HIGHLAND FAMILY PRACTICE PA NPI 1891782033

NPI Information

NPI: 1891782033
Provider Name: HIGHLAND FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1248 FORT BRAGG RD
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 323-0334
Get Directions

HIGHLAND FAMILY PRACTICE 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. HIGHLAND FAMILY PRACTICE PA NPI is 1891782033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1248 FORT BRAGG RD
FAYETTEVILLE, NC
ZIP 28305-728
Phone: (910) 323-0334
Fax: (888) 391-5874

The provider's authorized official is George Constantine Pantelakos .
The authorized official title is Md Owner and has the following contact phone number (910) 323-0334.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 8/8/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		39456	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	E20561	MEDICARE UPIN
2	896518E	MEDICAID	NORTH CAROLINA
3	2153168D	MEDICARE PIN	NORTH 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

NPI Synchronization or Removal

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