RALEIGH MEDICAL GROUP, PA
NPI 1104962315
Internal Medicine in Raleigh, NC

Q: What is Raleigh Medical Group, PA's NPI number?

The NPI number for Raleigh Medical Group, PA is 1104962315. It was assigned to this organization in the NPPES registry on January 29, 2007.

Q: What is Raleigh Medical Group, PA's specialty?

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

Active since January 29, 2007CLIA Certified · 2 labs

3700 BARRETT DR STE 300, RALEIGH, NC 27609(919) 782-1806(919) 782-4756 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Jul 22, 2024, Jul 29, 2021 and 1 more (4 updates tracked since 2020).

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About Raleigh Medical Group, Pa NPPES

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

RALEIGH MEDICAL GROUP, PA (NPI 1104962315) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Ashley R Hewlin, Practice Implementation Manager, as its authorized official.

NPPES Registry Identity

NPI1104962315

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameRALEIGH MEDICAL GROUP, PA

Location Address3700 BARRETT DR STE 300Raleigh, NC 27609-7213

Mailing AddressPo Box 18563Raleigh, NC 27619-8563 · (919) 782-1806 · Fax (919) 782-1669

Phone(919) 782-1806

Fax(919) 782-4756

Organization SubpartNo

Authorized OfficialAshley R HewlinPractice Implementation Manager · (919) 341-3623

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1104962315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

3700 BARRETT DR STE 300, Raleigh, NC 27609

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Other Identifiers 2

Other01112NC · Bcbs

Medicaid8901112NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 34D0928055

Raleigh Medical Group, PA · Raleigh, NC

Active · expires Oct 13, 2026

CLIA Number34D0928055

Laboratory TypePhysician Office

Certificate Effective DateOctober 14, 2024

Certificate Expiration DateOctober 13, 2026

Laboratory DirectorDr. Shonetta Smith

Laboratory Phone(919) 782-1806

Laboratory LocationRaleigh Medical Group, PA3700 Barrett Drive, Suite 300, Raleigh, NC 27609

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 34D2039500

Raleigh Medical Group, PA - Histology Lab · Raleigh, NC

Active · expires Aug 6, 2027

CLIA Number34D2039500

Laboratory TypeIndependent

Certificate Effective DateAugust 7, 2025

Certificate Expiration DateAugust 6, 2027

Laboratory DirectorYongxin Chen

Laboratory Phone(919) 573-6265

Laboratory LocationRaleigh Medical Group, PA - Histology Lab2615 Lake Drive, Suite 101, Raleigh, NC 27607

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN ELIZABETH MURPHY FNP

Nurse Practitioner (Family)