FDW Family Care Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

120969 Issued in NC

Legal business name

FDW FAMILY CARE CENTER, PLLC

Practice address

3068 Sunset Ave
Rocky Mount, NC 27804-3647

Phone

(252) 210-3457

Fax

(252) 210-3461

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jevita Denise Terry, FNP-BC

Title

Owner

Phone

(252) 210-3457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1982905832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-210-3457",
            "fax_number": "252-210-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-210-3457",
            "fax_number": "252-210-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDW FAMILY CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JEVITA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-210-3457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "120969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Farrington
• Stacy Vee Farrow
• Tammy Fate
• Sheik Amat Tijan Faye, PA
• Selena Fayson
• Lubica Fedor, M.D.
• Candace Lynn Feigles, CRNA
• Felicia Singletary DMD, PLLC
• Susan A Fellows, RD
• Christine Elizabeth Feno, LCSW

• Primary Care Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.