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

Samaritan Sports Medicine PLLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1407734031

Samaritan Sports Medicine PLLC is a Sports Medicine (Family Medicine) Physician in Raleigh, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8300 Falls Of Neuse Rd Ste 110
Raleigh, NC 27615-3450
Phone: (919) 648-0618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1407734031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Petty — Owner · (919) 648-0618
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address8300 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615-3450

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