Active NPI
Haymont Skin Center, PA
- Neurological Surgery Physician
- Fayetteville, NC
National Provider Identifier
1184861668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 24630
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24630 | NC | |
| Neurological Surgery Physician | 207T00000X | 24630 | NC | Primary |
| Physician Assistant | 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 DirectoryLocations
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
- Andrea Marsh Hayes, LCMHC
- Angelia Vanessa Hayes, M.A.
- Claudia Hayes, R.N., ADULT N.P.
- Gerry Stetson Hayes, M.D.
- Sabrina Hayes
- Haymount Institute for Psychological Services, PLLC
- Haymount Institute for Psychological Services, PLLC
- Haymount Nursing and Rehab
- Haymount Rehabilitation and Nursing Center, Inc
- Haymount Urgent Care (Haymount Family Practice)
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.