Active NPI
Avesi Group Inc
- Medical Foods Supplier
- Raleigh, NC
National Provider Identifier
1730012576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Foods Supplier
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.