Palms Family Medicine, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

200100701 Issued in NC

Legal business name

PALMS FAMILY MEDICINE, P.A.

Practice address

5511 Raeford Road
Suite 200
Fayetteville, NC 28304-3049

Phone

(910) 630-5000

Fax

(910) 424-6767

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ingrid Payne

Title

Chief Operation Officer

Phone

(910) 323-1481

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHYSICIANS URGENT CARE Doing business as

Locations

Practitioners 1

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

• Michael Andrew Lishchynsky, PA

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1750508131
  NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1386861664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD ROAD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043049",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD ROAD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043049",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "910-323-1481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "200100701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016GG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Painting Miracles Inc.
• Yunie Grace Pak, DNP, FNP-C
• Iris Sonja Palin, LCSWA
• Shyamal Kanti Palit, M.D.
• Bonnie Palmquist, CRNA
• Amber Michelle Palms
• Pamela Williams Jordanhouseconnections
• McKenzie Pamplin
• Shreebridhi Pande, MD
• Prachi Pandeya, MD

• General Practice Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.