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SELECT FAMILY PRACTICE
NPI 1124501085
Family Medicine in Raleigh, NC

Active since September 07, 2018CLIA 34D2160190 · Waiver
10931 RAVEN RIDGE RD STE 115, RALEIGH, NC 27614(919) 676-0202(919) 676-0224 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2019, Feb 18, 2019, Sep 7, 2018 (3 updates tracked since 2018).

About Select Family Practice NPPES

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

SELECT FAMILY PRACTICE (NPI 1124501085) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Jennifer C Arata, Manager, as its authorized official.

NPPES Registry Identity

NPI1124501085
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELECT MEDICAL SERVICES PLLC
Location Address10931 RAVEN RIDGE RD STE 115Raleigh, NC 27614-6499
Mailing Address10931 Raven Ridge Rd Ste 115Raleigh, NC 27614-6499 · (919) 801-5142 · Fax (919) 589-7749
Phone(919) 676-0202
Fax(919) 676-0224
Organization SubpartNo
Authorized OfficialJennifer C ArataManager · (919) 676-0202
Enumeration DateSeptember 7, 2018
Last NPPES UpdateMarch 21, 20193 updates tracked since enumeration
✔ NPI 1124501085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 243501
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10931 RAVEN RIDGE RD STE 115, Raleigh, NC 27614
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Other Names 1

Doing Business AsSelect Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D2160190

Select Family Practice · Raleigh, NC
Active · expires Jan 6, 2027
CLIA Number34D2160190
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorReza Hatefi
Laboratory Phone(919) 676-0202
Laboratory LocationSelect Family Practice10931 #115 Raven Ridge Road, Raleigh, NC 27614
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 2

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

SARAH EVELYNE BLACKWOOD PA-C
Physician Assistant
10931 RAVEN RIDGE RD STE 115
RALEIGH, NC 27614
Wake County (919) 676-0202
EMMA WEST RODTS PA-C
Physician Assistant
10931 RAVEN RIDGE RD STE 115
RALEIGH, NC 27614
Wake County (919) 676-0202

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 Select Medical Services PLLC's NPI number?

The NPI number for Select Medical Services PLLC is 1124501085. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Select Family Practice.

Where is Select Medical Services PLLC located?

Select Medical Services PLLC is located at 10931 Raven Ridge Rd Ste 115, Raleigh, NC 27614. The listed phone number is (919) 676-0202.

What is Select Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Select Medical Services PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2160190) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Select Medical Services PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Select Medical Services PLLC 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 Select Medical Services PLLC was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.