Active NPI
KMS Legacy, LLC
- Clinic/Center
- Fayetteville, NC
National Provider Identifier
1831902550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KMS LEGACY, LLC
- Practice address
- 2770 Freedom Parkway Dr Ste 2
Fayetteville, NC 28314-3230 - Phone
- (910) 728-4477
- NPI assigned
- Jan 28, 2025
- 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. Freda L Singletary, MD
- Title
- Medical Director
- Phone
- (910) 248-6498
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2770 Freedom Parkway Dr Ste 2
Fayetteville, NC 28314-3230
Mailing address
8132 Fayetteville Rd
Raeford, NC 28376-5973
Phone (910) 248-6498
Other names 1
- Encore Wellness
National Provider Directory
National Provider DirectoryLocations
2770 Freedom Parkway Dr
Ste 2
Fayetteville, NC 28314
Phone (910) 728-4477
8132 Fayetteville Rd
Raeford, NC 28376
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Raeford, NC
- NPI 1497010219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1831902550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8132 FAYETTEVILLE RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765973",
"telephone_number": "910-248-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 FREEDOM PARKWAY DR STE 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283143230",
"telephone_number": "910-728-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMS LEGACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "SINGLETARY",
"authorized_official_first_name": "FREDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "910-248-6498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Encore Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.