STATCARE,LLC
NPI 1053669002
Internal Medicine in Fayetteville, NC

Active since August 23, 2012CLIA 34D2328986 · Accreditation
9525 CLIFFDALE RD, FAYETTEVILLE, NC 28304(910) 826-7828(910) 864-7925 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Statcare,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATCARE,LLC (NPI 1053669002) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since August 2012. The organization holds an CLIA Accreditation certificate valid through August 19, 2027 and lists Paige Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053669002
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTATCARE,LLC
Location Address9525 CLIFFDALE RDFayetteville, NC 28304-5956
Mailing AddressPo Box 87707Fayetteville, NC 28304-7707 · (910) 826-7828 · Fax (910) 864-7925
Fax(910) 864-7925
Organization SubpartNo
Authorized OfficialPaige WilliamsOffice Manager · (910) 826-7828
Enumeration DateAugust 23, 2012
NPI 1053669002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9525 CLIFFDALE RD, Fayetteville, NC 28304

Other Identifiers 2

Medicare UPING15059NC
Medicaid5903128NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2328986

Statcare - Raeford Road · Fayetteville, NC
Active · expires Aug 19, 2027
CLIA Number34D2328986
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorSandra Carr
Laboratory Phone(910) 862-5139
Laboratory LocationStatcare - Raeford Road6201 Raeford Road, Fayetteville, NC 28304
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053669002, enumerated as an "organization" on August 23, 2012.

The provider is located at 9525 CLIFFDALE RD FAYETTEVILLE, NC 28304 and the phone number is (910) 826-7828.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.