NPIMap

Organization Active NPI

Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
National Provider Identifier
1871589762
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ADVANCE COMMUNITY HEALTH, INC
Practice address
1011 Rock Quarry Road
Raleigh, NC 27610
Phone
(919) 250-2930
Fax
(919) 573-4734
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Scot McCray
Title
Ceo
Phone
(919) 833-3111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Federally Qualified Health Center (FQHC) 261QF0400X NC Primary

Addresses

Primary practice location

1011 Rock Quarry Road
Raleigh, NC 27610

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other identifiers 2

IdentifierTypeStateIssuer
344587AMedicaidNC
03095OtherNDBCBS

Other names 2

  • Advance Community Health Doing business as
  • Amplify Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030102000004 NC Part A Provider - Federally Qualified Health Center (FQHC) 3577471697 Practice locations: Raleigh, NC
O20040824000695 NC Part B Supplier - Clinic/Group Practice 3577471697 Receives reassigned benefits from 91 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wendell, NC; Wake Forest, NC; Raleigh, NC; Louisburg, NC; Apex, NC; Cary, NC; Holly Springs, NC; Fuquay Varina, NC

Federally qualified health center certification: CCN 341851

Legal name
ADVANCE COMMUNITY HEALTH INC
Doing business as
ADVANCE COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 11, 1996
Last certification
Jan 11, 1996
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1972 in NC
Enrollment address
1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scot McCray Individual Corporate OfficerChief Executive Officer Feb 1, 2021
Corporate DirectorChief Executive Officer Feb 1, 2021
W-2 Managing EmployeeAd; Feb 1, 2021
John Paul Womble Individual Corporate DirectorBoard Member Dec 17, 2018
Tara N Minter Individual Corporate DirectorBoard Member Dec 17, 2017
James W Teagle Individual Corporate OfficerTreasurer Jan 1, 2019
Corporate DirectorBoard Member Jun 27, 2011
Acie L Ward Individual Corporate DirectorBoard Member May 21, 2012
Katrellia a Montague-Moorman Individual Corporate DirectorBoard Member May 22, 2017

Practitioners & affiliated clinicians

Practitioners 6

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1871589762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111",
            "fax_number": "919-231-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ROCK QUARRY ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-250-2930",
            "fax_number": "919-573-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-833-3111"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344587A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03095",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amplify Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.