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FUQUAY-VARINA FAMILY PRACTICE, PA
NPI 1295711513
Family Medicine in Fuquay Varina, NC

Active since December 19, 2005CLIA 34D0239785 · Microscopy
431 N JUDD PKWY NE, FUQUAY VARINA, NC 27526(919) 552-2292 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fuquay-varina Family Practice, Pa NPPES

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

FUQUAY-VARINA FAMILY PRACTICE, PA (NPI 1295711513) is a healthcare organization registered as a family medicine in Fuquay Varina, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Debbie Page Matthews, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295711513
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFUQUAY-VARINA FAMILY PRACTICE, PA
Location Address431 N JUDD PKWY NEFuquay Varina, NC 27526-2374
Mailing Address431 N Judd Pkwy NeFuquay Varina, NC 27526-2374 · (919) 552-2292
Phone(919) 552-2292
Organization SubpartNo
Authorized OfficialDebbie Page MatthewsOffice Manager · (919) 552-2292
Enumeration DateDecember 19, 2005
Last NPPES UpdateAugust 19, 2010
✔ NPI 1295711513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 87983
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
431 N JUDD PKWY NE, Fuquay Varina, NC 27526
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Other Identifiers 2

Medicare ID-Type Unspecified2344521NC · Medicare Provider
Medicaid790231CNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0239785

Fuquay Varina Family PA · Fuquay Varina, NC
Active · expires Aug 31, 2026
CLIA Number34D0239785
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas C. Darrell
Laboratory Phone(919) 552-2292
Laboratory LocationFuquay Varina Family PA431 N Judd Parkway NE, Fuquay Varina, NC 27526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

DR. THOMAS COOK DARRELL M.D.
Family Medicine
431 N JUDD PKWY NE
FUQUAY VARINA, NC 27526
Wake County (919) 552-2292
MRS. ANGELA NICHOLE GLASER NP
Nurse Practitioner (Family)
431 N JUDD PKWY NE
FUQUAY VARINA, NC 27526
Wake County (919) 552-2292
MRS. STACEY STOWERS HEPPERT PA
Physician Assistant
431 N JUDD PKWY NE
FUQUAY VARINA, NC 27526
Wake County (919) 552-2292
MS. JENNIFER ELIZABETH ATWATER PA-C
Physician Assistant
431 N JUDD PKWY NE
FUQUAY VARINA, NC 27526
Wake County (919) 552-2292
DR. JASON EDWARD DEVENTE M.D.
Family Medicine
431 N JUDD PKWY NE
FUQUAY VARINA, NC 27526
Wake County (919) 552-2292

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 Fuquay-Varina Family Practice, PA's NPI number?

The NPI number for Fuquay-Varina Family Practice, PA is 1295711513. It was assigned to this organization in the NPPES registry on December 19, 2005.

Where is Fuquay-Varina Family Practice, PA located?

Fuquay-Varina Family Practice, PA is located at 431 N Judd Pkwy NE, Fuquay Varina, NC 27526. The listed phone number is (919) 552-2292.

What is Fuquay-Varina Family Practice, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fuquay-Varina Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0239785) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fuquay-Varina Family Practice, PA was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.