NPIMap

Organization Active NPI

Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1699748608
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC
Practice address
2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone
(866) 389-2727
Fax
(401) 406-3539
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Deborah Jean Pincince
Title
Administrator
Phone
(401) 770-3813

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2340 Spring Forest Rd
Raleigh, NC 27615-7528

Mailing address

PO Box 772
Minuteclinic Credentialing-Mc2295
Woonsocket, RI 02895-0784
Phone (866) 389-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000719 NC Part B Supplier - Clinic/Group Practice 6002837572 Receives reassigned benefits from 348 practitioners

National Provider Directory

National Provider Directory

Locations

324 Long Shoals Rd
Arden, NC 28704
Phone (828) 654-0812

11314 US Highway 15 501 Hwy N
Chapel Hill, NC 27517
Phone (919) 929-1143

9805 Rocky River Rd
Charlotte, NC 28215
Phone (704) 494-3466

210 E Trade St
Ste 186
Charlotte, NC 28202

12830 Walker Branch Rd
Charlotte, NC 28273
Phone (704) 583-0341

9628 Rea Rd
Charlotte, NC 28277
Phone (704) 542-5072

7496 Rockfish Rd
Fayetteville, NC 28306
Phone (910) 424-2905

2203 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-7105

4300 NC Highway 49 S
Harrisburg, NC 28075
Phone (704) 455-6420

1605 Four Seasons Blvd
Hendersonville, NC 28792
Phone (828) 693-4186

1101 S Main St
Kernersville, NC 27284
Phone (336) 337-0144

7126 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-7600

1403 E Main St
Lincolnton, NC 28092
Phone (704) 735-1493

1305 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 846-7651

2300 Oak Ridge Rd
Oak Ridge, NC 27310
Phone (336) 644-6384

105 E College Ave
Shelby, NC 28152
Phone (704) 434-6560

442 S Highway 27
Stanley, NC 28164
Phone (704) 263-1416

Practitioners & affiliated clinicians

Practitioners 359

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

View all 359

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1699748608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "MINUTECLINIC CREDENTIALING-MC2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157528",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.