Rex Hospital Inc

Organization Active NPI Family Medicine Physician · Raleigh, NC

NPI 1649201542 · NPPES record last updated Oct 22, 2025

Key facts

NPI
1649201542
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
REX HOSPITAL INC
Practice address
11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-6830
Phone
(919) 570-7660
Fax
(919) 570-7661
NPI assigned
Jul 6, 2006
Organization subpart
No

Authorized official

Name
Maria Jayoussi
Title
VP Finance Community Physicians
Phone
(440) 476-1713

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140613001181 NC Part B Supplier - Clinic/Group Practice 0840109864 Receives reassigned benefits from 10 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cary, NC; Raleigh, NC

National Provider Directory

Locations

1617 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-9952

6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-6830

Mailing address

11200 Governor Manly Way Ste 114
Raleigh, NC 27614-7360
Phone (919) 570-7660

Other identifiers

IdentifierTypeStateIssuer
017K5OtherNCBCBS

Other names

  • Rex Express Care of Wakefield Doing business as
  • UNC Urgent Care at Wakefield Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Raleigh, NC

All providers in Raleigh, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.