NPIMap

Organization Active NPI

Carolina Urgent & Family Care P.a.

  • Primary Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1467679712
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAROLINA URGENT & FAMILY CARE P.A.
Practice address
5511 Raeford Rd
Suite 150
Fayetteville, NC 28304-2057
Phone
(910) 630-5000
Fax
(910) 424-6767
NPI assigned
Apr 19, 2007
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mr. Michael John Winn, PA-CNPI 1902829039
Title
President
Phone
(910) 630-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary
Urgent Care Clinic/Center 261QU0200X NC

Addresses

Primary practice location

5511 Raeford Rd
Suite 150
Fayetteville, NC 28304-2057

Mailing address

5511 Raeford Rd
Suite 150
Fayetteville, NC 28304-2057
Phone (910) 630-5000

Other identifiers 1

IdentifierTypeStateIssuer
5919517MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1467679712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "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 RD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA URGENT & FAMILY CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-630-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919517",
            "state": "NC"
        }
    ],
    "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 Oct 29, 2013; 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.