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FAYETTEVILLE INTERNAL MEDICINE PLLC
NPI 1417684135
Nurse Practitioner - Family in Fayetteville, NC

Active since August 03, 2022
1766 METROMEDICAL DR, FAYETTEVILLE, NC 28304(910) 483-4856 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Jun 25, 2024, Aug 3, 2022 (3 updates tracked since 2022).

About Fayetteville Internal Medicine Pllc NPPES

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

FAYETTEVILLE INTERNAL MEDICINE PLLC (NPI 1417684135) is a healthcare organization registered as a family in Fayetteville, North Carolina and active in the NPI registry since August 2022. The organization lists Jennifer Fortin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417684135
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAYETTEVILLE INTERNAL MEDICINE PLLC
Location Address1766 METROMEDICAL DRFayetteville, NC 28304-3861
Mailing Address1766 Metromedical DrFayetteville, NC 28304-3861 · (910) 483-4856
Phone(910) 483-4856
Organization SubpartNo
Authorized OfficialJennifer FortinOffice Manager · (910) 483-4680
Enumeration DateAugust 3, 2022
Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1417684135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1766 METROMEDICAL DR, Fayetteville, NC 28304
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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 7

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

FAYETTEVILLE NEUROLOGY ASSOCIATES PA
Psychiatry & Neurology (Neurology)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 222-2202
ANGEL MARIE FULLER LCSW-A
Social Worker (Clinical)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (919) 300-6717
RANGASAMY RAMACHANDRAN
Psychiatry & Neurology (Neurology)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 222-2202
CASEY J SCOTT APRN
Nurse Practitioner (Psychiatric/Mental Health)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 426-6363
MRS. DEBBIE C SMITH FNP
Nurse Practitioner (Family)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-4680
PETER THEODOROS KALOGERINIS PA-C
Physician Assistant
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 775-3130
MENDING MINDS BEHAVIORAL HEALTH, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 426-6363

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 Fayetteville Internal Medicine PLLC's NPI number?

The NPI number for Fayetteville Internal Medicine PLLC is 1417684135. It was assigned to this organization in the NPPES registry on August 3, 2022.

Where is Fayetteville Internal Medicine PLLC located?

Fayetteville Internal Medicine PLLC is located at 1766 Metromedical Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-4856.

What is Fayetteville Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Fayetteville Internal Medicine PLLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.