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SOUTHEAST PRIMARY CARE, PLLC
NPI 1619856622
Family Medicine in Cary, NC

Active since September 02, 2025CLIA 34D2331635 · Waiver
305 LEDGESTONE WAY STE K-110, CARY, NC 27519(919) 249-4600 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Primary Care, Pllc NPPES

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

SOUTHEAST PRIMARY CARE, PLLC (NPI 1619856622) is a healthcare organization registered as a family medicine in Cary, North Carolina and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists John Ligeon, Owner, as its authorized official.

NPPES Registry Identity

NPI1619856622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHEAST PRIMARY CARE, PLLC
Location Address305 LEDGESTONE WAY STE K-110Cary, NC 27519-8417
Mailing Address1911 Falls Valley Dr Ste 105Raleigh, NC 27615-2496 · (919) 249-4600
Phone(919) 249-4600
Organization SubpartNo
Authorized OfficialJohn LigeonOwner · (919) 249-4600
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1619856622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
305 LEDGESTONE WAY STE K-110, Cary, NC 27519
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D2331635

Southeast Primary Care PLLC · Cary, NC
Active · expires Oct 5, 2027
CLIA Number34D2331635
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorDr. John Ryan Ligeon
Laboratory Phone(919) 321-0000
Laboratory LocationSoutheast Primary Care PLLC305 Ledgestone Way, Suite K - 110, Cary, NC 27519
CLIA data matches this NPI record on: Address Name
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 Southeast Primary Care, PLLC's NPI number?

The NPI number for Southeast Primary Care, PLLC is 1619856622. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Southeast Primary Care, PLLC located?

Southeast Primary Care, PLLC is located at 305 Ledgestone Way Ste K-110, Cary, NC 27519. The listed phone number is (919) 249-4600.

What is Southeast Primary Care, PLLC's specialty?

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

Does Southeast Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2331635) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Primary Care, PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.