| Heritage Family Physicians | |
| 
					6387 Ramsey St Unit 210 Fayetteville NC 28311-9442  | |
| (910) 615-3920 | |
| (910) 321-6221 | 
| Full Name | Heritage Family Physicians | 
|---|---|
| Speciality | Family Medicine | 
| Location | 6387 Ramsey St Unit 210, Fayetteville, North Carolina | 
| Authorized Official Name and Position | Joseph Fiser (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 9106155572 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heritage Family Physicians 1638 Owen Drive Attn: Managed Care Planning Fayetteville NC 28304 Ph: (910) 615-6949  | Heritage Family Physicians 6387 Ramsey St Unit 210 Fayetteville NC 28311-9442 Ph: (910) 615-3920  | 
| NPI Number | 1003818485 | 
|---|---|
| Provider Enumeration Date | 08/15/2005 | 
| Last Update Date | 01/19/2024 | 
| Medicare PECOS PAC ID | 5193784494 | 
|---|---|
| Medicare Enrollment ID | O20041004000352 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003818485 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Godfrey E Ohadugha | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1902809510 PECOS PAC ID: 6901896265 Enrollment ID: I20040517001588  | 
| Provider Name | Ram Mohan Rao Bongu | 
|---|---|
| Provider Type | Practitioner - Geriatric Medicine | 
| Provider Identifiers | NPI Number: 1760485080 PECOS PAC ID: 0547275000 Enrollment ID: I20060221000060  | 
| Provider Name | Cecilia V Ainolhayat | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1255397105 PECOS PAC ID: 6507951084 Enrollment ID: I20070927001087  | 
| Provider Name | Jamila Devora Rouse | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083245476 PECOS PAC ID: 4981035656 Enrollment ID: I20200513000566  | 
| Provider Name | April Adams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750810859 PECOS PAC ID: 6002176427 Enrollment ID: I20200820002590  | 
| Provider Name | Ravi Purushuttam | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1043717838 PECOS PAC ID: 0840537254 Enrollment ID: I20250321000871  | 
Massey Hill Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Southern Ave, Fayetteville, NC 28306 Phone: 910-723-5693  | |
Rapha Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5085 Morganton Rd, Fayetteville, NC 28314 Phone: 910-864-4357 Fax: 910-221-0099  | |
Breezewood Healthcare, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Forsythe St, Fayetteville, NC 28303 Phone: 910-485-0700 Fax: 910-483-9572  | |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6650 Ramsey St, Fayetteville, NC 28311 Phone: 910-630-5203  | |
Greenbrook Tms Fayetteville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Fordham Dr Ste 202, Fayetteville, NC 28304 Phone: 855-910-4867  | |
Id Care(r) - Infectious Diseases Specialty Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 Avon St, Fayetteville, NC 28304 Phone: 910-729-6552 Fax: 910-500-1002  |