Medical Arts Family Practice, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60921 Issued in NC

Legal business name

MEDICAL ARTS FAMILY PRACTICE, PA

Practice address

413 Owen Dr
Suite 201
Fayetteville, NC 28304-3411

Phone

(910) 323-9111

Fax

(910) 484-2535

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda M Hinman

Title

Office Administrator

Phone

(910) 323-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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

• Kelly Bullard, DO

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1831726975
  Medicare reassignment Care Compare group NPD
• Alisha Kelona Johnson, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1558771006
  Medicare reassignment Care Compare group NPD
• Catherine Margaret Kelly, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1871584425
  Medicare reassignment Care Compare group NPD
• Amy Chen Santangelo, MD

  • Internal Medicine Physician
  • Fort Bragg, NC
  • NPI 1841254711
  Medicare reassignment Care Compare group NPD
• Angela Chase Jackson, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1003018136
  Medicare reassignment Care Compare group
• Diana Riddley, MD

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1134658081
  Medicare reassignment NPD
• Stacie A Sidebotham, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1710287263
  Medicare reassignment NPD
• Staci Pessetti Dubois, PA

  • Physician Assistant
  • Clayton, NC
  • NPI 1659618791
  NPD (past)
• Yunie Grace Pak, DNP, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1649057068
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1831168103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 OWEN DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043411",
            "telephone_number": "910-323-9111",
            "fax_number": "910-484-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 OWEN DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043411",
            "telephone_number": "910-323-9111",
            "fax_number": "910-484-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HINMAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-323-9111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "60921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelou Gale Perez Meagher
• Thomas J Meakem III, M.D.
• Med One Sleep Center, PLLC
• Medex Urgent Care, PA
• Mediassist LLC
• Medical Arts Pharmacy of Cumberland County
• Medical Imaging Center, LLC
• Medics Primary and Urgent Care PC
• Yasier Vicente Medina Martinez, MD
• Amy Lynn Medina, PHD

• Family Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.