CROSS & CROWN REGENERATIVE CARE PLLC
NPI 1083426423
Clinic/Center - Multi-Specialty in Fayetteville, NC

Active since January 23, 2025
2810 BRAGG BLVD STE B, FAYETTEVILLE, NC 28303(910) 920-2012 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Multi-Specialty

About CROSS & CROWN REGENERATIVE CARE PLLC

This page provides the complete NPI Profile along with additional information for Cross & Crown Regenerative Care Pllc, a provider established in Fayetteville, North Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1083426423 assigned on January 2025. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Cross & Crown Regenerative Care Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Pamela Harris (Clinic Owner)

NPI
1083426423 Verify this NPI
Provider Name
CROSS & CROWN REGENERATIVE CARE PLLC
Entity Type
Organization
Location Address
2810 BRAGG BLVD STE B FAYETTEVILLE, NC 28303
Location Phone
(910) 920-2012
Mailing Address
2810 BRAGG BLVD STE B FAYETTEVILLE, NC 28303
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2025
Last Update Date
03-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAMELA HARRIS

Authorized Official Title
CLINIC OWNER
Authorized Official Phone
(910) 920-2012

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083426423, enumerated as an "organization" on January 23, 2025.

The provider is located at 2810 BRAGG BLVD STE B FAYETTEVILLE, NC 28303 and the phone number is (910) 920-2012.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.