NPIMap

Organization Active NPI

Duke University Affiliated Physicians, Inc.

  • Family Medicine Physician
  • Hillsborough, NC
National Provider Identifier
1902834658
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Practice address
267 S Churton St
Ste. 100
Hillsborough, NC 27278-2506
Phone
(919) 732-8131
NPI assigned
Jun 30, 2006
Organization subpart
Yes
Parent organization
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Jennifer Roberts
Title
Director Finance
Phone
(919) 684-0439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

267 S Churton St
Ste. 100
Hillsborough, NC 27278-2506

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other identifiers 1

IdentifierTypeStateIssuer
0204ROtherBCBS GROUP NUMBER

Other names 1

  • Duke Primary Care Hillsborough Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000642 NC Part B Supplier - Clinic/Group Practice 3779489588 Receives reassigned benefits from 754 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 38

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

View all 38

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
34D2308779Duke Primary Care Hillsborough FM267 S Churton Street, Suite 100, Hillsborough, NC 27278Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Part of
Park Internal Medicine

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

405 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 304-5900

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1902834658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S CHURTON ST",
            "address_2": "STE. 100",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782506",
            "telephone_number": "919-732-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "919-684-0439"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0204R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Primary Care Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Primary Care Hillsborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.