Individual provider Active NPI

Feyisayo Adenike Adeyina, M.D.

  • Family Medicine Physician
  • Holly Springs, NC
National Provider Identifier
1649277757
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007-00699 Issued in NC
Practice address
1004 Werrington Dr
Holly Springs, NC 27540-6017
Phone
(919) 552-9952
Fax
(919) 552-3062
NPI assigned
Jul 5, 2005
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-00699 NC Primary

Addresses

Primary practice location

1004 Werrington Dr
Holly Springs, NC 27540-6017

Mailing address

1108 Kentworth Dr Ste 704
Holly Springs, NC 27540-3325
Phone (919) 552-9952

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000209 NC Practitioner - Family Practice 6406921923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1004 Werrington Dr
Suite 200
Holly Springs, NC 27540-6016
Phone (919) 552-9952

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00699NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Jan 1, 2016 Accepting new patients

Locations

1004 Werrington Dr
Ste 200
Holly Springs, NC 27540
Phone (919) 237-1337

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

Interoperability endpoints

  • Direct secure messaging: fadeyina34758@fastmed.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1649277757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 KENTWORTH DR STE 704",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403325",
            "telephone_number": "919-552-9952",
            "fax_number": "919-552-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 WERRINGTON DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406017",
            "telephone_number": "919-552-9952",
            "fax_number": "919-552-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYINA",
        "first_name": "FEYISAYO",
        "middle_name": "ADENIKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.