Cross & Crown Regenerative Care PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSS & CROWN REGENERATIVE CARE PLLC

Practice address

2810 Bragg Blvd Ste B
Fayetteville, NC 28303-4148

Phone

(910) 920-2012

NPI assigned

Jan 23, 2025

Organization subpart

No

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

Authorized official

Name

Pamela HarrisNPI 1568626133

Title

Clinic Owner

Phone

(910) 920-2012

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Pamela Lin Harris, MD

  • Adult Medicine Physician
  • Fayetteville, NC
  • NPI 1568626133
  Medicare reassignment NPD Authorized official
• David R Parker, MD

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1376547356
  Medicare reassignment NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1083426423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 BRAGG BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 BRAGG BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034148",
            "telephone_number": "910-920-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS & CROWN REGENERATIVE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "910-920-2012"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bebe Anita Cromartie
• Richelle E. Cromartie, PHD
• Nicolette Cronauer
• Latara Contour Crooks
• Brianna Katherine Crosby, DPT
• Cross Creek Chiropractic Clinic PA
• Cross Creek Imaging LLC
• Cross Creek Manor Assisted Living LLC
• Cross Creek Medical Clinic, PA
• Cross Creek Neurology PLLC

• Multi-Specialty Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.