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FAYETTEVILLE FAMILY EXTENDED CARE
NPI 1710977681
Family Medicine in Fayetteville, NC

Active since October 24, 2005
1307 AVON ST, FAYETTEVILLE, NC 28304(910) 323-1718(910) 323-5701 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fayetteville Family Extended Care NPPES

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

FAYETTEVILLE FAMILY EXTENDED CARE (NPI 1710977681) is a healthcare organization registered as a family medicine in Fayetteville, North Carolina and active in the NPI registry since October 2005. The organization lists Alice M Kugler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710977681
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAYETTEVILLE FAMILY EXTENDED CARE
Location Address1307 AVON STFayetteville, NC 28304-4423
Mailing Address1307 Avon StFayetteville, NC 28304-4423 · (910) 323-1718 · Fax (910) 323-5701
Phone(910) 323-1718
Fax(910) 323-5701
Organization SubpartNo
Authorized OfficialAlice M KuglerAdministrator · (910) 323-1718
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 18, 2012
✔ NPI 1710977681 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.
1307 AVON ST, Fayetteville, NC 28304
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Other Identifiers 3

Other015CYNC · Bcbs
Medicaid89015CYNC
Medicare PIN2349774NC

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 19

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

FAYETTEVILLE FAMILY MEDICAL CARE, PA
Family Medicine
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
EMILY C. BOLAN PHARMD, BCACP, CPP
Pharmacist (Ambulatory Care)
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
MRS. MICHELLE L LIGHTNER PAC
Physician Assistant
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
DUNIA LAITH ANWAR-PEALSTROM DO
Family Medicine
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
MISS ELIZABETH LOFTON POLLARD
Physician Assistant
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
DR. JOSHUA A. TRUJILLO MD
Family Medicine
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
DR. CHRISTOPHER DEAN IMBER M. D.
Family Medicine
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718
DR. CECILIA AINOLHAYAT M.D.
Family Medicine
1307 AVON ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1718

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 Family Extended Care's NPI number?

The NPI number for Fayetteville Family Extended Care is 1710977681. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Fayetteville Family Extended Care located?

Fayetteville Family Extended Care is located at 1307 Avon St, Fayetteville, NC 28304. The listed phone number is (910) 323-1718.

What is Fayetteville Family Extended Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Fayetteville Family Extended Care was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.