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SAMARITAN SPORTS MEDICINE PLLC
NPI 1407734031
Family Medicine - Sports Medicine in Raleigh, NC

Active since August 22, 2025
8300 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615(919) 648-0618 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samaritan Sports Medicine Pllc NPPES

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

SAMARITAN SPORTS MEDICINE PLLC (NPI 1407734031) is a healthcare organization registered as a sports medicine in Raleigh, North Carolina and active in the NPI registry since August 2025. The organization lists Benjamin Martin Petty, Owner, as its authorized official.

NPPES Registry Identity

NPI1407734031
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSAMARITAN SPORTS MEDICINE PLLC
Location Address8300 FALLS OF NEUSE RD STE 110Raleigh, NC 27615-3450
Mailing Address8300 Falls Of Neuse Rd Ste 110Raleigh, NC 27615-3450 · (919) 648-0618
Phone(919) 648-0618
Organization SubpartNo
Authorized OfficialBenjamin Martin PettyOwner · (919) 648-0618
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1407734031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedGeneral PracticeTaxonomy 208D00000X
8300 FALLS OF NEUSE RD STE 110, Raleigh, NC 27615
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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

Other Providers at the Same Location NPPES

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

CYBER IMAGING SYSTEMS, INC.
Technician/Technologist (Optician)
8300 FALLS OF NEUSE RD STE 110
RALEIGH, NC 27615
Wake County (919) 899-9090

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 Samaritan Sports Medicine PLLC's NPI number?

The NPI number for Samaritan Sports Medicine PLLC is 1407734031. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is Samaritan Sports Medicine PLLC located?

Samaritan Sports Medicine PLLC is located at 8300 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615. The listed phone number is (919) 648-0618.

What is Samaritan Sports Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Samaritan Sports Medicine PLLC was last updated on August 22, 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.