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CAPITAL FAMILY MEDICINE, P.A.
NPI 1124007620
Clinic/Center - Primary Care in Raleigh, NC

Active since January 12, 2006CLIA 34D0240655 · Waiver
3320 EXECUTIVE DR, SUITE 214, RALEIGH, NC 27609(919) 878-8596(919) 878-0744 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Capital Family Medicine, P.a. NPPES

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

CAPITAL FAMILY MEDICINE, P.A. (NPI 1124007620) is a healthcare organization registered as a primary care in Raleigh, North Carolina and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J Forsyth, President, as its authorized official.

NPPES Registry Identity

NPI1124007620
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAPITAL FAMILY MEDICINE, P.A.
Location Address3320 EXECUTIVE DR, SUITE 214Raleigh, NC 27609-7445
Mailing Address3320 Executive Dr, Suite 214Raleigh, NC 27609-7445 · (919) 878-8596 · Fax (919) 878-0744
Phone(919) 878-8596
Fax(919) 878-0744
Organization SubpartNo
Authorized OfficialRichard J ForsythPresident · (919) 878-8596
Enumeration DateJanuary 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124007620 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 · 40821
3320 EXECUTIVE DR, Raleigh, NC 27609
Open in Google Maps ↗

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 34D0240655

Capital Family Medicine, PA · Raleigh, NC
Active · expires Aug 31, 2026
CLIA Number34D0240655
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorScott D. Wagner
Laboratory Phone(919) 878-8596
Laboratory LocationCapital Family Medicine, PA1422 East Millbrook Rd, Raleigh, NC 27609
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

BRUCE STEPHEN BOLIEK M.D.
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Wake County (919) 876-2427
HOLLY PUGH JOHNSON M.D.
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Wake County (919) 876-2427
WILLIAM WADE FOSTER M.D.
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Wake County (919) 876-2427
PAMELA J. WHITNEY, M.D, P.A.
Specialist
3320 EXECUTIVE DR, SUITE 218
RALEIGH, NC 27609
Wake County (919) 872-0940
RICHARD JAMES FORSYTH M.D.
Family Medicine
3320 EXECUTIVE DR, SUITE 214
RALEIGH, NC 27609
Wake County (919) 878-8596
DR. PETER WRIGHT HOLLIS O.D.
Optometrist
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Wake County (919) 876-2427
MRS. CATHERINE E TOWNSEND PT
Physical Therapist
3320 EXECUTIVE DR, SUITE 210
RALEIGH, NC 27609
Wake County (919) 872-3747
MR. MARK LEONARD ANSBROW PT OCS
Physical Therapist
3320 EXECUTIVE DR, SUITE 210
RALEIGH, NC 27609
Wake County (919) 872-3747

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 Capital Family Medicine, P.A.'s NPI number?

The NPI number for Capital Family Medicine, P.A. is 1124007620. It was assigned to this organization in the NPPES registry on January 12, 2006.

Where is Capital Family Medicine, P.A. located?

Capital Family Medicine, P.A. is located at 3320 Executive Dr Suite 214, Raleigh, NC 27609. The listed phone number is (919) 878-8596.

What is Capital Family Medicine, P.A.'s specialty?

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

Does Capital Family Medicine, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0240655) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital Family Medicine, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.