Organization Active NPI

Faith Family Medical PLLC

  • Family Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1386369809
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAITH FAMILY MEDICAL PLLC
Practice address
1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548
Phone
(910) 276-2487
Fax
(910) 276-2404
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Talisa Clark SingletaryNPI 1821539495
Title
Owner/Provider
Phone
(910) 276-2439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548

Mailing address

1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548
Phone (910) 276-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230109001904 NC Part B Supplier - Clinic/Group Practice 0143690123 Receives reassigned benefits from 2 practitioners
Practice locations: Laurinburg, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2274012Faith Family Medical, PLLC1709 Berwick Drive, Laurinburg, NC 28352Provider-performed microscopyDec 21, 2026

National Provider Directory

National Provider Directory

Locations

1709 Berwick Dr
Ste B
Laurinburg, NC 28352
Phone (910) 276-2439

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1386369809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525548",
            "telephone_number": "910-276-2487",
            "fax_number": "910-276-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525548",
            "telephone_number": "910-276-2487",
            "fax_number": "910-276-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "TALISA",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "910-276-2439"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.