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PROMED NC PLLC
NPI 1053206540
Internal Medicine in Raleigh, NC

Active since June 12, 2025
176 MINE LAKE CT STE 100, RALEIGH, NC 27615(615) 499-3165 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Jun 12, 2025 (2 updates tracked since 2025).

About Promed Nc Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMED NC PLLC (NPI 1053206540) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since June 2025. The organization lists Lev Grinman, President, as its authorized official.

NPPES Registry Identity

NPI1053206540
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMED NC PLLC
Location Address176 MINE LAKE CT STE 100Raleigh, NC 27615-6417
Mailing Address329 S Oyster Bay Rd # 2059Plainview, NY 11803-3301
Phone(615) 499-3165
Organization SubpartNo
Authorized OfficialLev GrinmanPresident · (646) 673-1660
Enumeration DateJune 12, 2025
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1053206540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
176 MINE LAKE CT STE 100, Raleigh, NC 27615
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promed Nc Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Promed Nc PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Rex Boyson Olpoc, FNP-C
Nurse Practitioner
NPI 1023983038
6 REGIONAL DR STE D
Pinehurst, NC 28374
(910) 221-7195
✔ PECOS✔ Accepts Medicare65 mi
Erin Salas, NP
Nurse Practitioner
NPI 1295486413
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-6478
✔ PECOS✔ Accepts Medicare131 mi
Jennifer Meehan, ANP
Nurse Practitioner
NPI 1548333032
1300 HOSPITAL DR STE 220
Mount Pleasant, SC 29464
(843) 936-6238
✔ PECOS✔ Accepts Medicare222 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promed Nc PLLC's NPI number?

The NPI number for Promed Nc PLLC is 1053206540. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Promed Nc PLLC located?

Promed Nc PLLC is located at 176 Mine Lake Ct Ste 100, Raleigh, NC 27615. The listed phone number is (615) 499-3165.

What is Promed Nc PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Promed Nc PLLC enrolled in Medicare?

Yes. Promed Nc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promed Nc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Promed Nc PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Promed Nc PLLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.