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RALEIGH CAPITOL EAR, NOSE, AND THROAT
NPI 1902170442
Otolaryngology in Raleigh, NC

Active since March 01, 2012CLIA 34D2045672 · Waiver
4600 LAKE BOONE TRL, RALEIGH, NC 27607(919) 787-1374(919) 420-2028 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Oct 6, 2022, Aug 16, 2022 (3 updates tracked since 2022).

About Raleigh Capitol Ear, Nose, And Throat NPPES

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

RALEIGH CAPITOL EAR, NOSE, AND THROAT (NPI 1902170442) is a healthcare organization registered as an otolaryngology in Raleigh, North Carolina and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Jenny C Beal, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1902170442
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRALEIGH CAPITOL EAR, NOSE, AND THROAT
Location Address4600 LAKE BOONE TRLRaleigh, NC 27607-7528
Mailing Address4600 Lake Boone TrlRaleigh, NC 27607-7528 · (919) 787-1374 · Fax (919) 571-8135
Phone(919) 787-1374
Fax(919) 420-2028
Organization SubpartNo
Authorized OfficialJenny C BealBilling Manager · (919) 809-8140
Enumeration DateMarch 1, 2012
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1902170442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4600 LAKE BOONE TRL, Raleigh, NC 27607
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Other Identifiers 1

MedicaidPE-YPU8T38FANC

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

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 34D2045672

Raleigh Capitol Ear, Nose And Throat · Raleigh, NC
Active · expires Aug 16, 2026
CLIA Number34D2045672
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorStanley A. Wilkins
Laboratory Phone(919) 787-1374
Laboratory LocationRaleigh Capitol Ear, Nose And Throat4600 Lake Boone Trail, Ste 100, Raleigh, NC 27607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA R AFTON AU.D.
Audiologist
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
ERIN COBBLER DICKENS AUD
Audiologist-Hearing Aid Fitter
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
DR. JEEVAN B RAMAKRISHNAN M.D.
Otolaryngology
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
CHERYL MEDLEY MA. CCC-A
Audiologist
4600 LAKE BOONE TRL, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
ELIZABETH ROONEY
Audiologist
4600 LAKE BOONE TRL, STE 100
RALEIGH, NC 27607
Wake County (919) 787-1374
DR. CLAIRE ALICIA MORGAN AU.D.
Audiologist
4600 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 787-1374

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 Raleigh Capitol Ear, Nose, And Throat's NPI number?

The NPI number for Raleigh Capitol Ear, Nose, And Throat is 1902170442. It was assigned to this organization in the NPPES registry on March 1, 2012.

Where is Raleigh Capitol Ear, Nose, And Throat located?

Raleigh Capitol Ear, Nose, And Throat is located at 4600 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 787-1374.

What is Raleigh Capitol Ear, Nose, And Throat's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Raleigh Capitol Ear, Nose, And Throat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2045672) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Raleigh Capitol Ear, Nose, And Throat accept?

Health plans from Blue Cross and Blue Shield of NC list Raleigh Capitol Ear, Nose, And Throat 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 Raleigh Capitol Ear, Nose, And Throat was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.