LIVE WELL PRIMARY CARE NPI 1952811267

NPI Information

  • NPI: 1952811267
  • Provider Name: LIVE WELL PRIMARY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 34D2141661
  • Address: 4064 BARRETT DR UNIT 9A
    RALEIGH, NC
    ZIP 27609
  • Phone: (919) 803-4188

Map and Directions

Get Directions

NPI Details

LIVE WELL PRIMARY CARE is a family medicine in Raleigh, 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. LIVE WELL PRIMARY CARE NPI is 1952811267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4064 BARRETT DR UNIT 9A
RALEIGH, NC
ZIP 27609-604
Phone: (919) 803-4188

The provider's authorized official is Datanya Yvetts Betts .
The authorized official title is Ceo and has the following contact phone number (919) 803-4188.

The CLIA number assigned to this NPI record is 34D2141661 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 7/1/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5006305NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639501539MEDICAIDNORTH 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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI