CLEARWATER HEALTH DPC, PLLC
NPI 1720931439
Internal Medicine - Diabetology in Apex, NC

Q: What is Clearwater Health Dpc, PLLC's NPI number?

The NPI number for Clearwater Health Dpc, PLLC is 1720931439. It was assigned to this organization in the NPPES registry on February 20, 2026.

Q: What is Clearwater Health Dpc, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Diabetology, with taxonomy code 207QD0401X.

Active since February 20, 2026CLIA 34D2294539 · Waiver

1440 CHAPEL RIDGE RD STE 110, APEX, NC 27502(910) 586-1960(910) 226-0957 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Clearwater Health Dpc, Pllc NPPES

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

CLEARWATER HEALTH DPC, PLLC (NPI 1720931439) is a healthcare organization registered as a diabetology in Apex, North Carolina and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through November 27, 2027, maintains a secondary practice location in Burlington, and lists Tanner Moore, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720931439

Entity TypeOrganization

Primary Taxonomy207QD0401X

Legal Business NameCLEARWATER HEALTH DPC, PLLC

Location Address1440 CHAPEL RIDGE RD STE 110Apex, NC 27502-8633

Mailing Address322 Shady LnCameron, NC 28326-7440 · (304) 672-3225 · Fax (910) 226-0957

Phone(910) 586-1960

Fax(910) 226-0957

Organization SubpartNo

Authorized OfficialTanner MooreMedical Director · (304) 672-3225

Enumeration DateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1720931439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · DiabetologyAllopathic & Osteopathic Physicians

Taxonomy Code207QD0401X

Definition

An internist who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension, obesity, lipidemia, etc.; and education and counseling on nutrition and lifestyle management.

1440 CHAPEL RIDGE RD STE 110, Apex, NC 27502

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Secondary Practice Location 1

Location 12979 Crouse LnBurlington, NC 27215-8833 · Phone (336) 228-9759 · Fax (910) 226-0957

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

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 34D2294539

Clearwater Health Dpc · Apex, NC

Active · expires Nov 27, 2027

CLIA Number34D2294539

Laboratory TypePhysician Office

Certificate Effective DateNovember 28, 2025

Certificate Expiration DateNovember 27, 2027

Laboratory DirectorTanner M. Moore

Laboratory Phone(304) 672-3225

Laboratory LocationClearwater Health Dpc1440 Chapel Ridge Rd Suite 110, Apex, NC 27502

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 Clearwater Health Dpc, PLLC's NPI number?

The NPI number for Clearwater Health Dpc, PLLC is 1720931439. It was assigned to this organization in the NPPES registry on February 20, 2026.

Where is Clearwater Health Dpc, PLLC located?

Clearwater Health Dpc, PLLC is located at 1440 Chapel Ridge Rd Ste 110, Apex, NC 27502. The listed phone number is (910) 586-1960.

What is Clearwater Health Dpc, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Diabetology, with taxonomy code 207QD0401X.

Does Clearwater Health Dpc, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2294539) is associated with this NPI, valid through November 27, 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 Clearwater Health Dpc, PLLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.