Prime Internal Medicine P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9800854 Issued in NC

Legal business name

PRIME INTERNAL MEDICINE P.A.

Practice address

550 New Waverly Place
Suite #120
Cary, NC 27511

Phone

(919) 233-6614

Fax

(919) 233-6615

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edavally N Reddy, M.DNPI 1154378420

Title

President

Phone

(919) 233-6614

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/887/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Edavally Narayan Reddy, M.D.

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1154378420
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972531887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEW WAVERLY PLACE",
            "address_2": "SUITE # 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-233-6614",
            "fax_number": "919-233-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEW WAVERLY PLACE",
            "address_2": "SUITE #120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-233-6614",
            "fax_number": "919-233-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME INTERNAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "EDAVALLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-233-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891224U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Priest, PT, DPT
• Alissa Terese Priestely, LMT
• Primary Body Works, PLLC
• Primary Care of Cary PLLC
• Primary Medical Care
• Primed Futures, PLLC
• Emily L Primm
• Prism Wellness, PLLC
• Derice Jeremiah Sincere Pritchett
• Douglas Brian Pritchett, MD

• Internal Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.