Organization Active NPI

Internal Medicine Associates of Raleigh, PA

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1841269305
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF RALEIGH, PA
Practice address
3850 Ed Dr
Suite 305
Raleigh, NC 27612-8037
Phone
(919) 788-9588
Fax
(919) 645-1640
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Ms. Claire Spinks
Title
Administrator
Phone
(919) 788-9588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3850 Ed Dr
Suite 305
Raleigh, NC 27612-8037

Mailing address

3850 Ed Dr
Suite 100
Raleigh, NC 27612-8037
Phone (919) 788-9588

Other identifiers 1

IdentifierTypeStateIssuer
89013GHMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503001034 NC Part B Supplier - Clinic/Group Practice 4981644507 Receives reassigned benefits from 9 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0240462Internal Medicine Assoc of Raleigh PA3850 Ed Drive Suite 100, Raleigh, NC 27612Provider-performed microscopyMar 31, 2027

National Provider Directory

National Provider Directory

Locations

3850 Ed Dr
Ste 305
Raleigh, NC 27612
Phone (919) 788-9588

3850 Ed Dr
Raleigh, NC 27612

3850 Ed Dr
#100
Raleigh, NC 27612
Phone (919) 645-1644

5201 Clarks Fork Dr
Raleigh, NC 27616
Phone (919) 872-7033

4515 Harding Pike
Nashville, TN 37205
Phone (615) 279-5656

Practitioners & affiliated clinicians

Practitioners 10

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1841269305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 ED DR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128037",
            "telephone_number": "919-788-9588",
            "fax_number": "919-645-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 ED DR",
            "address_2": "SUITE 305",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128037",
            "telephone_number": "919-788-9588",
            "fax_number": "919-645-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF RALEIGH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "SPINKS",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-788-9588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013GH",
            "state": "NC"
        }
    ],
    "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 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.