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FERNCREEK PRIMARY CARE, PC
NPI 1992171078
Internal Medicine in Fayetteville, NC

Active since August 12, 2015CLIA 34D2102693 · Waiver
1314 MEDICAL DR STE 102, FAYETTEVILLE, NC 28304(910) 491-3922(910) 491-5350 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ferncreek Primary Care, Pc NPPES

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

FERNCREEK PRIMARY CARE, PC (NPI 1992171078) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Pravinkumar K Patel, President, as its authorized official.

NPPES Registry Identity

NPI1992171078
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFERNCREEK PRIMARY CARE, PC
Location Address1314 MEDICAL DR STE 102Fayetteville, NC 28304
Mailing Address1314 Medical Dr Ste 102Fayetteville, NC 28304-4421 · (910) 491-3922 · Fax (910) 491-5350
Phone(910) 491-3922
Fax(910) 491-5350
Organization SubpartNo
Authorized OfficialPravinkumar K PatelPresident · (910) 491-3922
Enumeration DateAugust 12, 2015
Last NPPES UpdateMay 24, 2018
✔ NPI 1992171078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1314 MEDICAL DR STE 102, Fayetteville, NC 28304
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

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 34D2102693

Ferncreek Primary Care PC · Fayetteville, NC
Active · expires Sep 27, 2027
CLIA Number34D2102693
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorPravinkumar K. Patel
Laboratory Phone(910) 491-3922
Laboratory LocationFerncreek Primary Care PC1314 Medical Drive, Ste 102, Fayetteville, NC 28304
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 Ferncreek Primary Care, PC's NPI number?

The NPI number for Ferncreek Primary Care, PC is 1992171078. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Ferncreek Primary Care, PC located?

Ferncreek Primary Care, PC is located at 1314 Medical Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 491-3922.

What is Ferncreek Primary Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ferncreek Primary Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2102693) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ferncreek Primary Care, PC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Ferncreek Primary Care, PC 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 Ferncreek Primary Care, PC was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.