Active NPI
Tracy L Funk, PA-C
- Physician Assistant
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1638 Owen Dr
Cfvemployed Em
Fayetteville, NC 28304 - Phone
- (910) 615-4000
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1638 Owen Dr
Cfvemployed Em
Fayetteville, NC 28304
Mailing address
1638 Owen Dr
Cfvemployed Em
Fayetteville, NC 28304
Phone (910) 615-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000
7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Robeson Emergency Physicians, PLLC | Current | Accepting new patients |
Locations
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350
Interoperability endpoints
- tfunk115573@firsthealth.direct-ci.net
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1801375373
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1003337528
-
- Emergency Medicine Physician
- Monroeville, PA
- NPI 1235554692
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1043635402
-
- Family Medicine Physician
- Robbins, NC
- NPI 1508237967
-
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1184793598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"address_2": "CFVEMPLOYED EM",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "910-615-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"address_2": "CFVEMPLOYED EM",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "910-615-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "TRACY",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.