HOLLY SPRINGS DIRECT PRIMARY CARE, PLLC
NPI 1639905987
Clinic/Center - Primary Care in Holly Springs, NC

Active since September 12, 2024CLIA 34D2304145 · Waiver
1100 HOLLY SPRINGS RD STE 203, HOLLY SPRINGS, NC 27540(984) 464-4764 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Springs Direct Primary Care, Pllc NPPES

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

HOLLY SPRINGS DIRECT PRIMARY CARE, PLLC (NPI 1639905987), doing business as Holly Springs Direct Primary Care, is a healthcare organization registered as a primary care in Holly Springs, North Carolina and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Scott Bartkoski, Physician, as its authorized official.

NPPES Registry Identity

NPI1639905987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOLLY SPRINGS DIRECT PRIMARY CARE, PLLC
Location Address1100 HOLLY SPRINGS RD STE 203Holly Springs, NC 27540-9469
Mailing Address229 Rostova WayHolly Springs, NC 27540-4956 · (573) 280-9686
Organization SubpartNo
Authorized OfficialScott BartkoskiPhysician · (984) 464-4764
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
NPI 1639905987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1100 HOLLY SPRINGS RD STE 203, Holly Springs, NC 27540

Other Names 1

Doing Business AsHolly Springs Direct Primary Care

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 34D2304145

Holly Springs Direct Primary Care PLLC · Holly Springs, NC
Active · expires May 7, 2028
CLIA Number34D2304145
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorScott J. Bartkoski
Laboratory Phone(984) 464-4764
Laboratory LocationHolly Springs Direct Primary Care PLLC1100 - 203 Holly Springs Road, Holly Springs, NC 27540
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 Holly Springs Direct Primary Care, PLLC's NPI number?

The NPI number for Holly Springs Direct Primary Care, PLLC is 1639905987. It was assigned to this organization in the NPPES registry on September 12, 2024. The provider is doing business as Holly Springs Direct Primary Care.

Where is Holly Springs Direct Primary Care, PLLC located?

Holly Springs Direct Primary Care, PLLC is located at 1100 Holly Springs Rd Ste 203, Holly Springs, NC 27540. The listed phone number is (984) 464-4764.

What is Holly Springs Direct Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Holly Springs Direct Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2304145) is associated with this NPI, valid through May 7, 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 Holly Springs Direct Primary Care, PLLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.