NORTH RALEIGH INTEGRATED PRIMARY CARE PLLC
NPI 1447844162
Family Medicine - Adult Medicine in Raleigh, NC
About North Raleigh Integrated Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH RALEIGH INTEGRATED PRIMARY CARE PLLC (NPI 1447844162) is a healthcare organization registered as an adult medicine in Raleigh, North Carolina and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Treshell Herndon, Pm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Raleigh Integrated Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North Raleigh Integrated Primary Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 34D2191427
North Raleigh Intergrated Primary Care · Raleigh, 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 North Raleigh Integrated Primary Care PLLC's NPI number?
The NPI number for North Raleigh Integrated Primary Care PLLC is 1447844162. It was assigned to this organization in the NPPES registry on February 23, 2021.
Where is North Raleigh Integrated Primary Care PLLC located?
North Raleigh Integrated Primary Care PLLC is located at 4040 Barrett Dr, Raleigh, NC 27609. The listed phone number is (919) 689-1010.
What is North Raleigh Integrated Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is North Raleigh Integrated Primary Care PLLC enrolled in Medicare?
Yes. North Raleigh Integrated Primary Care PLLC is registered in the Medicare PECOS enrollment system.
When is North Raleigh Integrated Primary Care PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through North Raleigh Integrated Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Raleigh Integrated Primary Care PLLC, in Nurse Practitioner and Obstetrics/Gynecology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Raleigh Integrated Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2191427) is associated with this NPI, valid through December 28, 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 North Raleigh Integrated Primary Care PLLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# North Raleigh Integrated Primary Care Pllc · NPI 1447844162
Adult Medicine organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since February 23, 2021.
## Identity
- **NPI:** 1447844162 (Entity type: Organization)
- **Enumerated:** February 23, 2021
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Treshell Herndon, PM
## Practice location
- **Address:** 4040 BARRETT DR, Raleigh, NC 27609-6640
- **Phone:** (919) 689-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Obstetrics/Gynecology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2026
- **Other identifiers:** Medicaid 7804626 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447844162) · Data from the CMS NPPES public registry.