CROSS CREEK MEDICAL CLINIC, PA
NPI 1174575179
Internal Medicine in Fayetteville, NC

Active since May 17, 2006
1309 MEDICAL DR, SUITE 1, FAYETTEVILLE, NC 28304(910) 437-5130(910) 437-5130 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cross Creek Medical Clinic, Pa NPPES

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

CROSS CREEK MEDICAL CLINIC, PA (NPI 1174575179) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since May 2006. The organization lists Nitin Dahyabhai Desai, President, as its authorized official.

NPPES Registry Identity

NPI1174575179
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCROSS CREEK MEDICAL CLINIC, PA
Location Address1309 MEDICAL DR, SUITE 1Fayetteville, NC 28304-4425
Mailing Address1309 Medical Dr, Suite 1Fayetteville, NC 28304-4425 · (910) 437-5130 · Fax (910) 437-5130
Fax(910) 437-5130
Organization SubpartNo
Authorized OfficialNitin Dahyabhai DesaiPresident · (910) 437-5130
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 13, 2007
NPI 1174575179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 9600078
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.
1309 MEDICAL DR, Fayetteville, NC 28304

Other Identifiers 1

Medicare PIN2329598NC

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Internal Medicine
1309 MEDICAL DR, SUITE 102
FAYETTEVILLE, NC 28304
Physician Assistant
1309 MEDICAL DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1309 MEDICAL DR, SUITE 1
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1309 MEDICAL DR
FAYETTEVILLE, NC 28304

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 Cross Creek Medical Clinic, PA's NPI number?

The NPI number for Cross Creek Medical Clinic, PA is 1174575179. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Cross Creek Medical Clinic, PA located?

Cross Creek Medical Clinic, PA is located at 1309 Medical Dr Suite 1, Fayetteville, NC 28304. The listed phone number is (910) 437-5130.

What is Cross Creek Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cross Creek Medical Clinic, PA was last updated on December 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.