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PURA CLINIC FAMILY MEDICINE PC
NPI 1487077491
Family Medicine in Fayetteville, NC

Active since January 27, 2014
124 BAYWOOD RD, SUITE 111, FAYETTEVILLE, NC 28312(910) 829-0143(910) 829-5107 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pura Clinic Family Medicine Pc NPPES

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

PURA CLINIC FAMILY MEDICINE PC (NPI 1487077491) is a healthcare organization registered as a family medicine in Fayetteville, North Carolina and active in the NPI registry since January 2014. The organization lists Mohamad A Shakir, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1487077491
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePURA CLINIC FAMILY MEDICINE PC
Location Address124 BAYWOOD RD, SUITE 111Fayetteville, NC 28312-9136
Mailing Address124 Baywood Rd, Suite 111Fayetteville, NC 28312-9136 · (910) 829-0143 · Fax (910) 829-5107
Phone(910) 829-0143
Fax(910) 829-5107
Organization SubpartNo
Authorized OfficialMohamad A ShakirOwner/md · (910) 829-0143
Enumeration DateJanuary 27, 2014
Last NPPES UpdateNovember 10, 2014
✔ NPI 1487077491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 BAYWOOD RD, Fayetteville, NC 28312
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Other Identifiers 2

Other148J4NC · Bcbsnc
Medicaid1487077491NC

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 Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pura Clinic Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pura Clinic Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohamad Shakir, M.D.
Family Practice
NPI 1689792830
1385 MEDICAL CENTER DR
Roanoke Rapids, NC 27870
(252) 537-9176
✔ PECOS✔ Accepts Medicare115 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pura Clinic Family Medicine PC's NPI number?

The NPI number for Pura Clinic Family Medicine PC is 1487077491. It was assigned to this organization in the NPPES registry on January 27, 2014.

Where is Pura Clinic Family Medicine PC located?

Pura Clinic Family Medicine PC is located at 124 Baywood Rd Suite 111, Fayetteville, NC 28312. The listed phone number is (910) 829-0143.

What is Pura Clinic Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pura Clinic Family Medicine PC enrolled in Medicare?

Yes. Pura Clinic Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pura Clinic Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pura Clinic Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pura Clinic Family Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Pura Clinic Family Medicine PC 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 Pura Clinic Family Medicine PC was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.