FAMHEALTH PRIMARY CARE , PA
NPI 1568916617
Clinic/Center - Primary Care in Raleigh, NC

NPI Status: Active since August 06, 2016

Contact Information

5720 CREEDMOOR RD
RALEIGH, NC
ZIP 27612
Phone: (919) 782-0430

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 34D2119675
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-02-2026

About FAMHEALTH PRIMARY CARE , PA

This page provides the complete NPI Profile along with additional information for Famhealth Primary Care , Pa, a primary care provider established in Raleigh, North Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1568916617 assigned on August 2016. The practitioner's primary taxonomy code is 261QP2300X with license number C2016204005421 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Enid Matos Tallmer Pa-c (President)

NPI
1568916617
Provider Name
FAMHEALTH PRIMARY CARE , PA
Entity Type
Organization
Location Address
5720 CREEDMOOR RD RALEIGH, NC 27612
Location Phone
(919) 782-0430
Mailing Address
5720 CREEDMOOR RD RALEIGH, NC 27612
Mailing Phone
(919) 782-0430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2016
Last Update Date
08-06-2016
Code Navigator

A primary care provider (PCP) like Famhealth Primary Care , Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
C2016204005421
License State
NC

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ENID MATOS TALLMER PA-C

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 697-5388

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2119675
Facility Type
Physician Office
Certificate Effective Date
October 03, 2024
Certificate Expiration Date
October 02, 2026
Laboratory Director
EDWARD WAYNE HAGA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Famhealth Primary Care , Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568916617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 8 + 1 + 1 + 2 + 6 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1568916617.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Specialist
5720 CREEDMOOR RD, SUITE 100
RALEIGH, NC 27612
Internal Medicine
5720 CREEDMOOR RD
RALEIGH, NC 27612
Clinic/Center (Sleep Disorder Diagnostic)
5720 CREEDMOOR RD, SUITE 203
RALEIGH, NC 27612
Clinic/Center (Sleep Disorder Diagnostic)
5720 CREEDMOOR RD, SUITE 203
RALEIGH, NC 27612
Social Worker (Clinical)
5720 CREEDMOOR RD, SUITE # 201
RALEIGH, NC 27612
Social Worker (Clinical)
5720 CREEDMOOR RD, SUITE 201
RALEIGH, NC 27612
Counselor (Mental Health)
5720 CREEDMOOR RD
RALEIGH, NC 27612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568916617, enumerated as an "organization" on August 06, 2016.

The provider is located at 5720 CREEDMOOR RD RALEIGH, NC 27612 and the phone number is (919) 782-0430.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.