Organization Active NPI

Haymont Skin Center, PA

  • Neurological Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1184861668
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24630 Issued in NC
Legal business name
HAYMONT SKIN CENTER, PA
Practice address
1008 Hay St
Fayetteville, NC 28305-5316
Phone
(910) 321-7546
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Inad Badreddin Atassi, M.D.
Title
President
Phone
(910) 321-7546

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 24630 NC
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 24630 NC Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 102748 NC

Addresses

Primary practice location

1008 Hay St
Fayetteville, NC 28305-5316

Mailing address

1008 Hay St
Fayetteville, NC 28305-5316
Phone (910) 321-7546

National Provider Directory

National Provider Directory

Locations

1008 Hay St
Fayetteville, NC 28305
Phone (910) 321-7546

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1184861668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "910-321-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "910-321-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYMONT SKIN CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "INAD",
        "authorized_official_middle_name": "BADREDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-321-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24630",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "24630",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102748",
            "primary": false
        }
    ],
    "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 Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.