Organization Active NPI

Wolinsky Primary Care, PA

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1811458177
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOLINSKY PRIMARY CARE, PA
Practice address
513 Owen Dr
Fayetteville, NC 28304-3433
Phone
(910) 433-9004
Fax
(910) 433-9001
NPI assigned
Mar 28, 2019
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Sidney Wolinsky, PANPI 1568552891
Title
Owner
Phone
(910) 433-9004

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

513 Owen Dr
Fayetteville, NC 28304-3433

Mailing address

513 Owen Dr
Fayetteville, NC 28304-3433
Phone (910) 433-9004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000231 NC Part B Supplier - Clinic/Group Practice 2466785316 Receives reassigned benefits from 4 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

1315 Avon St
#101
Fayetteville, NC 28304
Phone (910) 433-9004

513 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-0101

Practitioners & affiliated clinicians

Practitioners 5

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1811458177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043433",
            "telephone_number": "910-433-9004",
            "fax_number": "910-433-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043433",
            "telephone_number": "910-433-9004",
            "fax_number": "910-433-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLINSKY PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "WOLINSKY",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-433-9004",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.