Fuquay-Varina Family Practice, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

87983 Issued in NC

Legal business name

FUQUAY-VARINA FAMILY PRACTICE, PA

Practice address

431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374

Phone

(919) 552-2292

NPI assigned

Dec 19, 2005

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Page Matthews

Title

Office Manager

Phone

(919) 552-2292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Cook Darrell, M.D.

  • Family Medicine Physician
  • Fuquay Varina, NC
  • NPI 1023003134
  Medicare reassignment Care Compare group NPD
• Angela Nichole Glaser, NP

  • Family Nurse Practitioner
  • Fuquay Varina, NC
  • NPI 1396464582
  Medicare reassignment Care Compare group NPD
• Jennifer Elizabeth Atwater, PA-C

  • Physician Assistant
  • Fuquay Varina, NC
  • NPI 1568642874
  Medicare reassignment Care Compare group
• Jason Edward Devente, M.D.

  • Family Medicine Physician
  • Fuquay Varina, NC
  • NPI 1811982937
  Medicare reassignment Care Compare group
• Stacey Stowers Heppert, PA

  • Physician Assistant
  • Fuquay Varina, NC
  • NPI 1477539781
  Medicare reassignment
• Linda Louise Altman, APRN-BC

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1548386972
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1295711513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262374",
            "telephone_number": "919-552-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262374",
            "telephone_number": "919-552-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUQUAY-VARINA FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-552-2292",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "87983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790231C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuquay Family Counseling, PLLC
• Fuquay Operator LLC (Fuquay-Varina Health and Rehabilitation Center)
• Fuquay Ophthalmology and Glaucoma PC
• Fuquay Pharmacy LLC (Fuquay Pharmacy)
• Fuquay Urgent Care & Family Clinic Inc.
• Fuquay-Varina Health Holdings, LLC (Senter's Rest Home)
• James P Furgurson, DDS
• Brian Denney Futrell, D.P.M.
• Rashmi G C
• Ga HC Reit II Fuquay-Varina Alf TRS Sub, LLC (TerraBella Fuquay-Varina)

• Family Medicine Physician in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.