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ELITECARE OF FAYETTEVILLE PLLC
NPI 1508297003
Clinic/Center - Primary Care in Hope Mills, NC

Active since December 09, 2013
3622 N MAIN ST, HOPE MILLS, NC 28348(910) 423-7771(910) 423-4177 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elitecare Of Fayetteville Pllc NPPES

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

ELITECARE OF FAYETTEVILLE PLLC (NPI 1508297003) is a healthcare organization registered as a primary care in Hope Mills, North Carolina and active in the NPI registry since December 2013. The organization lists Travis Sanders Ross, Organizer/member, as its authorized official.

NPPES Registry Identity

NPI1508297003
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELITECARE OF FAYETTEVILLE PLLC
Location Address3622 N MAIN STHope Mills, NC 28348-1937
Mailing Address3622 N Main StHope Mills, NC 28348-1937 · (910) 423-7771 · Fax (910) 423-4177
Phone(910) 423-7771
Fax(910) 423-4177
Organization SubpartNo
Authorized OfficialTravis Sanders RossOrganizer/member · (910) 551-8882
Enumeration DateDecember 9, 2013
✔ NPI 1508297003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3622 N MAIN ST, Hope Mills, NC 28348
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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)

Elitecare Of Fayetteville Pllc 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 Elitecare Of Fayetteville PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Locklear, M.D.
Family Practice
NPI 1275530594
1002C E 4TH AVE
Red Springs, NC 28377
(910) 609-3300
✔ PECOS✔ Accepts Medicare17 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 Elitecare Of Fayetteville PLLC's NPI number?

The NPI number for Elitecare Of Fayetteville PLLC is 1508297003. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Elitecare Of Fayetteville PLLC located?

Elitecare Of Fayetteville PLLC is located at 3622 N Main St, Hope Mills, NC 28348. The listed phone number is (910) 423-7771.

What is Elitecare Of Fayetteville PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Elitecare Of Fayetteville PLLC enrolled in Medicare?

Yes. Elitecare Of Fayetteville PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elitecare Of Fayetteville PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Elitecare Of Fayetteville PLLC. 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 Elitecare Of Fayetteville PLLC accept?

Health plans from Cigna Healthcare list Elitecare Of Fayetteville 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 Elitecare Of Fayetteville PLLC was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.