MED ONE MEDICAL GROUP – NPI #1548346331
Internal Medicine

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.

MED ONE MEDICAL GROUP is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1548346331 to MED ONE MEDICAL GROUP on October 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MED ONE MEDICAL GROUP below.

NPI Profile for
MED ONE MEDICAL GROUP

NPI Number
1548346331
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED ONE MEDICAL GROUP
Primary location
7019-200 HARPS MILL RD.
RALEIGH, NC 27615
Phone: (919) 850-1300 Fax: (919) 850-0012
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY CONNER
INSURANCE AND BILLING MANAGER
Phone: (919) 850-1300
Updated
Certification Date
Dec 20, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MED ONE MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherCARA L. DAVIS LICENSENC930076
otherG. GRUBER DC LICENSE #NC2394
otherJ. CHARLES ANP LISCENSENC0050-02018
otherLICENSE # - KERNEY YUNC5011967
otherLICENSE # - TYLER CASSIDYNC0010-04356
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family
NC 201835
363LA2200X
- Nurse Practitioner / Adult Health
NC 0050-02018
111N00000X
- Chiropractor
NC 2394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.