PINNACLE HEALTH SERVICES OF NORTH CAROLINA, LLC (NPI# 1548454127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548454127 |
| Entity Type | Organization |
| Organization Name | PINNACLE HEALTH SERVICES OF NORTH CAROLINA, LLC |
| Other Organization Name | RALEIGH RADIOLOGY AT CLAYTON |
| Practice Address |
166 Springbrook Ave Suite 103 Clayton NC 27520-8520 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 9198775400 |
| Practice Fax Number | 9198775480 |
| Mailing Telephone | 6155506049 |
| Mailing Fax Number | 6155506004 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | MR. WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6155506049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 001462197 | 01 | |
| NC | 5912247 | 05 |
| Other Name | Type Code |
|---|---|
| Raleigh Radiology at Clayton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598959934 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 839 Durham Rd, Suite A, Wake Forest, NC 27587-8793 | 2007-08-29 |
| Street Address |
166 SPRINGBROOK AVE SUITE 103 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780771220 | Richard John Alioto | Orthopaedic Surgery | 166 Springbrook Ave, Suite 101, Clayton, NC 27520-8520 | 2006-10-06 |
| 1952760704 | William Clayton | Physical Therapist | 166 Springbrook Ave, Ste 201, Clayton, NC 27520-8520 | 2016-02-22 |
| 1003275603 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 166 Springbrook Ave, Suite 105, Clayton, NC 27520-8520 | 2016-02-11 |
| 1144699091 | Caitlin Cook | Physical Therapist | 166 Springbrook Ave, Suite 201, Clayton, NC 27520-8520 | 2015-09-22 |
| 1659747277 | Lauren Farell | Physical Therapist | 166 Springbrook Ave, Suite 201, Clayton, NC 27520-8520 | 2015-08-18 |
| 1912336702 | Chetan Dilip Kapat | Physician Assistant | 166 Springbrook Ave, Suite 101, Clayton, NC 27520-8520 | 2013-11-02 |
| 1861514556 | Aaron Parkin Leininger | Family Medicine | 166 Springbrook Ave, Suite 101, Clayton, NC 27520 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980401 | Duke University Health System | Physiological Laboratory | 401 Irving Pkwy Ste 120, Holly Springs, NC 27540-5301 | 2020-04-02 |
| 1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
| 1164846010 | Southern Diagnostic Imaging, Inc. | Physiological Laboratory | 10 Parkside Pl, Asheville, NC 28804-1324 | 2014-02-13 |
| 1154656411 | Regional Health Diagnostics Inc | Physiological Laboratory | 38 Office Park Dr, Jacksonville, NC 28546-3217 | 2009-10-05 |
| 1710136791 | Durham Vamc/duke University Medical Center | Physiological Laboratory | Msrb II 106 Research Dr, Room 2018, Durham, NC 27710-0001 | 2008-09-15 |
| 1598959934 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 839 Durham Rd, Suite A, Wake Forest, NC 27587-8793 | 2007-08-29 |
| 1780714220 | Metrolina Sleep Services, LLC | Physiological Laboratory | 6428 Bannington Rd, Suite A, Charlotte, NC 28226-1327 | 2007-03-06 |
| 1780784520 | Cga, Inc. | Physiological Laboratory | 3905 Skipton Ct, Raleigh, NC 27606-4448 | 2006-09-22 |
| 1265538342 | Carolina Vascular Laboratory | Physiological Laboratory | 420 5th Ave W, Suite 100, Hendersonville, NC 28739-4202 | 2006-09-15 |
| 1457300089 | Pinnacle Health Services of North Carolina LLC | Physiological Laboratory | 1212 Cedarhurst Dr, Raleigh, NC 27609-5587 | 2006-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.