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SOUTHERN REGIONAL AREA HEALTH EDUCATION CENTER
NPI 1811072812
Family Medicine in Fayetteville, NC

Active since October 26, 2006
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-0100(910) 678-0115 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Regional Area Health Education Center NPPES

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

SOUTHERN REGIONAL AREA HEALTH EDUCATION CENTER (NPI 1811072812) is a healthcare organization registered as a family medicine in Fayetteville, North Carolina and active in the NPI registry since October 2006. The organization lists Sushma Surrinder Kapoor, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1811072812
Entity TypeOrganization
Primary Taxonomy207Q00000X
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 Surrinder KapoorPresident & Ceo · (910) 678-7230
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 25, 2019
✔ NPI 1811072812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1601 OWEN DR, Fayetteville, NC 28304
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Other Names 1

Doing Business AsSouthern Regional Area Health Education Center

Other Identifiers 1

Medicaid8903078NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Southern Regional Area Health Education Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Southern Regional Area Health Education Center, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice21
Infectious Disease9
Nurse Practitioner7
Pediatric Medicine4
Internal Medicine3
Mental Health Counselor2
Cardiovascular Disease (Cardiology)1
Clinical Psychologist1
3 other specialties3

Nearest to this location (20)

See all 51
Khalid Aziz, MD
Endocrinology
NPI 1134143530
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Shelia Black, DNP, NP-C
Nurse Practitioner
NPI 1467830687
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Phoebe Cruz, MD
Family Practice
NPI 1013667377
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Cynthia Darby, LPC
Mental Health Counselor
NPI 1447221601
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Justin De La Guerra, MD
Family Practice
NPI 1164009585
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-7259
✔ PECOS✔ Accepts MedicareSame address
Daniela Frunza, MD
Family Practice
NPI 1649984634
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
William Gardner, M.D.
Infectious Disease
NPI 1588722730
1601 OWEN DR SPECIALTY CLINIC
Fayetteville, NC 28304
(910) 678-7313
✔ PECOS✔ Accepts MedicareSame address
Forresena Gerald, FNP
Nurse Practitioner
NPI 1487152666
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Romanda Grice, MA, LCMHC
Mental Health Counselor
NPI 1205244381
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Vicki Hardy, D.O.
Family Practice
NPI 1053534669
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Wesley Hilbert, MD
Family Practice
NPI 1942285416
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Emma Holliday, DO
Family Practice
NPI 1558046102
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Sushma Kapoor, M.D.
Family Practice
NPI 1497804421
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
James Lester, D.O.
Family Practice
NPI 1043573322
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
James Mergy, MD
Family Practice
NPI 1023116142
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Emily Newton, DO
Family Practice
NPI 1912657545
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-7259
✔ PECOS✔ Accepts MedicareSame address
Michael Shapiro, PH.D.
Clinical Psychologist
NPI 1962483206
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts MedicareSame address
Demetria Ward-Richardson, MSN, FNP-C
Nurse Practitioner
NPI 1013661420
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOSSame address
Danielle Thomas Taylor, M.D.
Pediatric Medicine
NPI 1982643284
1601 OWEN DRIVE
Fayetteville, NC 28304
(910) 678-0100
✔ PECOSSame address
Marilyn Wilson-Sherwin, NP
Nurse Practitioner
NPI 1760484166
1601 OWEN DRIVE
Fayetteville, NC 28304
(910) 678-0100
✔ PECOSSame address
See all 51 clinicians

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 Fayetteville Area Health Education Foundation Inc's NPI number?

The NPI number for Fayetteville Area Health Education Foundation Inc is 1811072812. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Southern Regional Area Health Education Center.

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 Family Medicine with taxonomy code 207Q00000X.

Is Fayetteville Area Health Education Foundation Inc enrolled in Medicare?

Yes. Fayetteville Area Health Education Foundation Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fayetteville Area Health Education Foundation Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 11 Medicare specialties reassign their Medicare billing to Fayetteville Area Health Education Foundation Inc. 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. The largest specialties are Family Practice (21), Infectious Disease (9) and Nurse Practitioner (7). Of these, 23 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fayetteville Area Health Education Foundation Inc 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 and 3 other insurers list Fayetteville Area Health Education Foundation 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 Fayetteville Area Health Education Foundation Inc was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.