CARY ADULT MEDICINE PLLC
NPI 1336227958
Clinic/Center in Cary, NC

Active since November 01, 2006CLIA 34D1023318 · Waiver
930 SE CARY PARKWAY, SUITE 200, CARY, NC 27518(919) 859-2566 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cary Adult Medicine Pllc NPPES

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

CARY ADULT MEDICINE PLLC (NPI 1336227958), doing business as Cary Adult And Adolescent Medicine Pllc, is a healthcare organization registered as a clinic/center in Cary, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Robert John Resnik, Director, as its authorized official.

NPPES Registry Identity

NPI1336227958
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCARY ADULT MEDICINE PLLC
Location Address930 SE CARY PARKWAY, SUITE 200Cary, NC 27518
Mailing Address930 Se Cary Parkway, Suite 200Cary, NC 27518 · (919) 859-2566
Organization SubpartNo
Authorized OfficialRobert John ResnikDirector · (919) 859-2566
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336227958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 38831
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
930 SE CARY PARKWAY, Cary, NC 27518

Other Names 1

Former Legal Business NameCary Adult And Adolescent Medicine Pllc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cary Adult Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1508083536
930 SE CARY PARKWAY
Cary, NC 27518
(919) 859-2566
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1346209400
930 SE CARY PARKWAY SUITE 200
Cary, NC 27518
(919) 859-2566
✔ PECOS✔ Accepts MedicareSame address

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 34D1023318

Cary Adult Medicine · Cary, NC
Active · expires Mar 14, 2028
CLIA Number34D1023318
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorRobert W. Resnik
Laboratory Phone(919) 859-2566
Laboratory LocationCary Adult Medicine930 SE Cary Parkway, Suite 200, Cary, NC 27518
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 Cary Adult Medicine PLLC's NPI number?

The NPI number for Cary Adult Medicine PLLC is 1336227958. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider was formerly known as Cary Adult And Adolescent Medicine PLLC.

Where is Cary Adult Medicine PLLC located?

Cary Adult Medicine PLLC is located at 930 SE Cary Parkway Suite 200, Cary, NC 27518. The listed phone number is (919) 859-2566.

What is Cary Adult Medicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Cary Adult Medicine PLLC enrolled in Medicare?

Yes. Cary Adult Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cary Adult Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cary Adult Medicine PLLC, in Internal Medicine 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cary Adult Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1023318) is associated with this NPI, valid through March 14, 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 Cary Adult Medicine PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.