Organization Active NPI

Carolina Family Practice Centre, PA

  • Primary Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1386713402
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9701262 Issued in NC
Legal business name
CAROLINA FAMILY PRACTICE CENTRE, PA
Practice address
2500 Village Dr Ste 100
Fayetteville, NC 28304-3982
Phone
(910) 485-1700
Fax
(910) 484-2800
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Frances Franco
Title
Office Manager
Phone
(910) 485-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9701262 NC Primary

Addresses

Primary practice location

2500 Village Dr Ste 100
Fayetteville, NC 28304-3982

Mailing address

2500 Village Dr Ste 100
Fayetteville, NC 28304-3982
Phone (910) 476-6868

National Provider Directory

National Provider Directory
Tax ID family
Carolina Family Practice Centre PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 Village Dr
Ste 100
Fayetteville, NC 28304
Phone (910) 476-6868

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1386713402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE DR STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043982",
            "telephone_number": "910-476-6868",
            "fax_number": "910-484-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE DR STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043982",
            "telephone_number": "910-485-1700",
            "fax_number": "910-484-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY PRACTICE CENTRE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-485-1700"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9701262",
            "primary": true
        }
    ],
    "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 Mar 19, 2024; 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.