Rex Hospital Inc
Organization Active NPI Family Medicine Physician · Knightdale, NC
NPI 1649412867 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1649412867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- REX HOSPITAL INC
- Practice address
- 6602 Knightdale Boulevard
Suite 102
Knightdale, NC 27545-7130 - Phone
- (919) 747-5210
- Fax
- (919) 747-5211
- NPI assigned
- Apr 2, 2009
- 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
Practitioners 3
-
Brendan D McNulty, M.D.
-
Gail Devra Nagel, PT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2151173 | Unc Health Urgent Care at Knightdale | Certificate of waiver | Jul 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
300 Health Park Dr
Ste 220
Garner, NC 27529
Phone (919) 250-5955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
6602 Knightdale Boulevard
Suite 102
Knightdale, NC 27545-7130
Mailing address
6602 Knightdale Blvd Ste 102
Knightdale, NC 27545-6526
Phone (919) 747-5210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270Q | Other | NC | BCBS |
Other names
- Rex Express Care of Knightdale
- UNC Urgent Care at Knightdale
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Knightdale, NC
- Dennis John Redmond
- Austin James Renaud
- Renewed Strength
- Restoration Therapy Center
- Revive Wellness NC
- Riccobene & Associates I, DDS, P.a.
- Riccobene & Associates Xiii, DDS, P.a.
- Kristie L Richmond
- Shannon Marie Richmond
- David Rion
All providers in Knightdale, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.