Faith Primary Care Plus

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAITH PRIMARY CARE PLUS

Practice address

431 S Main St Ste 5
Rutherfordton, NC 28139-2949

Phone

(910) 557-5672

Fax

(910) 557-5675

NPI assigned

Jul 15, 2022

Organization subpart

Yes

Parent organization

FAITH PRIMARY CARE PLUSAs reported in NPPES

Name

Ngonda'Yebenit Nzelle Ngo Mayeba

Title

Owner

Phone

(910) 536-2272

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Faith Primary Care Plus

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1194393769
  NPPES parent name

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

• Justin Crouse, PA-C

  • Physician Assistant
  • Maiden, NC
  • NPI 1134797780
  NPD
• Abm Enayet Ullah, M.D.

  • Internal Medicine Physician
  • Smithfield, NC
  • NPI 1295813400
  NPD

• Faith Primary Care Rural Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2023.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1942934856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S MAIN ST STE 5",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392949",
            "telephone_number": "910-557-5672",
            "fax_number": "910-557-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S MAIN ST STE 5",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392949",
            "telephone_number": "910-557-5672",
            "fax_number": "910-557-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PRIMARY CARE PLUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH PRIMARY CARE PLUS",
        "enumeration_date": "2022-07-15",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "NGO MAYEBA",
        "authorized_official_first_name": "NGONDA'YEBENIT",
        "authorized_official_middle_name": "NZELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-536-2272"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Primary Care Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eden of Abundance
• Lee Anna Edgerton, D.C.
• Alicia Edwards, LCSWA
• Ella Maes Home Care Services
• Carmen Lauda Fadem, MD
• Family Preservation Services of North Carolina, Inc.
• Family Preservation Services of North Carolina, Inc.
• Family Preservation Services of North Carolina, LLC
• Family Preservation Services of North Carolina, LLC
• Maggie Leigh Fekete, RD, LDN

• All providers in Rutherfordton, NC
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.