Active NPI
Haymount Urgent Care
- Urgent Care Clinic/Center
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 135635
- Legal business name
- HAYMOUNT URGENT CARE
- Practice address
- 420 Owen Dr
Fayetteville, NC 28304-3430 - Phone
- (910) 484-1210
- Fax
- (910) 484-1347
- NPI assigned
- Sep 12, 2008
- Last updated
- Mar 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Allen Clinton Jr., MD
- Title
- Owner
- Phone
- (910) 484-1210
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 135635 | NC | Primary |
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
420 Owen Dr
Fayetteville, NC 28304-3430
Mailing address
420 Owen Dr
Fayetteville, NC 28304-3430
Phone (910) 484-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235222928 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1909 Bragg Blvd
Ste 94
Fayetteville, NC 28303
Phone (910) 484-1210
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.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1235222928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584576000000",
"number": "1740439918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043430",
"telephone_number": "910-484-1210",
"fax_number": "910-484-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043430",
"telephone_number": "910-484-1210",
"fax_number": "910-484-1347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYMOUNT URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-12",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A",
"authorized_official_last_name": "CLINTON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-484-1210",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NC",
"license": "135635",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235222928",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Haymount Institute for Psychological Services, PLLC
- Haymount Institute for Psychological Services, PLLC
- Haymount Nursing and Rehab
- Haymount Rehabilitation and Nursing Center, Inc
- Haymount Urgent Care (Haymount Family Practice)
- Alexis Haynes, MS, CCC-SLP
- Jazmine Haynes
- Lorin Bell Haynes, FNP-C
- Masen Haynes
- Jamie Haywood, LBSW, MSW, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.