Organization Active NPI

Phycinity PLLC

  • Pediatrics Physician
  • Cameron, NC
National Provider Identifier
1972040848
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
216754 Issued in NC
Legal business name
PHYCINITY PLLC
Practice address
2277 NC 24-87
Cameron, NC 28326-6687
Phone
(919) 373-3636
Fax
(919) 867-3493
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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

Authorized official

Name
Dr. Omar Leonel Caban, M.D.NPI 1861543951
Title
Cmo
Phone
(919) 373-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 216754 NC Primary
Urgent Care Clinic/Center 261QU0200X 216754 NC

Addresses

Primary practice location

2277 NC 24-87
Cameron, NC 28326-6687

Mailing address

450 Carthage St Unit 158
Cameron, NC 28326-5106
Phone (919) 373-3636

Other practice location 1

6801 Falls Of Neuse Rd Ste 104
Raleigh, NC 27615-5387
Phone (919) 373-3636

Other practice location 2

3200 N Ashley St Ste C
Valdosta, GA 31602-5911
Phone (919) 373-3636

Other practice location 3

9930 Kincey Ave Ste 380
Huntersville, NC 28078-6541
Phone (919) 373-3636

National Provider Directory

National Provider Directory

Locations

2277 NC 24
#87
Cameron, NC 28326
Phone (919) 373-3636

2694 Nc 24-87
Cameron, NC 28326
Phone (919) 373-3636

450 Carthage St
Unit 158
Cameron, NC 28326

2694 Nc 24-87
Unit A3
Cameron, NC 28326

9930 Kincey Ave
Huntersville, NC 28078
Phone (704) 510-8000

9930 Kincey Ave
Ste 380
Huntersville, NC 28078
Phone (919) 373-3636

6801 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 870-0179

6801 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 373-3636

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764460800000",
    "number": "1972040848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CARTHAGE ST UNIT 158",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283265106",
            "telephone_number": "919-373-3636",
            "fax_number": "919-867-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 NC 24-87",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266687",
            "telephone_number": "919-373-3636",
            "fax_number": "919-867-3493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Falls Of Neuse Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155387",
            "country_code": "US",
            "telephone_number": "919-373-3636",
            "fax_number": "919-867-3493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 N Ashley St Ste C",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025911",
            "country_code": "US",
            "telephone_number": "919-373-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9930 Kincey Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "919-373-3636",
            "fax_number": "919-867-3493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYCINITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "919-373-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "216754",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "216754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; 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.