Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raleigh Family Practice PA

Organization Family Medicine Physician · NPI 1063571040

Raleigh Family Practice PA is a Family Medicine Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4414 Lake Boone Trl Ste 502
Raleigh, NC 27607-7513
Phone: (919) 875-0539
Fax: (919) 875-1051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84061 (NC)

Record details

NPI number1063571040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Fisher — Practice Administrator · (919) 875-0539
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4414 Lake Boone Trl, Suite 502, Raleigh, NC 27607-7513

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