1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Specialist
  6. NPI Profile

MID-CAROLINA OB/GYN
NPI 1457311870
Specialist in Raleigh, NC

Active since March 28, 2006CLIA 34D2113947 · Waiver
4414 LAKE BOONE TRL, SUITE 300, RALEIGH, NC 27607(919) 781-5510(919) 781-5053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-carolina Ob/gyn NPPES

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

MID-CAROLINA OB/GYN (NPI 1457311870) is a healthcare organization registered as a specialist in Raleigh, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Leon F. Woodruff, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457311870
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID-CAROLINA OB/GYN
Location Address4414 LAKE BOONE TRL, SUITE 300Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl, Suite 300Raleigh, NC 27607-7513 · (919) 781-5510 · Fax (919) 781-5053
Phone(919) 781-5510
Fax(919) 781-5053
Organization SubpartNo
Authorized OfficialLeon F. WoodruffCeo · (919) 781-5510
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457311870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4414 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 2

Other0161YNC · Bc/bs
Medicaid890161YNC

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

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 34D2113947

Mid-Carolina Obstetrics & Gynecology · Raleigh, NC
Active · expires Feb 1, 2028
CLIA Number34D2113947
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorAmy O. Groff
Laboratory Phone(919) 781-5510
Laboratory LocationMid-Carolina Obstetrics & Gynecology4414 Lake Boone Trail Suite 300, Raleigh, NC 27607
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RALEIGH OB/GYN CENTRE, PA
Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 875-8225
DR. MYRA LYNN TEASLEY M.D.
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Wake County (919) 781-5510
SACHIN S MUDVARI MD
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Wake County (919) 782-8038
STOCKS SURGICAL CENTER, PLLC
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Wake County (919) 850-0880
ERIN C. BURNETTE NP
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 781-5510
NORTH RALEIGH CARDIOVASCULAR DISEASES PA
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Wake County (919) 790-0130
DR. JENIFER RAE BRISCOE-BRIMMAGE MD
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 876-8225
MR. JAMES GLENDON TRENNER P.A.-C
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607
Wake County (919) 875-0539

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 Mid-Carolina Ob/Gyn's NPI number?

The NPI number for Mid-Carolina Ob/Gyn is 1457311870. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Mid-Carolina Ob/Gyn located?

Mid-Carolina Ob/Gyn is located at 4414 Lake Boone Trl Suite 300, Raleigh, NC 27607. The listed phone number is (919) 781-5510.

What is Mid-Carolina Ob/Gyn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Mid-Carolina Ob/Gyn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2113947) is associated with this NPI, valid through February 1, 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 Mid-Carolina Ob/Gyn 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 5 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.