FAMILY WELLNESS CLINIC
NPI 1164865416
Non-Pharmacy Dispensing Site in Clayton, NC

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

The NPI number for Raleigh Durham Medical Group PA is 1164865416. It was assigned to this organization in the NPPES registry on April 16, 2013. The provider is doing business as Family Wellness Clinic.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since April 16, 2013

2076 HIGHWAY 42 WEST, SUITE 230, CLAYTON, NC 27520(919) 553-5711 Get Directions Write a Review

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

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About Family Wellness Clinic NPPES

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

FAMILY WELLNESS CLINIC (NPI 1164865416) is a healthcare organization registered as a non-pharmacy dispensing site in Clayton, North Carolina and active in the NPI registry since April 2013. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1164865416

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameRALEIGH DURHAM MEDICAL GROUP PA

Location Address2076 HIGHWAY 42 WEST, SUITE 230Clayton, NC 27520

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(919) 553-5711

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateApril 16, 2013

✔ NPI 1164865416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in NC · 200400430

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2076 HIGHWAY 42 WEST, Clayton, NC 27520

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Other Names 1

Doing Business AsFamily Wellness Clinic

Other Providers at the Same Location NPPES

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

COLLEEN MARIE SULLIVAN PA-C

Physician Assistant

2076 HIGHWAY 42 WEST
CLAYTON, NC 27520

Johnston County (919) 763-1050

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 Raleigh Durham Medical Group PA's NPI number?

The NPI number for Raleigh Durham Medical Group PA is 1164865416. It was assigned to this organization in the NPPES registry on April 16, 2013. The provider is doing business as Family Wellness Clinic.

Where is Raleigh Durham Medical Group PA located?

Raleigh Durham Medical Group PA is located at 2076 Highway 42 West Suite 230, Clayton, NC 27520. The listed phone number is (919) 553-5711.

What is Raleigh Durham Medical Group PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Raleigh Durham Medical Group PA was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.