NPIMap

Organization Active NPI

Avaya Health Services, LLC

  • Exclusive Provider Organization
  • Durham, NC
National Provider Identifier
1609133693
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
AVAYA HEALTH SERVICES, LLC
Practice address
6409 Fayetteville Rd
Suite 120-302
Durham, NC 27713-6297
Phone
(919) 454-1672
Fax
(919) 381-4910
NPI assigned
Apr 16, 2012
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mr. Dwayne D Gray, MS
Title
Owner/Ceo
Phone
(919) 454-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

6409 Fayetteville Rd
Suite 120-302
Durham, NC 27713-6297

Mailing address

6409 Fayetteville Rd
Suite 120-302
Durham, NC 27713-6297
Phone (919) 454-1672

National Provider Directory

National Provider Directory
Tax ID family
Avaya Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1609133693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD",
            "address_2": "SUITE 120-302",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "919-454-1672",
            "fax_number": "919-381-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD",
            "address_2": "SUITE 120-302",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "919-454-1672",
            "fax_number": "919-381-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAYA HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-454-1672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.