Highland Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

34418 Issued in NC

Legal business name

HIGHLAND CLINIC

Practice address

823 Elm St Ste 207
Fayetteville, NC 28303-4164

Phone

(910) 678-2088

Fax

(910) 678-0915

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Calvin Wilson

Title

Ceo

Phone

(910) 678-2088

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Valerie Ann Murray, M.D.

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1871579995
  NPD (past)

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1326289943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034164",
            "telephone_number": "910-678-2088",
            "fax_number": "910-678-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 207",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034164",
            "telephone_number": "910-678-2088",
            "fax_number": "910-678-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-678-2088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "34418",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "34418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8961588",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casandra K Higginbotham, RN
• Lillian Higginbotham
• Higgins, Mani & Watson III DDS PA
• High Quality Personal Care Service
• Sue S High, FNP-BC
• Highland Family Practice PA
• Highland Health of North Carolina PA
• Highland House of Fayetteville, Inc
• Highland Neurology Center PA
• Highland OB/GYN Clinic, PA

• Point of Service in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.