Organization Active NPI

Capital Medical Group

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1700908647
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAPITAL MEDICAL GROUP
Practice address
3509 Capital Blvd
Suite 101
Raleigh, NC 27604-3325
Phone
(919) 878-3655
Fax
(919) 878-3647
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Ruth Watkins
Title
Practice Manager
Phone
(919) 878-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary

Addresses

Primary practice location

3509 Capital Blvd
Suite 101
Raleigh, NC 27604-3325

Mailing address

PO Box 41213
Raleigh, NC 27629-1213
Phone (919) 878-3655

National Provider Directory

National Provider Directory

Locations

3509 Capital Blvd
Ste 101
Raleigh, NC 27604
Phone (919) 878-3655

Practitioners & affiliated clinicians

Practitioners 1

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700908647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276291213",
            "telephone_number": "919-878-3655",
            "fax_number": "919-878-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 CAPITAL BLVD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043325",
            "telephone_number": "919-878-3655",
            "fax_number": "919-878-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-878-3655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.