FUQUAY-VARINA FAMILY PRACTICE, PA
NPI 1295711513
Family Medicine in Fuquay Varina, NC
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, 2028 and lists Debbie Page Matthews, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fuquay-varina Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fuquay-Varina Family Practice, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Fuquay-Varina Family Practice, PA enrolled in Medicare?
Yes. Fuquay-Varina Family Practice, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fuquay-Varina Family Practice, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fuquay-Varina Family Practice, PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 16 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.
# Fuquay-Varina Family Practice, Pa · NPI 1295711513
Family Medicine organization in Fuquay Varina, North Carolina. Organization record, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1295711513 (Entity type: Organization)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Debbie Matthews, OFFICE MANAGER
## Practice location
- **Address:** 431 N JUDD PKWY NE, Fuquay Varina, NC 27526-2374
- **Phone:** (919) 552-2292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 2344521 (NC); Medicaid 790231C (NC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295711513) · Data from the CMS NPPES public registry.