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METHODIST UNIVERSITY
NPI 1962809269
Physician Assistant - Medical in Fayetteville, NC

Active since December 02, 2014CLIA 34D2161718 · Waiver
5400 RAMSEY ST, FAYETTEVILLE, NC 28311(910) 630-7164(910) 630-7544 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Methodist University NPPES

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

METHODIST UNIVERSITY (NPI 1962809269) is a healthcare organization registered as a medical in Fayetteville, North Carolina and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Ben Hancock, President, as its authorized official.

NPPES Registry Identity

NPI1962809269
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMETHODIST UNIVERSITY
Location Address5400 RAMSEY STFayetteville, NC 28311-1420
Mailing Address5400 Ramsey StFayetteville, NC 28311-1420 · (910) 630-7164 · Fax (910) 630-7544
Phone(910) 630-7164
Fax(910) 630-7544
Organization SubpartNo
Authorized OfficialBen HancockPresident · (910) 630-7164
Enumeration DateDecember 2, 2014
✔ NPI 1962809269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103047
5400 RAMSEY ST, Fayetteville, NC 28311
Open in Google Maps ↗

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

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 34D2161718

Methodist University Health Center · Fayetteville, NC
Active · expires Feb 7, 2027
CLIA Number34D2161718
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorLynetta Allen-Geddie
Laboratory Phone(910) 630-7164
Laboratory LocationMethodist University Health Center5400 Ramsey Street, Fayetteville, NC 28311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

EMILY ZAMORA MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 480-8598
MR. HUGH WHITMAN HARLING III EDD, LAT, ATC
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7418
HEATHER O'QUINN REGAN LPC
Counselor (Mental Health)
5400 RAMSEY ST, PEARCE HALL
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7150
ELIZABETH M WARREN LCMHC, LCASA, NCC
Counselor (Mental Health)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7150
RACHELLE BOWMAN LAT, ATC
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7597
DR. JOEL D. SATTGAST PT, DPT
Physical Therapist (Orthopedic)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (402) 618-5700
DESIRAE ROWELL
Physician Assistant
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7000
MISS JENNIFER RENAI HOENIG A.T.C
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 630-7596

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 Methodist University's NPI number?

The NPI number for Methodist University is 1962809269. It was assigned to this organization in the NPPES registry on December 2, 2014.

Where is Methodist University located?

Methodist University is located at 5400 Ramsey St, Fayetteville, NC 28311. The listed phone number is (910) 630-7164.

What is Methodist University's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Methodist University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2161718) is associated with this NPI, valid through February 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 Methodist University was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.