Healthcare Provider Details

I. General information

NPI: 1770495293
Provider Name (Legal Business Name): MEDICAL ARTS GROVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOCIAL ST STE 1280
RALEIGH NC
27609-2101
US

IV. Provider business mailing address

1000 SOCIAL ST STE 1280
RALEIGH NC
27609-2101
US

V. Phone/Fax

Practice location:
  • Phone: 844-943-6281
  • Fax: 844-943-6281
Mailing address:
  • Phone: 844-943-6281
  • Fax: 844-943-6281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. AUSTIN BARNES
Title or Position: DIRECTOR
Credential: MD
Phone: 844-943-6281