CAPITAL FAMILY MEDICINE, P.A.
NPI 1124007620
Clinic/Center - Primary Care in Raleigh, NC
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, 2028 and lists Richard J Forsyth, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Capital Family Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Capital Family Medicine, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Capital Family Medicine, P.A. enrolled in Medicare?
Yes. Capital Family Medicine, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Capital Family Medicine, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Capital Family Medicine, P.A.. 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. The largest specialties are Family Practice (7), Internal Medicine (2) and Nurse Practitioner (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Capital Family Medicine, P.A. accept?
Health plans from Blue Cross and Blue Shield of NC list Capital Family Medicine, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 6 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.
# Capital Family Medicine, P.a. · NPI 1124007620
Primary Care organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since January 12, 2006.
## Identity
- **NPI:** 1124007620 (Entity type: Organization)
- **Enumerated:** January 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Richard Forsyth, PRESIDENT
## Practice location
- **Address:** 3320 EXECUTIVE DR, SUITE 214, Raleigh, NC 27609-7445
- **Phone:** (919) 878-8596 · **Fax:** (919) 878-0744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Internal Medicine (2), Nurse Practitioner (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124007620) · Data from the CMS NPPES public registry.