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

NPI Status: Active since February 05, 2025

Contact Information

4420 LAKE BOONE TRL
RALEIGH, NC
ZIP 27607
Phone: (919) 784-3100

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Hospitalist
Accepts Insurance
CLIA Number: 34D2284342
CLIA Cert. Type: Pharmacy
CLIA Exp. Date: 06-20-2027

About NORTH CAROLINA MG, LLC

This page provides the complete NPI Profile along with additional information for North Carolina Mg, Llc, a provider established in Raleigh, North Carolina operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1215741640 assigned on February 2025. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated May 2026. North Carolina Mg, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Maria Jayoussi (Vp Finance, Community Physicians)

NPI: 1215741640
Provider Legal Name: NORTH CAROLINA MG, LLC
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 4420 LAKE BOONE TRL RALEIGH, NC 27607
Location Phone: (919) 784-3100
Mailing Address: 5221 PARAMOUNT PKWY STE 220 MORRISVILLE, NC 27560
Mailing Phone: (984) 215-4000
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-05-2025
Last Update Date: 05-06-2026
Code Navigator

Location Map

Secondary Locations

2605 Blue Ridge Rd Ste 190
Raleigh, NC 27607
(919) 784-7460
1104 Market Center Dr # 130
Morrisville, NC 27560
(984) 960-1200
6602 Knightdale Blvd Ste 102
Knightdale, NC 27545
(919) 747-5210
3050 Duraleigh Rd Ste 111
Raleigh, NC 27612
(984) 215-6990
4420 Lake Boone Trl Ste 100
Raleigh, NC 27607
(984) 215-6950
601 E Six Forks Rd Ste 103
Raleigh, NC 27609
(984) 960-1810
11200 Governor Manly Way Ste 114
Raleigh, NC 27614
(919) 570-7660
2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607
(919) 787-5380
2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607
(919) 784-6818
2901 Blue Ridge Rd Ste 100
Raleigh, NC 27607
(919) 784-3018
850 S Main St
Holly Springs, NC 27540
(984) 960-1800
2800 Blue Ridge Rd Ste 204
Raleigh, NC 27607
(919) 784-3324
790 SE Cary Pkwy Ste 110
Cary, NC 27511
(919) 784-7400
2800 Blue Ridge Rd Ste 201
Raleigh, NC 27607
(919) 784-7110
781 Avent Ferry Rd Ste 102
Holly Springs, NC 27540
(919) 567-6120
2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607
(919) 784-7874
4420 Lake Boone Trl Ste 200
Raleigh, NC 27607
(919) 784-1410
781 Avent Ferry Rd Ste 106
Holly Springs, NC 27540
(919) 567-6133
2901 Blue Ridge Rd Ste 102
Raleigh, NC 27607
(919) 784-6917
2076 Veterans Parkway Ste 330
Clayton, NC 27520
(919) 585-8100
11200 Governor Manly Way Ste 301
Raleigh, NC 27614
(919) 570-5900
2901 Blue Ridge Rd Ste 200
Raleigh, NC 27607
(919) 784-6875
1059 Beaver Creek Commons Dr Unit 230
Apex, NC 27502
(984) 960-1300
1617 N Main St Ste 101
Fuquay Varina, NC 27526
(984) 215-6595
1165 US Hwy 70 W
Garner, NC 27529
(984) 960-1400
4414 Lake Boone Trl Ste 505
Raleigh, NC 27607
(919) 784-2300
507 N Brightleaf Blvd Ste 102
Smithfield, NC 27577
(919) 938-4040
2076 Veterans Pkwy Ste 250
Clayton, NC 27520
(919) 550-3334
2417 Atrium Dr Ste 150
Raleigh, NC 27607
(919) 791-2040

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Hospitalist
Taxonomy Code: 208M00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine Cardiovascular Disease
2	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine Gastroenterology
3	207RI0200X	Allopathic & Osteopathic Physicians	Internal Medicine Infectious Disease
4	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine Pulmonary Disease
5	207RS0012X	Allopathic & Osteopathic Physicians	Internal Medicine Sleep Medicine
6	207T00000X	Allopathic & Osteopathic Physicians	Neurological Surgery
7	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology
8	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology
9	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Neurology
10	2085R0202X	Allopathic & Osteopathic Physicians	Radiology Diagnostic Radiology
11	208600000X	Allopathic & Osteopathic Physicians	Surgery
12	208800000X	Allopathic & Osteopathic Physicians	Urology
13	231H00000X	Speech, Language and Hearing Service Providers	Audiologist
14	261QU0200X	Ambulatory Health Care Facilities	Clinic/Center Urgent Care

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of NC

Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
Blue Advantage Bronze Standard | Nationwide Doctors - PPO
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Gold Standard A | Nationwide Doctors - PPO
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
Blue Advantage Silver Standard | Nationwide Doctors - PPO
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
Blue Care Bronze Standard | Statewide Doctors - HMO
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
Blue Care Gold Standard A | Statewide Doctors - HMO
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
Blue Care Silver Standard | Statewide Doctors - HMO
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MARIA JAYOUSSI
Authorized Official Title: VP FINANCE, COMMUNITY PHYSICIANS
Authorized Official Phone: (440) 476-1713

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 34D2284342
Facility Type: Pharmacy
Certificate Effective Date: June 21, 2025
Certificate Expiration Date: June 20, 2027
Laboratory Director: PRITI AMIN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to North Carolina Mg, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215741640, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 4 + 4 + 2 + 6 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1215741640.