Organization Active NPI

Children's Urgent Care of Fayetteville

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Fayetteville, NC
National Provider Identifier
1477444255
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
Legal business name
CHILDREN'S URGENT CARE OF FAYETTEVILLE
Practice address
4118 Raeford Rd
Fayetteville, NC 28304-3360
Phone
(901) 413-9657
Fax
(472) 215-8665
NPI assigned
Jul 10, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Warees M Warees, MDNPI 1235316878
Title
Ceo
Phone
(901) 413-9657

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0204X Primary

Addresses

Primary practice location

4118 Raeford Rd
Fayetteville, NC 28304-3360

Mailing address

5175 Lakewood Dr
Fayetteville, NC 28306-4578
Phone (901) 413-9657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904001676 NC Part B Supplier - Clinic/Group Practice 6305348962 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2307532Children's Urgent Care of Fayetteville4118 Raeford Road, Fayetteville, NC 28304Certificate of waiverJul 9, 2026

National Provider Directory

National Provider Directory

Locations

4118 Raeford Rd
Fayetteville, NC 28304
Phone (901) 413-9657

Practitioners & affiliated clinicians

Practitioners 1

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1477444255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 LAKEWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064578",
            "telephone_number": "901-413-9657",
            "fax_number": "472-215-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043360",
            "telephone_number": "901-413-9657",
            "fax_number": "472-215-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S URGENT CARE OF FAYETTEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WAREES",
        "authorized_official_first_name": "WAREES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-413-9657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 27, 2025; 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.

Verify at the official NPI Registry.