NORTH RALEIGH FAMILY MEDICINE
NPI 1609903228
Nurse Practitioner - Family in Raleigh, NC

Active since February 28, 2007CLIA 34D0978012 · Waiver
8331 BANDFORD WAY, SUITE 101, RALEIGH, NC 27615(919) 841-4566(919) 841-4568 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About North Raleigh Family Medicine NPPES

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

NORTH RALEIGH FAMILY MEDICINE (NPI 1609903228) is a healthcare organization registered as a family in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 12, 2028 and lists Thomas L. Jeffries, President, as its authorized official.

NPPES Registry Identity

NPI1609903228
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTH RALEIGH FAMILY MEDICINE
Location Address8331 BANDFORD WAY, SUITE 101Raleigh, NC 27615-2758
Mailing Address8331 Bandford Way, Suite 101Raleigh, NC 27615-2758 · (919) 841-4566 · Fax (919) 841-4568
Fax(919) 841-4568
Organization SubpartNo
Authorized OfficialThomas L. JeffriesPresident · (919) 841-4566
Enumeration DateFebruary 28, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1609903228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 67397
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35144 (NC)
8331 BANDFORD WAY, Raleigh, NC 27615

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 MULTIPLE 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)

North Raleigh Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to North Raleigh Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1104483387
8331 BANDFORD WAY STE 101
Raleigh, NC 27615
(919) 841-4566
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114955671
8331 BANDFORD WAY SUITE 101
Raleigh, NC 27615
(919) 841-4566
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306612544
5107 SOUTHPARK DR STE 104
Durham, NC 27713
(919) 477-6900
✔ PECOS15 mi

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 34D0978012

North Raleigh Family Medicine · Raleigh, NC
Active · expires Sep 12, 2028
CLIA Number34D0978012
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2026
Certificate Expiration DateSeptember 12, 2028
Laboratory DirectorThomas L. Jeffries MD
Laboratory Phone(919) 841-4566
Laboratory LocationNorth Raleigh Family Medicine8331 Bandford Way Ste 101, Raleigh, NC 27615
CLIA data matches this NPI record on: Address 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 North Raleigh Family Medicine's NPI number?

The NPI number for North Raleigh Family Medicine is 1609903228. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is North Raleigh Family Medicine located?

North Raleigh Family Medicine is located at 8331 Bandford Way Suite 101, Raleigh, NC 27615. The listed phone number is (919) 841-4566.

What is North Raleigh Family Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is North Raleigh Family Medicine enrolled in Medicare?

Yes. North Raleigh Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Raleigh Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Raleigh Family Medicine, in Family Practice and Nurse Practitioner. 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 North Raleigh Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0978012) is associated with this NPI, valid through September 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Raleigh Family Medicine accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list North Raleigh Family Medicine 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 North Raleigh Family Medicine was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.