Organization Active NPI

Raeford Hoke Family Care Center, P.a.

Doing business as Cumberland Family Practice

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1396854238
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAEFORD HOKE FAMILY CARE CENTER, P.A.
Doing business as
Cumberland Family Practice
Practice address
2414 Hope Mills Rd
Fayetteville, NC 28304-4264
Phone
(919) 424-2426
Fax
(910) 424-7916
NPI assigned
Aug 30, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mithu Chaudhuri
Title
Business Manager
Phone
(910) 424-2426

Specialties & licenses 1

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

Addresses

Primary practice location

2414 Hope Mills Rd
Fayetteville, NC 28304-4264

Mailing address

PO Box 1647
Etowah, NC 28729-1647

Other identifiers 2

IdentifierTypeStateIssuer
89013RKMedicaidNC
0132XOtherNCBCBS

Other names 1

  • Cumberland Family Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1396854238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1647",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291647",
            "fax_number": "910-424-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044264",
            "telephone_number": "919-424-2426",
            "fax_number": "910-424-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEFORD HOKE FAMILY CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURI",
        "authorized_official_first_name": "MITHU",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "910-424-2426"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013RK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0132X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 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.