Organization Active NPI

Elite Roxboro Primary Care, PLLC

  • Family Medicine Physician
  • Roxboro, NC
National Provider Identifier
1942120092
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE ROXBORO PRIMARY CARE, PLLC
Practice address
783 Doctors CT Ste a
Roxboro, NC 27573-4571
Phone
(814) 937-6099
NPI assigned
Jul 20, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Dr. Safwat Nasrat, MDNPI 1649598830
Title
Cmo, Ceo, Owner
Phone
(814) 937-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

783 Doctors CT Ste a
Roxboro, NC 27573-4571

Mailing address

1908 Stannard TRL
Raleigh, NC 27612-6398
Phone (814) 937-6099

National Provider Directory

National Provider Directory

Locations

783 Doctors Ct
Ste A
Roxboro, NC 27573
Phone (814) 937-6099

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": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1942120092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 STANNARD TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126398",
            "telephone_number": "814-937-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 DOCTORS CT STE A",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734571",
            "telephone_number": "814-937-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ROXBORO PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "NASRAT",
        "authorized_official_first_name": "SAFWAT",
        "authorized_official_title_or_position": "CMO, CEO, OWNER",
        "authorized_official_telephone_number": "814-937-6099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.