Individual provider Active NPI

Sandra Carr, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1114085354
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701275 Issued in NC
Practice address
2409 Murchison Rd
Suite B
Fayetteville, NC 28301-3519
Phone
(910) 488-4525
Fax
(910) 488-4530
NPI assigned
Dec 4, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701275 NC Primary

Addresses

Primary practice location

2409 Murchison Rd
Suite B
Fayetteville, NC 28301-3519

Mailing address

PO Box 449
Wade, NC 28395-0449
Phone (910) 488-4525

Other practice location 1

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

Other practice location 2

1218 Walter Reed Rd
Fayetteville, NC 28304-4440
Phone (910) 615-3960

Other identifiers 1

IdentifierTypeStateIssuer
891224RMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000446 NC Practitioner - Family Practice 6901946052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9701275NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Feb 29, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 29, 2024 Accepting new patients
Buckhead Express Clinic PC Family Medicine Past Accepting new patients
Fayetteville Medical Clinic, PC Past Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients
Stedman-Wade Health Services, Inc. Past Accepting new patients

Locations

1218 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 323-1671

1307 Avon St
Fayetteville, NC 28304
Phone (910) 323-1718

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Fear Valley Bladen Medical AssociatesElizabethtown, NC, CCN 343469 Rural health clinic Corporate Director Jul 9, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1114085354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283950449",
            "telephone_number": "910-488-4525",
            "fax_number": "910-448-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MURCHISON RD",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013519",
            "telephone_number": "910-488-4525",
            "fax_number": "910-488-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Avon St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044423",
            "country_code": "US",
            "telephone_number": "910-323-1718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 Walter Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044440",
            "country_code": "US",
            "telephone_number": "910-615-3960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891224R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.