1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Physical Medicine Rehabilitation
  6. NPI Profile

RALEIGH NEUROSURGICAL CLINIC, INC.
NPI 1295612505
Physical Medicine & Rehabilitation - Pain Medicine in Charlotte, NC

Active since August 19, 2025CLIA 34D2320764 · Waiver
12610 N COMMUNITY HOUSE RD STE 200, CHARLOTTE, NC 28277(919) 785-3400 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raleigh Neurosurgical Clinic, Inc. NPPES

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

RALEIGH NEUROSURGICAL CLINIC, INC. (NPI 1295612505) is a healthcare organization registered as a pain medicine in Charlotte, North Carolina and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Jacob A Rodman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295612505
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameRALEIGH NEUROSURGICAL CLINIC, INC.
Location Address12610 N COMMUNITY HOUSE RD STE 200Charlotte, NC 28277-4137
Mailing Address5241 Six Forks Rd Ste 100Raleigh, NC 27609-4431 · (919) 277-9839
Phone(919) 785-3400
Organization SubpartNo
Authorized OfficialJacob A RodmanCeo · (919) 785-3400
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1295612505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
12610 N COMMUNITY HOUSE RD STE 200, Charlotte, NC 28277
Open in Google Maps ↗

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

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 34D2320764

Raleigh Neurosurgical Clinic, Inc · Raleigh, NC
Active · expires Mar 23, 2027
CLIA Number34D2320764
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorRobert L. Allen
Laboratory Phone(919) 785-3400
Laboratory LocationRaleigh Neurosurgical Clinic, Inc5241 Six Forks Road, Suite 100, Raleigh, NC 27609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Raleigh Neurosurgical Clinic, Inc.'s NPI number?

The NPI number for Raleigh Neurosurgical Clinic, Inc. is 1295612505. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Raleigh Neurosurgical Clinic, Inc. located?

Raleigh Neurosurgical Clinic, Inc. is located at 12610 N Community House Rd Ste 200, Charlotte, NC 28277. The listed phone number is (919) 785-3400.

What is Raleigh Neurosurgical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Raleigh Neurosurgical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2320764) is associated with this NPI, valid through March 23, 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 Raleigh Neurosurgical Clinic, Inc. was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.