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

Christopher William Pettigrew, AGACNP

Individual provider Nurse Practitioner · NPI 1902667611

Christopher William Pettigrew, AGACNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2800 Blue Ridge Rd
Raleigh, NC 27607-6478
Phone: (919) 787-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-3542

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5019464 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence PETT-PPESJ (NC)

Record details

NPI number1902667611
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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