SOUTHPOINT FAMILY MEDICINE, PLLC
NPI 1306378005
Family Medicine in Durham, NC

Active since March 31, 2017CLIA 34D2166930 · Waiver
1515 W NC HIGHWAY 54 STE 130, DURHAM, NC 27707(984) 219-3916(919) 921-8161 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southpoint Family Medicine, Pllc NPPES

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

SOUTHPOINT FAMILY MEDICINE, PLLC (NPI 1306378005) is a healthcare organization registered as a family medicine in Durham, North Carolina and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Chrystal Pike, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1306378005
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHPOINT FAMILY MEDICINE, PLLC
Location Address1515 W NC HIGHWAY 54 STE 130Durham, NC 27707-5575
Mailing Address1515 W Nc Highway 54 Ste 130Durham, NC 27707-5575 · (984) 219-3916 · Fax (919) 921-8161
Fax(919) 921-8161
Organization SubpartNo
Authorized OfficialChrystal PikeAuthorized Official · (984) 219-3916
Enumeration DateMarch 31, 2017
✔ NPI 1306378005 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 · 225780
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.
1515 W NC HIGHWAY 54 STE 130, Durham, NC 27707

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southpoint Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southpoint Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1083918841
3612 SHANNON RD SUITE # 105
Durham, NC 27707
(919) 419-0242
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1235676628
1301 FAYETTEVILLE ST
Durham, NC 27707
(919) 956-4000
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1902991458
2741 CAMPUS WALK AVE BLDG 500
Durham, NC 27705
(919) 213-0662
✔ PECOS6.4 mi
Nurse Practitioner
NPI 1093908097
1000 N MIAMI BLVD STE 121
Durham, NC 27703
(919) 902-7400
✔ PECOS7.4 mi
Family Practice
NPI 1295041937
4505 FAIR MEADOWS LN STE 101
Raleigh, NC 27607
(919) 787-4000
✔ PECOS16 mi

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 of Waiver 34D2166930

Southpoint Family Medicine · Durham, NC
Active · expires May 29, 2027
CLIA Number34D2166930
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorTiffany Marum
Laboratory Phone(984) 219-3916
Laboratory LocationSouthpoint Family Medicine245 E Nc Hwy 54, Ste 205, Durham, NC 27713
CLIA data matches this NPI record on: 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 Southpoint Family Medicine, PLLC's NPI number?

The NPI number for Southpoint Family Medicine, PLLC is 1306378005. It was assigned to this organization in the NPPES registry on March 31, 2017.

Where is Southpoint Family Medicine, PLLC located?

Southpoint Family Medicine, PLLC is located at 1515 W Nc Highway 54 Ste 130, Durham, NC 27707. The listed phone number is (984) 219-3916.

What is Southpoint Family Medicine, PLLC's specialty?

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

Is Southpoint Family Medicine, PLLC enrolled in Medicare?

Yes. Southpoint Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southpoint Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southpoint Family Medicine, PLLC. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southpoint Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2166930) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southpoint Family Medicine, PLLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Southpoint Family Medicine, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southpoint Family Medicine, PLLC was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.