MED ONE CARE
NPI 1093919409
Clinic/Center - Urgent Care in Fayetteville, NC

Active since June 12, 2007CLIA Certified · 2 labs
413 OWEN DRIVE, SUITE 202, FAYETTEVILLE, NC 28304(910) 323-3183(910) 223-7555 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Med One Care NPPES

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

MED ONE CARE (NPI 1093919409) is a healthcare organization registered as an urgent care in Fayetteville, North Carolina and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Carolyn Gaskins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093919409
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCAPE FEAR FAMILY MEDICAL CARE, PA
Location Address413 OWEN DRIVE, SUITE 202Fayetteville, NC 28304
Mailing Address413 Owen Drive, Suite 202Fayetteville, NC 28304 · (910) 323-3183 · Fax (910) 223-7555
Fax(910) 223-7555
Organization SubpartNo
Authorized OfficialCarolyn GaskinsOffice Manager · (910) 323-3183
Enumeration DateJune 12, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1093919409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in NC · 20544
413 OWEN DRIVE, Fayetteville, NC 28304

Other Names 1

Doing Business AsMed One Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Med One Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Med One Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1073519690
405 OWEN DR
Fayetteville, NC 28304
(910) 323-3183
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881690402
405 OWEN DR
Fayetteville, NC 28304
(910) 323-3183
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578791422
405 OWEN DR
Fayetteville, NC 28304
(910) 323-3183
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104822733
405 OWEN DR
Fayetteville, NC 28304
(910) 323-3183
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1063689826
1340 WALTER REED RD STE 101
Fayetteville, NC 28304
(910) 401-5425
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1285982173
105 ROXIE AVE
Fayetteville, NC 28304
(910) 609-1880
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1069905

Med One Care · Fayetteville, NC
Active · expires Jul 14, 2027
CLIA Number34D1069905
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRaymond A. Gaskins Jr
Laboratory Phone(910) 323-3183
Laboratory LocationMed One Care413 Owen Drive Suite 202 2nd Floor, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0889659

Cape Fear Family Medical Care, PA · Fayetteville, NC
Active · expires Sep 30, 2027
CLIA Number34D0889659
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorRaymond A. Gaskins Jr
Laboratory Phone(910) 323-3183
Laboratory LocationCape Fear Family Medical Care, PA405 Owen Drive, Fayetteville, NC 28304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cape Fear Family Medical Care, PA's NPI number?

The NPI number for Cape Fear Family Medical Care, PA is 1093919409. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Med One Care.

Where is Cape Fear Family Medical Care, PA located?

Cape Fear Family Medical Care, PA is located at 413 Owen Drive Suite 202, Fayetteville, NC 28304. The listed phone number is (910) 323-3183.

What is Cape Fear Family Medical Care, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Cape Fear Family Medical Care, PA enrolled in Medicare?

Yes. Cape Fear Family Medical Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cape Fear Family Medical Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Cape Fear Family Medical Care, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (2) and Endocrinology (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cape Fear Family Medical Care, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cape Fear Family Medical Care, PA was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.