Active NPI
Sleep & Diet Restoration PLLC
- Medical Physician Assistant
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laurie Ann Powers, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Fayetteville, NC
- NPI 1629122817
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.