Active NPI
Precision Health, PC
- Family Medicine Physician
- Fayetteville, NC
National Provider Identifier
1396484572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRECISION HEALTH, PC
- Practice address
- 5511 Raeford Rd Ste 150
Fayetteville, NC 28304-2058 - Phone
- (910) 630-5000
- NPI assigned
- Jun 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry Graham, PA
- Title
- Partner/Provider
- Phone
- (910) 630-5000
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
5511 Raeford Rd Ste 150
Fayetteville, NC 28304-2058
Mailing address
5511 Raeford Rd Ste 150
Fayetteville, NC 28304-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2261936 | Precision Health, P C | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Lumberton, NC
- NPI 1891821435
-
- Physician Assistant
- Fairmont, NC
- NPI 1679081319
-
- Physician Assistant
- Raleigh, NC
- NPI 1255347324
-
- Physician Assistant
- Pembroke, NC
- NPI 1689172868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1396484572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 RAEFORD RD STE 150",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 RAEFORD RD STE 150",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042058",
"telephone_number": "910-630-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "PARTNER/PROVIDER",
"authorized_official_telephone_number": "910-630-5000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 3, 2022; 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.