Guardian Hart Medical Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

128677 Issued in NC

Legal business name

GUARDIAN HART MEDICAL CARE

Practice address

1074 Southern Ave
Fayetteville, NC 28306

Phone

(910) 221-1590

Fax

(910) 221-1594

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jonna Lynn Squires

Title

Insurance Biller

Phone

(910) 221-1590

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Cedar Creek Urgent Care and Family Center Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindwood Allen Robinson, MD

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1326035411
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1750490876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 SOUTHERN AVENUE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-221-1590",
            "fax_number": "910-221-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-221-1590",
            "fax_number": "910-221-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HART MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "910-221-1590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "128677",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-01572",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "014A1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "014A1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Urgent Care and Family Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erik Todd Grossgold, M.D.
• Amber Grossman
• Cecily Groves, PHARMD
• Thomas Gryb
• Alexandra Evelina Grzybowski, DO
• Kaitlin Ann Guertin
• Guiding Hands Peer Support LLC
• Guiding Wellness Institute
• Angela Nicole Guilette, MA, LCAS, LCMHC
• Jhun Clyner Agtarap Guillermo, RN

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.