SOUTHEAST PRIMARY CARE, PLLC – NPI #1134665789
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SOUTHEAST PRIMARY CARE, PLLC is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1134665789 to SOUTHEAST PRIMARY CARE, PLLC on January 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 SOUTHEAST PRIMARY CARE, PLLC below.

NPI Profile for
SOUTHEAST PRIMARY CARE, PLLC

NPI Number
1134665789
Enumeration Date

(more than 9 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
SOUTHEAST PRIMARY CARE, PLLC
Primary location
1911 FALLS VALLEY DR
SUITE 105
RALEIGH, NC 27615-2495
Phone: (919) 249-4600 Fax:
Mailing address
2007 PATAPSCO DR
APEX, NC 27523-3922
Phone: (828) 230-5915 Fax:
Organization Subpart
No
Authorized Official
LESLIE BAKER
PRESIDENT
Phone: (828) 230-5915
Updated
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
208D00000X
- General Practice (Primary)

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.