Organization Active NPI

Uncommon Care PA

  • Urgent Care Clinic/Center
  • Angier, NC
National Provider Identifier
1659517993
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNCOMMON CARE PA
Practice address
9633 Bitter Melon Dr
Angier, NC 27501
Phone
(919) 639-8900
Fax
(919) 639-9500
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Edwin P. Yaeger Jr., D.O.NPI 1558348276
Title
Owner
Phone
(919) 616-4161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

9633 Bitter Melon Dr
Angier, NC 27501

Mailing address

9633 Bitter Melon Dr
Angier, NC 27501
Phone (919) 639-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090917000596 NC Part B Supplier - Clinic/Group Practice 7214083112 Receives reassigned benefits from 2 practitioners
Practice locations: Angier, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1098926Uncommon Care9633 Bitter Melon Drive, Angier, NC 27501Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Locations

111 Logan Ct
Angier, NC 27501

9633 Bitter Melon Dr
Angier, NC 27501
Phone (919) 639-8900

8065 Ten Ten Rd
Raleigh, NC 27603
Phone (919) 229-8803

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1659517993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-639-8900",
            "fax_number": "919-639-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-639-8900",
            "fax_number": "919-639-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCOMMON CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "YAEGER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-616-4161",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.