Individual provider Active NPI

Talisa Clark Singletary, NP

  • Family Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1821539495
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009380 Issued in NC
Practice address
1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548
Phone
(910) 276-2487
Fax
(910) 276-2404
NPI assigned
Mar 16, 2017
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009380 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5009380 NC

Addresses

Primary practice location

1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548

Mailing address

1709 Berwick Dr Ste B
Laurinburg, NC 28352-5548
Phone (910) 276-2487

Other names 1

  • Ms. Talisa Somwang Clark Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002488 NC Practitioner - Nurse Practitioner 1456624311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Family Medical PLLCGroup PAC ID 0143690123, 2 clinicians

Practice addresses (Care Compare)

1709 Berwick Dr
Suite B
Laurinburg, NC 28352-5548
Phone (910) 276-2439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009380NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Family Medical PLLC CurrentSince Aug 23, 2022 Accepting new patients

Locations

1709 Berwick Dr
Ste B
Laurinburg, NC 28352
Phone (910) 276-2439

Organizations & group practices 1

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1821539495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525548",
            "telephone_number": "910-276-2487",
            "fax_number": "910-276-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525548",
            "telephone_number": "910-276-2487",
            "fax_number": "910-276-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "TALISA",
        "middle_name": "CLARK",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009380",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5009380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALISA",
            "last_name": "CLARK",
            "middle_name": "SOMWANG",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.