GLENWOOD DIRECT PRIMARY CARE PLLC
NPI 1174309553
Clinic/Center - Primary Care in Raleigh, NC

Active since September 01, 2023
5623 DURALEIGH RD STE 141, RALEIGH, NC 27612(919) 322-0730(919) 615-0113 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenwood Direct Primary Care Pllc NPPES

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

GLENWOOD DIRECT PRIMARY CARE PLLC (NPI 1174309553) is a healthcare organization registered as a primary care in Raleigh, North Carolina and active in the NPI registry since September 2023. The organization lists Abid Ali Shah, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1174309553
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGLENWOOD DIRECT PRIMARY CARE PLLC
Location Address5623 DURALEIGH RD STE 141Raleigh, NC 27612-2700
Mailing Address5623 Duraleigh Rd Ste 141Raleigh, NC 27612-2700 · (919) 322-0730 · Fax (919) 615-0113
Fax(919) 615-0113
Organization SubpartNo
Authorized OfficialAbid Ali ShahPhysician/owner · (919) 605-7318
Enumeration DateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
NPI 1174309553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5623 DURALEIGH RD STE 141, Raleigh, NC 27612

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 Glenwood Direct Primary Care PLLC's NPI number?

The NPI number for Glenwood Direct Primary Care PLLC is 1174309553. It was assigned to this organization in the NPPES registry on September 1, 2023.

Where is Glenwood Direct Primary Care PLLC located?

Glenwood Direct Primary Care PLLC is located at 5623 Duraleigh Rd Ste 141, Raleigh, NC 27612. The listed phone number is (919) 322-0730.

What is Glenwood Direct Primary Care PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Glenwood Direct Primary Care PLLC was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.