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NPISignal

Organization

Raleigh Durham Medical Group, PA

NPI Record: ActiveFamily Medicine
NPI1720458326
Shallotte, North Carolina

Provider's NPPES record last updated: April 1, 2016

Overview

Entity Type
Organization
NPI
1720458326
Primary Specialty
Family Medicine
Practice Location
Shallotte, North Carolina
Organization Subpart
Yes
Parent Organization
Raleigh Durham Medical Group, PA

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 6:47 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Practice Locations

Practice Location

4748 Main Street

Shallotte, North Carolina 28470

Phone: (910) 754-2273

Other Names

  • Seaside Wellness of ShallotteReported April 1, 2016

Record Information

Enumeration Date
September 25, 2015
Provider's NPPES Record Last Updated
April 1, 2016
NPISignal NPPES Dataset
August 2026

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