Centerwell Senior Primary Care Nc Jv PC
NPI 1255045795ActiveOrganization· Internal Medicine· Raleigh, NC
Internal Medicine in Raleigh, North Carolina, registered in NPPES in January 2023, part of Centerwell Senior Primary Care Nc Jv PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1255045795 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Nc Jv PC |
| NPI issued | Jan 10, 2023 |
| Last updated in NPPES | Jan 10, 2023 |
| Certified by provider | Jan 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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