NPIMap

Organization Active NPI

Planned Parenthood South Atlantic

  • Advanced Practice Midwife
  • Raleigh, NC
National Provider Identifier
1811033210
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
PLANNED PARENTHOOD SOUTH ATLANTIC
Practice address
100 S Boylan Ave
Raleigh, NC 27603-1802
Phone
(919) 833-7526
Fax
(919) 390-1384
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Tearra Alexandria Raynor
Title
Director of Revenue Cycle
Phone
(919) 833-7526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

100 S Boylan Ave
Raleigh, NC 27603-1802

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7526

Other identifiers 2

IdentifierTypeStateIssuer
0211AOtherNCBCBS OF NC
790211GMedicaidNC

Other names 1

  • Planned Parenthood Health Systems Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Health Systems17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

105 Newsom St
Ste 101
Durham, NC 27704
Phone (919) 286-2872

3010 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-2980

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1811033210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526",
            "fax_number": "919-390-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526",
            "fax_number": "919-390-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTH ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "TEARRA",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "919-833-7526"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0211A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790211G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Health Systems",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 26, 2024; 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.