FLEETWOOD FAMILY MEDICINE
NPI 1639757974
Family Medicine in Fleetwood, NC

Active since March 30, 2021CLIA 34D2223248 · Waiver
13300-13290 HWY 221 S, FLEETWOOD, NC 28626(336) 877-9090(336) 877-8880 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fleetwood Family Medicine NPPES

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

FLEETWOOD FAMILY MEDICINE (NPI 1639757974) is a healthcare organization registered as a family medicine in Fleetwood, North Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Charles Wright, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639757974
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASHE MEMORIAL HOSPITAL INC
Location Address13300-13290 HWY 221 SFleetwood, NC 28626-0178
Mailing Address200 Hospital AveJefferson, NC 28640-9244 · (336) 846-0704 · Fax (336) 846-0758
Fax(336) 877-8880
Organization SubpartNo
Authorized OfficialCharles WrightCfo · (336) 846-0798
Enumeration DateMarch 30, 2021
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1639757974 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.
13300-13290 HWY 221 S, Fleetwood, NC 28626

Other Names 1

Doing Business AsFleetwood Family Medicine

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fleetwood Family Medicine, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1487022372
200 HOSPITAL AVE
Jefferson, NC 28640
(336) 846-6322
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1841084688
310 HOSPITAL AVENUE
Jefferson, NC 28640
(336) 846-6322
✔ PECOS✔ Accepts Medicare12 mi
Medical Oncology
NPI 1437359585
200 HOSPITAL AVE
Jefferson, NC 28640
(336) 277-7176
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1326540501
607 BEAMAN ST
Clinton, NC 28328
(910) 596-5421
✔ PECOS✔ Accepts Medicare198 mi

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

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 34D2223248

Fleetwood Family Medicine · Fleetwood, NC
Active · expires May 4, 2027
CLIA Number34D2223248
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorBrian Sachs
Laboratory Phone(336) 877-9090
Laboratory LocationFleetwood Family Medicine13300-13290 Hwy 221 South, Fleetwood, NC 28626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ashe Memorial Hospital Inc's NPI number?

The NPI number for Ashe Memorial Hospital Inc is 1639757974. It was assigned to this organization in the NPPES registry on March 30, 2021. The provider is doing business as Fleetwood Family Medicine.

Where is Ashe Memorial Hospital Inc located?

Ashe Memorial Hospital Inc is located at 13300-13290 Hwy 221 S, Fleetwood, NC 28626. The listed phone number is (336) 877-9090.

What is Ashe Memorial Hospital Inc's specialty?

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

Is Ashe Memorial Hospital Inc enrolled in Medicare?

Yes. Ashe Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ashe Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ashe Memorial Hospital Inc, in Family Practice, Medical Oncology and Nurse Practitioner. 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.

Does Ashe Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2223248) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ashe Memorial Hospital Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Ashe Memorial Hospital Inc 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 Ashe Memorial Hospital Inc was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.