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VILLAGE INTERNAL MEDICINE, PA
NPI 1326074592
Internal Medicine in Fayetteville, NC

Active since June 22, 2006CLIA 34D0244873 · Waiver
1843 QUIET CV, FAYETTEVILLE, NC 28304(910) 483-8080(910) 483-3258 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Village Internal Medicine, Pa NPPES

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

VILLAGE INTERNAL MEDICINE, PA (NPI 1326074592) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Stephen Stuart Logue, President, as its authorized official.

NPPES Registry Identity

NPI1326074592
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVILLAGE INTERNAL MEDICINE, PA
Location Address1843 QUIET CVFayetteville, NC 28304-3857
Mailing Address1843 Quiet CvFayetteville, NC 28304-3857 · (910) 483-8080 · Fax (910) 483-3258
Phone(910) 483-8080
Fax(910) 483-3258
Organization SubpartNo
Authorized OfficialStephen Stuart LoguePresident · (910) 483-8080
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 2, 2010
✔ NPI 1326074592 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 · 62468
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.
1843 QUIET CV, Fayetteville, NC 28304
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Other Identifiers 2

Medicare ID-Type Unspecified2318305NC
Medicaid890296PNC

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

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 34D0244873

Village Internal Medicine · Fayetteville, NC
Active · expires Jul 10, 2028
CLIA Number34D0244873
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorSathyamurthy Viswanath
Laboratory Phone(910) 483-8080
Laboratory LocationVillage Internal Medicine1843 Quiet Cove, Fayetteville, NC 28304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. STEPHEN S LOGUE M.D.
Internal Medicine
1843 QUIET CV
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8080
DR. TONI D MEEKS MD
Internal Medicine
1843 QUIET CV
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8080
FADI DEEB
Internal Medicine
1843 QUIET CV
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8080

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 Village Internal Medicine, PA's NPI number?

The NPI number for Village Internal Medicine, PA is 1326074592. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Village Internal Medicine, PA located?

Village Internal Medicine, PA is located at 1843 Quiet Cv, Fayetteville, NC 28304. The listed phone number is (910) 483-8080.

What is Village Internal Medicine, PA's specialty?

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

Does Village Internal Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244873) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Internal Medicine, PA was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.