| Medical Arts Family Practice, Pa | |
|
413 Owen Dr Suite 201 Fayetteville NC 28304-3411 | |
| (910) 323-9111 | |
| (910) 484-2535 |
| Full Name | Medical Arts Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 413 Owen Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Melinda M Hinman (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9103239111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Arts Family Practice, Pa 413 Owen Dr Suite 201 Fayetteville NC 28304-3411 Ph: (910) 323-9111 | Medical Arts Family Practice, Pa 413 Owen Dr Suite 201 Fayetteville NC 28304-3411 Ph: (910) 323-9111 |
| NPI Number | 1831168103 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 3072580182 |
|---|---|
| Medicare Enrollment ID | O20040916000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831168103 | NPI | - | NPPES |
| 207Q00000X | Other | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 60921 (North Carolina) | Primary |
| Provider Name | Cynthia M Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922099571 PECOS PAC ID: 4082746110 Enrollment ID: I20100724000189 |
| Provider Name | Catherine M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871584425 PECOS PAC ID: 3577530765 Enrollment ID: I20100724000205 |
| Provider Name | Stacie A Sidebotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710287263 PECOS PAC ID: 7315121423 Enrollment ID: I20110414000616 |
| Provider Name | Alisha K Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558771006 PECOS PAC ID: 8123244159 Enrollment ID: I20170907001691 |
| Provider Name | Diana Riddley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134658081 PECOS PAC ID: 2062783970 Enrollment ID: I20210609001327 |
| Provider Name | Amy Santangelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841254711 PECOS PAC ID: 6507006111 Enrollment ID: I20230105000996 |
| Provider Name | Kelly Bullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831726975 PECOS PAC ID: 7214359868 Enrollment ID: I20240306000836 |
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