Organization Active NPI

Sleep & Diet Restoration PLLC

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1013644616
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
SLEEP & DIET RESTORATION PLLC
Practice address
201 S McPherson Church Rd Ste 233
Fayetteville, NC 28303-4995
Phone
(910) 212-6548
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laurie Ann Powers, PA-CNPI 1629122817
Title
Manager
Phone
(910) 212-6548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

201 S McPherson Church Rd Ste 233
Fayetteville, NC 28303-4995

Mailing address

109 S Churchill Dr
Fayetteville, NC 28303-5023
Phone (910) 322-1630

Other practice location 1

2529 Raeford Rd
Fayetteville, NC 28305-5098
Phone (910) 212-6548

Other names 1

  • Sleep & Diet Restoration Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219003798 NC Part B Supplier - Clinic/Group Practice 9537519327 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

201 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 484-7139

201 S McPherson Church Rd
Ste 233
Fayetteville, NC 28303
Phone (910) 212-6548

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1013644616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S CHURCHILL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035023",
            "telephone_number": "910-322-1630",
            "fax_number": "910-460-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MCPHERSON CHURCH RD STE 233",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034995",
            "telephone_number": "910-212-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055098",
            "country_code": "US",
            "telephone_number": "910-212-6548",
            "fax_number": "910-460-3967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP & DIET RESTORATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-212-6548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep & Diet Restoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.