Organization Active NPI

Medics Primary and Urgent Care PC

  • Primary Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1689096349
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2009-01405 Issued in NC
Legal business name
MEDICS PRIMARY AND URGENT CARE PC
Practice address
504 Owen Dr
Fayetteville, NC 28304-3417
Phone
(910) 221-3030
Fax
(910) 401-0680
NPI assigned
Jan 15, 2014
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Donald Darko Asante, M.D.NPI 1104068220
Title
Medical Director
Phone
(910) 600-1856

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
Primary Care Clinic/Center 261QP2300X 2009-01405 NC Primary

Addresses

Primary practice location

504 Owen Dr
Fayetteville, NC 28304-3417

Mailing address

504 Owen Dr
Fayetteville, NC 28304-3417
Phone (910) 221-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140429001532 NC Part B Supplier - Clinic/Group Practice 4981837846 Receives reassigned benefits from 3 practitioners
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
34D2074726Medics Primary & Urgent Care, PC504 Owen Drive, Fayetteville, NC 28304Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

504 Owen Dr
Fayetteville, NC 28304
Phone (910) 221-3030

Practitioners & affiliated clinicians

Practitioners 8

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1689096349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043417",
            "telephone_number": "910-221-3030",
            "fax_number": "910-401-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043417",
            "telephone_number": "910-221-3030",
            "fax_number": "910-401-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICS PRIMARY AND URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "ASANTE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "DARKO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-600-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2009-01405",
            "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 Dec 21, 2023; 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.