Provider Type Icon

RALEIGH DURHAM MEDICAL GROUP PA NPI 1841525706


NPI Information

NPI: 1841525706
Provider Name: RALEIGH DURHAM MEDICAL GROUP, PA

Doing Business As: VICKERY FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2038794

Address:
15 YORKSHIRE ST
STE. 201
ASHEVILLE, NC
ZIP 28803
Phone: (828) 274-1600
Get Directions

RALEIGH DURHAM MEDICAL GROUP, PA is a family medicine in Asheville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RALEIGH DURHAM MEDICAL GROUP, PA NPI is 1841525706. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vickery Family Medicine.

The provider's business location address is:

15 YORKSHIRE ST
STE. 201
ASHEVILLE, NC
ZIP 28803-783
Phone: (828) 274-1600
Fax: (828) 274-1603

The provider's authorized official is David Moye .
The authorized official title is Executive Director and has the following contact phone number (919) 851-2174.

The CLIA number assigned to this NPI record is 34D2038794 - other - employee health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 2/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1022E7OTHERNORTH CAROLINABCBS
25912945MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.