American Optimal Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMERICAN OPTIMAL HEALTH

Practice address

726 Ramsey St
Suite 3
Fayetteville, NC 28301-4705

Phone

(910) 486-0044

NPI assigned

May 18, 2006

Organization subpart

No

Name

Mrs. Ingrid Y Payne

Title

Chief Operation Officer

Phone

(910) 323-1481

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

• John Carle Miller, PA-C

  • Physician Assistant
  • Garden City, SC
  • NPI 1053377283
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972556934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RAMSEY STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014705",
            "telephone_number": "910-323-1481",
            "fax_number": "910-323-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 RAMSEY ST",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014705",
            "telephone_number": "910-486-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "910-323-1481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP NUMBER",
            "identifier": "0151A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890151A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Arthritis & Rheumatology Associates-NC PLLC
• American Arthritis & Rheumatology Associates-NC PLLC
• American Chiropractic Care
• American Current Care of North Carolina PC
• American Eye Care Optometric Centers PA
• Ariel Jane Amerson, RDMS
• Devalben Amin
• Mitul Arvind Amin, DDS
• Shray Amin, MD
• Bala Ammisetti, MD

• All providers in Fayetteville, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.