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WELLINGTON PROVIDER GROUP PC
NPI 1922710045
Family Medicine in Raleigh, NC

Active since December 20, 2022
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601(859) 518-8817(859) 201-1084 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellington Provider Group Pc NPPES

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

WELLINGTON PROVIDER GROUP PC (NPI 1922710045) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since December 2022. The organization lists Mariela Bravo, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1922710045
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLINGTON PROVIDER GROUP PC
Location Address421 FAYETTEVILLE ST STE 1100Raleigh, NC 27601-3000
Mailing Address535 Wellington Way Ste 330Lexington, KY 40503-1331 · (859) 518-8817 · Fax (859) 201-1084
Phone(859) 518-8817
Fax(859) 201-1084
Organization SubpartYes
Authorized OfficialMariela BravoCredentialing Team Lead · (859) 518-8817
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1922710045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
421 FAYETTEVILLE ST STE 1100, Raleigh, NC 27601
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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

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.

MRS. MIRANDA JOY RAMSEY WHNP-C
Nurse Practitioner (Women's Health)
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (888) 731-8994
AISHAH HADIYYAH HARLEY
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (888) 880-9270
HALEY LESSIG
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (877) 418-2978
NATALIE GORDON
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (877) 418-2978
LISA MONIQUE KEITH
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (919) 987-2000
DILLAN WALSH
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (877) 418-2186
KAHLIA NASHAE LOMAX
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (877) 418-2978
MAGDALIZE RAMIREZ
Behavior Technician
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601
Wake County (877) 418-2978

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 Wellington Provider Group PC's NPI number?

The NPI number for Wellington Provider Group PC is 1922710045. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Wellington Provider Group PC located?

Wellington Provider Group PC is located at 421 Fayetteville St Ste 1100, Raleigh, NC 27601. The listed phone number is (859) 518-8817.

What is Wellington Provider Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellington Provider Group PC was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.