Organization Active NPI

Primary Medical Care

  • Adolescent Medicine (Family Medicine) Physician
  • Cary, NC
National Provider Identifier
1861822793
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
9700320 Issued in NC
Legal business name
PRIMARY MEDICAL CARE
Practice address
270 Cornerstone Dr
Suite 105
Cary, NC 27519-8400
Phone
(919) 460-7676
Fax
(919) 460-4605
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Mary T Mackenzie, M.D.NPI 1508801283
Title
Owner/Physician
Phone
(919) 460-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 9700320 NC Primary

Addresses

Primary practice location

270 Cornerstone Dr
Suite 105
Cary, NC 27519-8400

Mailing address

270 Cornerstone Dr
Suite 105
Cary, NC 27519-8400
Phone (919) 460-7676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224002183 NC Part B Supplier - Clinic/Group Practice 5395975064 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, 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
34D1037202Primary Medical Care270 Cornerstone Dr Ste 105, Cary, NC 27519Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

270 Cornerstone Dr
Ste 105
Cary, NC 27519
Phone (919) 460-7676

Interoperability endpoints

  • Direct secure messaging: mary_mackenzie@primarymedicalcare.amazing-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1861822793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CORNERSTONE DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198400",
            "telephone_number": "919-460-7676",
            "fax_number": "919-460-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CORNERSTONE DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198400",
            "telephone_number": "919-460-7676",
            "fax_number": "919-460-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "919-460-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NC",
            "license": "9700320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.