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HANORA MEDICAL CENTER, PLLC
NPI 1184928848
Internal Medicine in Fayetteville, NC

Active since January 10, 2011CLIA 34D2023585 · Waiver
2620 OWEN DR, FAYETTEVILLE, NC 28306(910) 860-0017(910) 860-0015 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Hanora Medical Center, Pllc NPPES

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

HANORA MEDICAL CENTER, PLLC (NPI 1184928848) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through April 26, 2027, maintains a secondary practice location in Fayetteville, and lists Benjamin Chigbo Udoh, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1184928848
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHANORA MEDICAL CENTER, PLLC
Location Address2620 OWEN DRFayetteville, NC 28306
Mailing AddressPo Box 88033Fayetteville, NC 28304-8033 · (910) 860-0017 · Fax (910) 860-0015
Phone(910) 860-0017
Fax(910) 860-0015
Organization SubpartNo
Authorized OfficialBenjamin Chigbo UdohCeo/president · (910) 860-0017
Enumeration DateJanuary 10, 2011
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1184928848 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 · 2009-01732
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.
2620 OWEN DR, Fayetteville, NC 28306
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Secondary Practice Location 1

Location 12620 Owen DrFayetteville, NC 28306-2933 · Phone (910) 860-0017 · Fax (910) 860-0015

Other Identifiers 1

Medicaid5913279NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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 34D2023585

Hanora Medical Center · Fayetteville, NC
Active · expires Apr 26, 2027
CLIA Number34D2023585
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorDr. Benjamin C. Udoh
Laboratory Phone(910) 860-0017
Laboratory LocationHanora Medical Center2620 Owen Drive, Fayetteville, NC 28306
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 2

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

DR. BENJAMIN CHIGBO UDOH MD
Internal Medicine
2620 OWEN DR
FAYETTEVILLE, NC 28306
Cumberland County (910) 860-0017
SERENITEE CARE LLC
In Home Supportive Care
2620 OWEN DR
FAYETTEVILLE, NC 28306
Cumberland County (910) 930-2718

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 Hanora Medical Center, PLLC's NPI number?

The NPI number for Hanora Medical Center, PLLC is 1184928848. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Hanora Medical Center, PLLC located?

Hanora Medical Center, PLLC is located at 2620 Owen Dr, Fayetteville, NC 28306. The listed phone number is (910) 860-0017.

What is Hanora Medical Center, PLLC's specialty?

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

Does Hanora Medical Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2023585) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hanora Medical Center, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Hanora Medical Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hanora Medical Center, PLLC was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.