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SOUTHERN REGIONAL AHEC
NPI 1639625106
Clinic/Center - Primary Care in Fayetteville, NC

Active since August 25, 2016CLIA 34D0244939 · Accreditation
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-0100(910) 678-0115 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Regional Ahec NPPES

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

SOUTHERN REGIONAL AHEC (NPI 1639625106) is a healthcare organization registered as a primary care in Fayetteville, North Carolina and active in the NPI registry since August 2016. The organization holds an CLIA Accreditation certificate valid through March 7, 2027 and lists Sushma Kapoor, Vp Ceas, as its authorized official.

NPPES Registry Identity

NPI1639625106
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION, INC.
Location Address1601 OWEN DRFayetteville, NC 28304-3425
Mailing Address1601 Owen DrFayetteville, NC 28304-3425 · (910) 678-0100 · Fax (910) 678-0115
Phone(910) 678-0100
Fax(910) 678-0115
Organization SubpartNo
Authorized OfficialSushma KapoorVp Ceas · (910) 678-0100
Enumeration DateAugust 25, 2016
✔ NPI 1639625106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · L004639
1601 OWEN DR, Fayetteville, NC 28304
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Regional Ahec

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 Accreditation 34D0244939

Southern Regional Ahec Family Practice · Fayetteville, NC
Active · expires Mar 7, 2027
CLIA Number34D0244939
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Christopher Giauque
Laboratory Phone(910) 678-7295
Laboratory LocationSouthern Regional Ahec Family Practice1601 Owen Drive, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

JAMES CONSTANTINE GEKAS MD
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
CALBEE DEIONA NEWKIRK M.D.
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
CRISTINA ANTONOVICI DO
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
DEMETRIA WARD-RICHARDSON MSN, FNP-C
Nurse Practitioner (Family)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
DR. PHOEBE MARIE CRUZ MD
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
DAVID TAT DO
Internal Medicine (Infectious Disease)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
MR. JAMES ARTHUR MERGY MD
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100
MEGAN GLANVILLE PHARMD
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 678-0100

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 Area Health Education Foundation, Inc.'s NPI number?

The NPI number for Fayetteville Area Health Education Foundation, Inc. is 1639625106. It was assigned to this organization in the NPPES registry on August 25, 2016. The provider is doing business as Southern Regional Ahec.

Where is Fayetteville Area Health Education Foundation, Inc. located?

Fayetteville Area Health Education Foundation, Inc. is located at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-0100.

What is Fayetteville Area Health Education Foundation, Inc.'s specialty?

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

Does Fayetteville Area Health Education Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0244939) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fayetteville Area Health Education Foundation, Inc. was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.