RALEIGH PREVENTATIVE CARE, PA
NPI 1588808976
Family Medicine in Raleigh, NC

Active since April 29, 2009CLIA 34D2131871 · Waiver
4201 LAKE BOONE TRL, SUITE 102, RALEIGH, NC 27607(919) 896-8383(919) 896-8387 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raleigh Preventative Care, Pa NPPES

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

RALEIGH PREVENTATIVE CARE, PA (NPI 1588808976) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Jennifer P. Cattano, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1588808976
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRALEIGH PREVENTATIVE CARE, PA
Location Address4201 LAKE BOONE TRL, SUITE 102Raleigh, NC 27607-7512
Mailing Address4201 Lake Boone Trl, Suite 102Raleigh, NC 27607-7512 · (919) 896-8383 · Fax (919) 896-8387
Fax(919) 896-8387
Organization SubpartNo
Authorized OfficialJennifer P. CattanoPractice Manager · (919) 896-8383
Enumeration DateApril 29, 2009
Last NPPES UpdateDecember 9, 2019
✔ NPI 1588808976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 19363
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4201 LAKE BOONE TRL, Raleigh, NC 27607

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raleigh Preventative Care, Pa 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 Raleigh Preventative Care, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1902806235
4201 LAKE BOONE TRL STE 102
Raleigh, NC 27607
(919) 896-8383
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467532465
4201 LAKE BOONE TRL SUITE 102
Raleigh, NC 27607
(919) 896-8383
✔ PECOSSame 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 34D2131871

Raleigh Preventative Care PA · Raleigh, NC
Active · expires Jun 6, 2027
CLIA Number34D2131871
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorScott D. Hoffman
Laboratory Phone(919) 896-8383
Laboratory LocationRaleigh Preventative Care PA4201 Lake Boone Trail, Suite 102, Raleigh, NC 27607
CLIA data matches this NPI record on: 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 Raleigh Preventative Care, PA's NPI number?

The NPI number for Raleigh Preventative Care, PA is 1588808976. It was assigned to this organization in the NPPES registry on April 29, 2009.

Where is Raleigh Preventative Care, PA located?

Raleigh Preventative Care, PA is located at 4201 Lake Boone Trl Suite 102, Raleigh, NC 27607. The listed phone number is (919) 896-8383.

What is Raleigh Preventative Care, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raleigh Preventative Care, PA enrolled in Medicare?

Yes. Raleigh Preventative Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raleigh Preventative Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Raleigh Preventative Care, PA. 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 Raleigh Preventative Care, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2131871) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Raleigh Preventative Care, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Raleigh Preventative Care, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raleigh Preventative Care, PA was last updated on December 9, 2019. 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.