NPIMap

Organization Active NPI

Raleigh Durham Medical Group, PA

Doing business as North Raleigh Pediatric Group

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1518918259
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RALEIGH DURHAM MEDICAL GROUP, PA
Doing business as
North Raleigh Pediatric Group
Practice address
7205 Stonehenge Dr
Raleigh, NC 27613-1649
Phone
(919) 848-2249
Fax
(919) 848-8238
NPI assigned
May 15, 2006
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RALEIGH DURHAM MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
David K Moye
Title
Executive Director
Phone
(919) 614-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7205 Stonehenge Dr
Raleigh, NC 27613-1649

Mailing address

PO Box 63103
Charlotte, NC 28263-3103
Phone (919) 233-5952

Other identifiers 2

IdentifierTypeStateIssuer
0237NOtherNCBCBS
5900360MedicaidNC

Other names 1

  • North Raleigh Pediatric Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Knightdale Family Practice66 organizations share this tax ID, including this one
Part of
Knightdale Family Practice

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8300 Health Park
Ste 213
Raleigh, NC 27615
Phone (919) 896-7066

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1518918259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633103",
            "telephone_number": "919-233-5952",
            "fax_number": "312-324-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 STONEHENGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131649",
            "telephone_number": "919-848-2249",
            "fax_number": "919-848-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH DURHAM MEDICAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALEIGH DURHAM MEDICAL GROUP PA",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-614-0301"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0237N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Raleigh Pediatric Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Raleigh Pediatric Group",
            "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 Sep 4, 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.