Michael George Rallis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23750 Issued in NC

Practice address

2778 Country Club Dr
Hampstead, NC 28443-8028

Phone

(910) 259-5011

Fax

(910) 259-3060

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

George Washington University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael G Rallis MD PLLCGroup PAC ID 2365405578, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• Woodbury Wellness Center Inc Nursing home, Hampstead, NC, CCN 345349

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael G. Rallis, M.D., PLLC

  • Internal Medicine Physician
  • Hampstead, NC
  • NPI 1477721843
  Medicare reassignment Care Compare group NPD Authorized official
• Woodbury Wellness Center Inc

  • Skilled Nursing Facility
  • Hampstead, NC
  • NPI 1992793962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation
• Woodbury Wellness Center Inc

  • Skilled Nursing Facility
  • Hampstead, NC
  • NPI 1992793962

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1821151069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284251179",
            "telephone_number": "910-259-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 COUNTRY CLUB DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438028",
            "telephone_number": "910-259-5011",
            "fax_number": "910-259-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLIS",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8969959",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69959",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "409113857",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Victoria Quick
• Irma Reed Quinn, LCMHC
• R. Tim Powell DDS PA
• Raise the Bar Therapy Services
• Raleigh Durham Medical Group, PA
• Randy M. Sloan Family Medicine, P.a
• Kole Brent Rankin, RBT
• Raw Functional Nutrition
• Realo Discount Drug Stores of Eastern North Carolina Inc
• Glenda Michelle Reams Mercer, HIS

• Internal Medicine Physician in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.