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PRIMARY SOURCE GROUP, PLLC

NPI 1104052901, an organization in RALEIGH, NC 27616.

NPI
1104052901
Entity type
Organization (type 2)
Status
Active
Practice location
RALEIGH, NC 27616
Enumerated
2009-06-08
Last updated
2011-07-25
Request
curl https://api.healthcare.dev/v1/providers/1104052901 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 1041C0700X Primary
  • 101YA0400X
  • 103T00000X
  • 103TC1900X

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1104052901 in the NPI Registry.

Use it

Look up 1104052901 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1104052901 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1104052901. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.

Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.