Active NPI
Elizabeth Neel, M.D.
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1629106356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200000564
- Practice address
- 4822 Six Forks Rd
Suite 102
Raleigh, NC 27609-5269 - Phone
- (919) 336-4244
- Fax
- (919) 891-3681
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200000564 | NC | |
| Pediatrics Physician | 208000000X | 200000564 | NC | Primary |
Addresses
Primary practice location
4822 Six Forks Rd
Suite 102
Raleigh, NC 27609-5269
Mailing address
4822 Six Forks Rd
Suite 102
Raleigh, NC 27609-5269
Phone (919) 336-4244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000564 | Other | NC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000564 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focusmd Nc1013 PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Raleigh, NC
- NPI 1679976567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1629106356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095269",
"telephone_number": "919-336-4244",
"fax_number": "919-891-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095269",
"telephone_number": "919-336-4244",
"fax_number": "919-891-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEL",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200000564",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200000564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "200000564",
"state": "NC"
}
],
"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 Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.