SANDHILLS MEDICAL CARE CENTER, PLLC
NPI 1154559839
Clinic/Center in Fayetteville, NC

Active since July 01, 2009CLIA 34D1105951 · Waiver
4155 FERNCREEK DR, SUITE 102B, FAYETTEVILLE, NC 28314(910) 424-6553 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandhills Medical Care Center, Pllc NPPES

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

SANDHILLS MEDICAL CARE CENTER, PLLC (NPI 1154559839) is a healthcare organization registered as a clinic/center in Fayetteville, North Carolina and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Godfrey Fondinka, Director, as its authorized official.

NPPES Registry Identity

NPI1154559839
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSANDHILLS MEDICAL CARE CENTER, PLLC
Location Address4155 FERNCREEK DR, SUITE 102BFayetteville, NC 28314-2581
Mailing Address4155 Ferncreek Dr, Suite 102bFayetteville, NC 28314-2581
Organization SubpartNo
Authorized OfficialGodfrey FondinkaDirector · (910) 424-6553
Enumeration DateJuly 1, 2009
Last NPPES UpdateNovember 3, 2009
NPI 1154559839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4155 FERNCREEK DR, Fayetteville, NC 28314

Accepted Insurance

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 Waiver 34D1105951

Sandhills Medical Care Center, PLLC · Fayetteville, NC
Active · expires Sep 30, 2027
CLIA Number34D1105951
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorGodfrey Fondinka
Laboratory Phone(910) 424-6553
Laboratory LocationSandhills Medical Care Center, PLLC4155 Ferncreek Drive, Suite #102-B, Fayetteville, NC 28314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314
Dentist (General Practice)
4155 FERNCREEK DR, SUITE 101
FAYETTEVILLE, NC 28314
Dentist
4155 FERNCREEK DR, SUITE 101
FAYETTEVILLE, NC 28314
Psychiatry & Neurology (Psychiatry)
4155 FERNCREEK DR, SUITE 102 A
FAYETTEVILLE, NC 28314
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154559839, enumerated as an "organization" on July 01, 2009.

The provider is located at 4155 FERNCREEK DR SUITE 102B FAYETTEVILLE, NC 28314 and the phone number is (910) 424-6553.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.