Sandhills Medical Care Center, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SANDHILLS MEDICAL CARE CENTER, PLLC

Practice address

4155 Ferncreek Dr
Suite 102B
Fayetteville, NC 28314-2581

Phone

(910) 424-6553

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Godfrey Fondinka, M.D.

Title

Director

Phone

(910) 424-6553

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Katrina T Sidney, FNP-C

  • Family Nurse Practitioner
  • Smithfield, NC
  • NPI 1306372487
  NPD
• Deborah R Johnson-Eady, APRN

  • Acute Care Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1053184143

  Multi-Specialty

  NPD
• Helen Young Yates

  • Gerontology Nurse Practitioner
  • Fayetteville, NC
  • NPI 1487264370
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1154559839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 FERNCREEK DR",
            "address_2": "SUITE 102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 FERNCREEK DR",
            "address_2": "SUITE 102B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142581",
            "telephone_number": "910-424-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS MEDICAL CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "FONDINKA",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-424-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Sanderson, MD
• Sandhills Consulting, LLC
• Sandhills Eye Care, OD, PA
• Sandhills Heart Surgery PA
• Sandhills Heart Surgery PA
• Sandhills Nephrology and Internal Medicine, P.a.
• Sandhills Orthotics, LLC
• Sandhills Physician of Mental Health Clinic, PLLC
• Sandhills Womancare PA
• Sandra Gail Kolb Family Practice

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.