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Raleigh Durham Medical Group PA

Non-Pharmacy Dispensing Site in Roxboro, NC · enumerated 2012 · authorized official Kenny Heine, Vp Ops.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912243189

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Registry record

Entity type Organization (Type 2)
Legal business name Raleigh Durham Medical Group PA
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 107 Weeks Dr, Roxboro, NC, 27573
Phone (336) 598-5480
Enumeration date Dec 17, 2012
Last updated in NPPES Dec 17, 2012

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 104138 (NC) Primary

Authorized official

Name Kenny Heine
Title Vp Ops
Phone (858) 964-1506

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Raleigh Durham Medical Group PA?
NPPES lists Kenny Heine (Vp Ops) as the authorized official for this organization.
What is the NPI number for Raleigh Durham Medical Group PA?
The NPI for Raleigh Durham Medical Group PA is 1912243189, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-17.