Organization Active NPI

Avesi Group Inc

  • Medical Foods Supplier
  • Raleigh, NC
National Provider Identifier
1730012576
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Foods SupplierTaxonomy code 335G00000X
Legal business name
AVESI GROUP INC
Practice address
4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813
Phone
(984) 318-9797
NPI assigned
Jun 3, 2026
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Joy Russell
Title
Owner
Phone
(984) 318-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Foods Supplier 335G00000X NU Primary

Addresses

Primary practice location

4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813

Mailing address

11615 Busy St
North Chesterfield, VA 23236-4059

National Provider Directory

National Provider Directory

Locations

11615 Busy St
North Chesterfield, VA 23236
Phone (800) 884-8236

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1730012576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 BUSY ST",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123813",
            "telephone_number": "984-318-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESI GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-05-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-318-9797"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "NU",
            "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 Jun 3, 2026; 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.