North State Investment Group, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH STATE INVESTMENT GROUP, LLC

Practice address

1240 Corporation Parkway
Raleigh, NC 27610-1348

Phone

(919) 261-8911

Fax

(919) 261-8991

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stuart D Coward IV

Title

Ceo

Phone

(919) 261-8911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• North State Medical Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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

• Gabriel Bewley

  • Mental Health Counselor
  • Knightdale, NC
  • NPI 1578360483
  NPD (past)
• Maria Nicole Evans-Hook

  • Mental Health Counselor
  • Knightdale, NC
  • NPI 1497482814
  NPD (past)
• Lucretia Jones Greaux, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1487084364
  NPD (past)
• Marquita Renee Johnson Manneh, MSW, LCSW

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1609217090
  NPD (past)
• Lareeca Sampson

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1982004644
  NPD (past)
• Angelica Shuler

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1144954330
  NPD (past)
• Tasha Smith, LCSWA

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1629662655
  NPD (past)
• Raven D Williams, LCMHC-A

  • Professional Counselor
  • Knightdale, NC
  • NPI 1447127865
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1922045749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 CORPORATION PARKWAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101348",
            "telephone_number": "919-261-8911",
            "fax_number": "919-261-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 CORPORATION PARKWAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101348",
            "telephone_number": "919-261-8911",
            "fax_number": "919-261-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE INVESTMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-261-8911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406818",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2783133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North State Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• North Wake Internal Medicine Associates
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• North Wake Pediatrics
• Abigail Weiland North, MS, RD, MHS, PA-C

• Land Ambulance in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.