Individual provider Active NPI

Tonya Wae Brown, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1437048865
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022557 Issued in NC
Practice address
217 Glensford Dr
Fayetteville, NC 28314-0892
Phone
(910) 483-4647
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5022557 NC Primary

Addresses

Primary practice location

217 Glensford Dr
Fayetteville, NC 28314-0892

Mailing address

712 Glensford Dr
Fayetteville, NC 28314-0842
Phone (910) 483-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110002699 NC Practitioner - Nurse Practitioner 1355831074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians
Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

1106 Sunset Ave
Clinton, NC 28328-3820
Phone (910) 828-1131

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022557NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Quickcare Family Practice, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Matrix Occupational Health P.C. CurrentSince Aug 2, 2025 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

1106 Sunset Ave
Clinton, NC 28328
Phone (919) 648-4847

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1437048865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 GLENSFORD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140842",
            "telephone_number": "910-483-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENSFORD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140892",
            "telephone_number": "910-483-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TONYA",
        "middle_name": "WAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.