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MED ONE
NPI 1093146177
Clinic/Center - Primary Care in Raleigh, NC

Active since November 27, 2013CLIA 34D1063893 · Waiver
2431 SPRING FOREST RD STE 111, RALEIGH, NC 27615(919) 850-1300 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Med One NPPES

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

MED ONE (NPI 1093146177) is a healthcare organization registered as a primary care in Raleigh, North Carolina and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Tiffany Conner, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1093146177
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMED ONE
Location Address2431 SPRING FOREST RD STE 111Raleigh, NC 27615-7525
Mailing Address2431 Spring Forest Rd Ste 111Raleigh, NC 27615-7525 · (919) 850-1300
Phone(919) 850-1300
Organization SubpartNo
Authorized OfficialTiffany ConnerBilling Manager · (919) 850-1300
Enumeration DateNovember 27, 2013
✔ NPI 1093146177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 252852
2431 SPRING FOREST RD STE 111, Raleigh, NC 27615
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1063893

Med One Medical Group · Raleigh, NC
Active · expires Jan 23, 2027
CLIA Number34D1063893
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorGary Gruber
Laboratory Phone(919) 850-1300
Laboratory LocationMed One Medical Group7019 Harps Mill Road, Ste 200, Raleigh, NC 27615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Med One's NPI number?

The NPI number for Med One is 1093146177. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Med One located?

Med One is located at 2431 Spring Forest Rd Ste 111, Raleigh, NC 27615. The listed phone number is (919) 850-1300.

What is Med One's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Med One hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1063893) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Med One was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.