DIRECT MEDICAL XPERIENCE
NPI 1285341834
Clinic/Center - Primary Care in Raleigh, NC

Active since November 02, 2022CLIA 34D2281449 · Waiver
4505 FAIR MEADOWS LN STE 215, RALEIGH, NC 27607(919) 944-9935 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Nov 2, 2022 (2 updates tracked since 2022).

About Direct Medical Xperience NPPES

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

DIRECT MEDICAL XPERIENCE (NPI 1285341834) is a healthcare organization registered as a primary care in Raleigh, North Carolina and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Deaundre Alfonzo Dyer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285341834
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIRECT MEDICAL XPERIENCE
Location Address4505 FAIR MEADOWS LN STE 215Raleigh, NC 27607-6449
Mailing Address11845 Retail Dr # 1079Wake Forest, NC 27587-7352 · (919) 944-9935
Organization SubpartNo
Authorized OfficialDeaundre Alfonzo DyerMedical Director · (919) 944-9935
Enumeration DateNovember 2, 2022
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1285341834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4505 FAIR MEADOWS LN STE 215, Raleigh, NC 27607

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 34D2281449

Direct Medical Xperience · Raleigh, NC
Active · expires May 7, 2027
CLIA Number34D2281449
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorDr. Deaundre, A. Dyer
Laboratory Phone(919) 900-7744
Laboratory LocationDirect Medical Xperience4505 Fair Meadow Ln Ste 215, 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 2

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

Family Medicine
4505 FAIR MEADOWS LN STE 215
RALEIGH, NC 27607
Nurse Practitioner (Family)
4505 FAIR MEADOWS LN STE 215
RALEIGH, NC 27607

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 Direct Medical Xperience's NPI number?

The NPI number for Direct Medical Xperience is 1285341834. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Direct Medical Xperience located?

Direct Medical Xperience is located at 4505 Fair Meadows Ln Ste 215, Raleigh, NC 27607. The listed phone number is (919) 944-9935.

What is Direct Medical Xperience's specialty?

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

Does Direct Medical Xperience hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2281449) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Direct Medical Xperience was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.