NPIMap

Organization Active NPI

Tri-City Family Medicine & Urgent Care Clinic, PLLC

  • Family Medicine Physician
  • Holly Springs, NC
National Provider Identifier
1457531790
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
Practice address
107 Hyannis Dr
Holly Springs, NC 27540-8336
Phone
(919) 363-8666
Fax
(919) 363-8668
NPI assigned
Nov 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Authorized official

Name
Avani Patel
Title
Practice Administrator
Phone
(919) 363-8666

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

107 Hyannis Dr
Holly Springs, NC 27540-8336

Mailing address

107 Hyannis Dr
Holly Springs, NC 27540-8336
Phone (919) 363-8666

Other practice location 1

1106 Parkside Main St
Cary, NC 27519-6950
Phone (919) 261-6446

Other names 2

  • Tricity Family Medicine & Urgent Care Doing business as
  • Tricity Family Medicine & Urgent Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000470 NC Part B Supplier - Clinic/Group Practice 3173606100 Receives reassigned benefits from 8 practitioners
Practice locations: Cary, NC; Holly Springs, NC

National Provider Directory

National Provider Directory

Locations

1106 Parkside Main St
Cary, NC 27519
Phone (919) 261-6446

107 Hyannis Dr
Holly Springs, NC 27540
Phone (919) 363-8666

Practitioners & affiliated clinicians

Practitioners 8

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": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1457531790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666",
            "fax_number": "919-363-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408336",
            "telephone_number": "919-363-8666",
            "fax_number": "919-363-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Parkside Main St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275196950",
            "country_code": "US",
            "telephone_number": "919-261-6446",
            "fax_number": "919-261-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AVANI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-363-8666"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricity Family Medicine & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tricity Family Medicine & Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.