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RALEIGH ADULT MEDICINE PA
NPI 1902840762
Internal Medicine in Raleigh, NC

Active since June 15, 2006CLIA 34D0897937 · Waiver
3200 BLUE RIDGE RD, STE 210, RALEIGH, NC 27612(919) 781-9979(919) 781-0124 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raleigh Adult Medicine Pa NPPES

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

RALEIGH ADULT MEDICINE PA (NPI 1902840762) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Georgia Hogan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1902840762
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRALEIGH ADULT MEDICINE PA
Location Address3200 BLUE RIDGE RD, STE 210Raleigh, NC 27612-8086
Mailing Address3200 Blue Ridge Rd, Ste 210Raleigh, NC 27612-8086 · (919) 781-9979 · Fax (919) 781-0124
Phone(919) 781-9979
Fax(919) 781-0124
Organization SubpartNo
Authorized OfficialGeorgia HoganPractice Administrator · (919) 781-9979
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902840762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3200 BLUE RIDGE RD, Raleigh, NC 27612
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Other Identifiers 2

Medicaid5902360NC
Other02360NC · Bcbs Nc Group Number

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 34D0897937

Raleigh Adult Medicine · Raleigh, NC
Active · expires Feb 20, 2027
CLIA Number34D0897937
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDan Chaksupa
Laboratory Phone(919) 781-9979
Laboratory LocationRaleigh Adult Medicine3200 Blue Ridge Rd Ste 210, Raleigh, NC 27612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA
Urology
3200 BLUE RIDGE RD, SUITE118
RALEIGH, NC 27612
Wake County (919) 571-4399
JESSICA LEIGH GIDDINGS DPT
Physical Therapist
3200 BLUE RIDGE RD, SUITE 122
RALEIGH, NC 27612
Wake County (919) 786-7434
DR. MICHAEL S REES MD
Internal Medicine
3200 BLUE RIDGE RD, STE 210
RALEIGH, NC 27612
Wake County (919) 781-9979
ANGELA STRATAKES DPT
Physical Therapist
3200 BLUE RIDGE RD, SUITE 122
RALEIGH, NC 27612
Wake County (919) 535-8758
DR. GREGORY M. REKUC M.D.
Internal Medicine
3200 BLUE RIDGE RD, SUITE 210
RALEIGH, NC 27612
Wake County (919) 781-9979
ANNINA MARIE PALUCCI DOUGHERTY DPT
Physical Therapist
3200 BLUE RIDGE RD, SUITE 122
RALEIGH, NC 27612
Wake County (919) 786-7434
ADVANCED PAIN CONSULTANTS PA
Psychiatry & Neurology (Pain Medicine)
3200 BLUE RIDGE RD, SUITE 216
RALEIGH, NC 27612
Wake County (919) 510-7901
DR. SONIA NIYYAR PASI MD
Psychiatry & Neurology (Neurology)
3200 BLUE RIDGE RD, SUITE 216
RALEIGH, NC 27612
Wake County (919) 510-7902

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 Adult Medicine PA's NPI number?

The NPI number for Raleigh Adult Medicine PA is 1902840762. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Raleigh Adult Medicine PA located?

Raleigh Adult Medicine PA is located at 3200 Blue Ridge Rd Ste 210, Raleigh, NC 27612. The listed phone number is (919) 781-9979.

What is Raleigh Adult Medicine PA's specialty?

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

Does Raleigh Adult Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0897937) is associated with this NPI, valid through February 20, 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 Raleigh Adult Medicine PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.