276096640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.