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NORTH CAROLINA MG, LLC
NPI 1215741640
Hospitalist in Raleigh, NC

Active since February 05, 2025CLIA 34D2206365 · Waiver
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Mar 30, 2026, Oct 10, 2025 and 3 more (6 updates tracked since 2025).

About North Carolina Mg, Llc NPPES

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

NORTH CAROLINA MG, LLC (NPI 1215741640), doing business as Unc Health North Carolina Heart And Vascular, is a healthcare organization registered as a hospitalist in Raleigh, North Carolina and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through December 17, 2026, maintains 29 additional practice locations, and lists Maria Jayoussi, Vp Finance, Community Physicians, as its authorized official.

NPPES Registry Identity

NPI1215741640
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameNORTH CAROLINA MG, LLC
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (984) 215-4000
Phone(919) 784-3100
Organization SubpartNo
Authorized OfficialMaria JayoussiVp Finance, Community Physicians · (440) 476-1713
Enumeration DateFebruary 5, 2025
Last NPPES UpdateMay 6, 20266 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1215741640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
4420 LAKE BOONE TRL, Raleigh, NC 27607
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Other Names 28

Doing Business AsUnc Health North Carolina Heart And Vascular
Doing Business AsUnc Health North Carolina Infectious Diseases
Doing Business AsUnc Health North Carolina Neurology
Doing Business AsUnc Health North Carolina Neurosurgery And Spine
Doing Business AsUnc Health North Carolina Ob/gyn And Midwifery
Doing Business AsUnc Health North Carolina Surgery
Doing Business AsUnc Health North Carolina Urology
Doing Business AsUnc Health Rex Cardiac Surgical Specialists
Doing Business AsUnc Health Rex Digestive Healthcare
Doing Business AsUnc Health Rex Ear Nose And Throat Specialists
Doing Business AsUnc Health Rex Heart Failure
Doing Business AsUnc Health Rex North Carolina Pain Management
Doing Business AsUnc Health Rex Palliative Care Specialists
Doing Business AsUnc Health Rex Pulmonary Specialists
Doing Business AsUnc Health Rex Structural Heart
Doing Business AsUnc Health Rex Vascular Specialists
Doing Business AsUnc Health Urgent Care At Beaver Creek Commons
Doing Business AsUnc Health Urgent Care At Fuquay Varina
Doing Business AsUnc Health Urgent Care At Garner
Doing Business AsUnc Health Urgent Care At Holly Springs
Doing Business AsUnc Health Urgent Care At Knightdale
Doing Business AsUnc Health Urgent Care At Midtown Raleigh
Doing Business AsUnc Health Urgent Care At Park West Village
Doing Business AsUnc Health Urgent Care At Raleigh
Doing Business AsUnc Health Urgent Care At Wakefield
Doing Business AsUnc Health Women's Health And Heart Clinic At Rex
Doing Business AsUnc Womens Health At Clayton
Doing Business AsUnc Womens Health At Smithfield

Secondary Practice Locations 29

Location 12605 Blue Ridge Rd Ste 190Raleigh, NC 27607-6475 · Phone (919) 784-7460
Location 22901 Blue Ridge Rd Ste 100Raleigh, NC 27607-6423 · Phone (919) 784-3018
Location 3850 S Main StHolly Springs, NC 27540-8906 · Phone (984) 960-1800
Location 42800 Blue Ridge Rd Ste 204Raleigh, NC 27607-6477 · Phone (919) 784-3324
Location 5790 SE Cary Pkwy Ste 110Cary, NC 27511-5678 · Phone (919) 784-7400
Location 62800 Blue Ridge Rd Ste 201Raleigh, NC 27607-6477 · Phone (919) 784-7110
Location 7781 Avent Ferry Rd Ste 102Holly Springs, NC 27540-7776 · Phone (919) 567-6120
Location 82800 Blue Ridge Rd Ste 300Raleigh, NC 27607-6476 · Phone (919) 784-7874
Location 94420 Lake Boone Trl Ste 200Raleigh, NC 27607-7505 · Phone (919) 784-1410
Location 10781 Avent Ferry Rd Ste 106Holly Springs, NC 27540-7776 · Phone (919) 567-6133
Location 112901 Blue Ridge Rd Ste 102Raleigh, NC 27607-6423 · Phone (919) 784-6917
Location 122076 Veterans Parkway, Ste 330Clayton, NC 27520-5303 · Phone (919) 585-8100
Location 1311200 Governor Manly Way Ste 301Raleigh, NC 27614-7382 · Phone (919) 570-5900
Location 142901 Blue Ridge Rd Ste 200Raleigh, NC 27607-6423 · Phone (919) 784-6875
Location 151059 Beaver Creek Commons Dr Unit 230Apex, NC 27502-3918 · Phone (984) 960-1300
Location 161617 N Main St Ste 101Fuquay Varina, NC 27526-9021 · Phone (984) 215-6595
Location 171165 US Hwy 70 WGarner, NC 27529-2547 · Phone (984) 960-1400
Location 184414 Lake Boone Trl Ste 505Raleigh, NC 27607-7521 · Phone (919) 784-2300
Location 19507 N Brightleaf Blvd Ste 102Smithfield, NC 27577-4405 · Phone (919) 938-4040
Location 202076 Veterans Pkwy Ste 250Clayton, NC 27520-5304 · Phone (919) 550-3334
Location 212417 Atrium Dr Ste 150Raleigh, NC 27607-6673 · Phone (919) 791-2040
Location 222901 Blue Ridge Rd Ste 203Raleigh, NC 27607-6423 · Phone (919) 784-6818
Location 232800 Blue Ridge Rd Ste 400Raleigh, NC 27607-6477 · Phone (919) 787-5380
Location 2411200 Governor Manly Way Ste 114Raleigh, NC 27614-7360 · Phone (919) 570-7660
Location 25601 E Six Forks Rd Ste 103Raleigh, NC 27609-7742 · Phone (984) 960-1810
Location 264420 Lake Boone Trl Ste 100Raleigh, NC 27607-7505 · Phone (984) 215-6950
Location 273050 Duraleigh Rd Ste 111Raleigh, NC 27612-5451 · Phone (984) 215-6990
Location 286602 Knightdale Blvd Ste 102Knightdale, NC 27545-6526 · Phone (919) 747-5210
Location 291104 Market Center Dr # 130Morrisville, NC 27560-7504 · Phone (984) 960-1200

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 34D2206365

North Carolina Surgery · Raleigh, NC
Active · expires Dec 17, 2026
CLIA Number34D2206365
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorWoodward Cannon
Laboratory Phone(919) 784-2847
Laboratory LocationNorth Carolina Surgery4207 Lake Boone Trail Suite 210, Raleigh, NC 27607
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 North Carolina Mg, LLC's NPI number?

The NPI number for North Carolina Mg, LLC is 1215741640. It was assigned to this organization in the NPPES registry on February 5, 2025. The provider is doing business as UNC Health North Carolina Heart and Vascular, UNC Health North Carolina Infectious Diseases, UNC Health North Carolina Neurology and UNC Health North Carolina Neurosurgery and Spine. Additional names are listed in the Other Names section above.

Where is North Carolina Mg, LLC located?

North Carolina Mg, LLC is located at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is North Carolina Mg, LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Does North Carolina Mg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2206365) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Carolina Mg, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list North Carolina Mg, LLC 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 North Carolina Mg, LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.