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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VITACORE LLC
NPI 1639987431
Internal Medicine in Southern Pines, NC

Active since December 26, 2024CLIA 34D2319450 · Waiver
340 COMMERCE AVE STE 4-5, SOUTHERN PINES, NC 28387(910) 690-6894(910) 227-3739 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 20, 2026, Dec 26, 2024 (2 updates tracked since 2024).

About Vitacore Llc NPPES

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

VITACORE LLC (NPI 1639987431) is a healthcare organization registered as an internal medicine in Southern Pines, North Carolina and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Philip Mondi, Owner, as its authorized official.

NPPES Registry Identity

NPI1639987431
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVITACORE LLC
Location Address340 COMMERCE AVE STE 4-5Southern Pines, NC 28387-7093
Mailing Address340 Commerce Ave Ste 4-5Southern Pines, NC 28387-7093 · (910) 690-6894 · Fax (910) 227-3739
Phone(910) 690-6894
Fax(910) 227-3739
Organization SubpartNo
Authorized OfficialPhilip MondiOwner · (910) 690-6894
Enumeration DateDecember 26, 2024
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1639987431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
340 COMMERCE AVE STE 4-5, Southern Pines, NC 28387
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D2319450

Vitacore LLC · Southern Pines, NC
Active · expires Feb 27, 2027
CLIA Number34D2319450
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Philip Mondi
Laboratory Phone(910) 690-6894
Laboratory LocationVitacore LLC375 SE Broad St, Southern Pines, NC 28387
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 Vitacore LLC's NPI number?

The NPI number for Vitacore LLC is 1639987431. It was assigned to this organization in the NPPES registry on December 26, 2024.

Where is Vitacore LLC located?

Vitacore LLC is located at 340 Commerce Ave Ste 4-5, Southern Pines, NC 28387. The listed phone number is (910) 690-6894.

What is Vitacore LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vitacore LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2319450) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitacore LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Vitacore LLC 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 Vitacore LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.