DUKE FAMILY MEDICINE
NPI 1164965372
Preferred Provider Organization in Durham, NC

Q: What is Duke Family Medicine's NPI number?

The NPI number for Duke Family Medicine is 1164965372. It was assigned to this organization in the NPPES registry on November 21, 2016.

Q: What is Duke Family Medicine's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since November 21, 2016CLIA 34D2019255 · Microscopy

2100 ERWIN RD, DURHAM, NC 27705(919) 684-6721 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2022, Nov 21, 2016 (2 updates tracked since 2016).

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About Duke Family Medicine NPPES

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

DUKE FAMILY MEDICINE (NPI 1164965372) is a healthcare organization registered as a preferred provider organization in Durham, North Carolina and active in the NPI registry since November 2016. The organization holds a CLIA Microscopy certificate valid through October 3, 2026 and lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164965372

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameDUKE FAMILY MEDICINE

Location Address2100 ERWIN RDDurham, NC 27705-3941

Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921

Phone(919) 684-6721

Organization SubpartNo

Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762

Enumeration DateNovember 21, 2016

Last NPPES UpdateMay 13, 20222 updates tracked since enumeration

NPPES CertifiedMay 13, 2022

✔ NPI 1164965372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

2100 ERWIN RD, Durham, NC 27705

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Other Identifiers 1

Medicaid1659417509NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2019255

Duke Family Medicine - Picken's Clinic · Durham, NC

Active · expires Oct 3, 2026

CLIA Number34D2019255

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorJohn W. Ragsdale III

Laboratory Phone(919) 684-6721

Laboratory LocationDuke Family Medicine - Picken's Clinic2100 Erwin Road Attn Delfino Juarez, Durham, NC 27705

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

DR. ERIN LIN MANNING MD

Anesthesiology