PARK URGENT CARE PLLC
NPI 1871064949
Clinic/Center - Urgent Care in Cary, NC
About Park Urgent Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK URGENT CARE PLLC (NPI 1871064949) is a healthcare organization registered as an urgent care in Cary, North Carolina and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Vijaya N Polavaram, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Park Urgent Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Park Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 34D2164715
Park Urgent Care PLLC · Cary, NCFrequently 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 Park Urgent Care PLLC's NPI number?
The NPI number for Park Urgent Care PLLC is 1871064949. It was assigned to this organization in the NPPES registry on December 16, 2018.
Where is Park Urgent Care PLLC located?
Park Urgent Care PLLC is located at 7560 Carpenter Fire Station Rd, Cary, NC 27519. The listed phone number is (919) 261-6677.
What is Park Urgent Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Park Urgent Care PLLC enrolled in Medicare?
Yes. Park Urgent Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Urgent Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Park Urgent Care PLLC, in Geriatric Medicine and Internal Medicine. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Park Urgent Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2164715) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Park Urgent Care PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Park Urgent Care PLLC 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 Park Urgent Care PLLC was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Park Urgent Care Pllc · NPI 1871064949
Urgent Care organization in Cary, North Carolina. Organization record, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1871064949 (Entity type: Organization)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Vijaya Polavaram, PRESIDENT
## Practice location
- **Address:** 7560 CARPENTER FIRE STATION RD, Cary, NC 27519-8616
- **Phone:** (919) 261-6677 · **Fax:** (919) 261-6860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Geriatric Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871064949) · Data from the CMS NPPES public registry.