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CAPE FEAR FAMILY MEDICAL CARE PA NPI 1215996103


NPI Information

NPI: 1215996103
Provider Name: CAPE FEAR FAMILY MEDICAL CARE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
405 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-3183
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CAPE FEAR FAMILY MEDICAL CARE, PA is a family medicine in Fayetteville, NC. The provider is 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. CAPE FEAR FAMILY MEDICAL CARE, PA NPI is 1215996103. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

405 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-411
Phone: (910) 323-3183
Fax: (910) 223-7555

The provider's authorized official is Raymond Albert Gaskins, Jr. .
The authorized official title is Owner and has the following contact phone number (910) 323-3183.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20544NORTH CAROLINANo
2207Q00000XFamily Medicine200825NORTH CAROLINANo
3207Q00000XFamily Medicine201072NORTH CAROLINANo
4207Q00000XFamily Medicine103432NORTH CAROLINANo
5207Q00000XFamily Medicine200500822NORTH CAROLINANo
6207Q00000XFamily Medicine9401111NORTH CAROLINANo
7207Q00000XFamily Medicine9501363NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G50171MEDICARE UPINNORTH CAROLINA
22599053MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3C83988MEDICARE UPINNORTH CAROLINA
4P49955MEDICARE UPINNORTH CAROLINA
52265809AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
62591179DMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
7P00835MEDICARE UPINNORTH CAROLINA
8S69349MEDICARE UPINNORTH CAROLINA
92236740MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
10G82418MEDICARE UPINNORTH CAROLINA
112754455AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
122044800MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
13206543MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
14H50164MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.