| Highsmith Rainey Express Care | |
|
150 Robeson St Fayetteville NC 28301-5570 | |
| (910) 615-1059 | |
| (910) 615-1058 |
| Full Name | Highsmith Rainey Express Care |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Robeson St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP CORP REV CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highsmith Rainey Express Care Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 615-6448 | Highsmith Rainey Express Care 150 Robeson St Fayetteville NC 28301-5570 Ph: (910) 615-1059 |
| NPI Number | 1396842514 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 1456353960 |
|---|---|
| Medicare Enrollment ID | O20070213000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396842514 | NPI | - | NPPES |
| GROUP # DF7443 | Other | NC | RAILROAD MEDICARE |
| 018MP | Other | NC | BCBS OF NC |
| 89016AJ | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Raju B Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962403196 PECOS PAC ID: 9032181631 Enrollment ID: I20040812000486 |
| Provider Name | David Allen Teer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295735249 PECOS PAC ID: 3274507835 Enrollment ID: I20040820000662 |
| Provider Name | Brandt Thomas Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275573453 PECOS PAC ID: 6305808924 Enrollment ID: I20041027000302 |
| Provider Name | Samar Elgendy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801994207 PECOS PAC ID: 8325046329 Enrollment ID: I20061130000237 |
| Provider Name | Lawrence Kendall Conger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033226253 PECOS PAC ID: 1456319987 Enrollment ID: I20070716000455 |
| Provider Name | Amie Noelle Collins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982674396 PECOS PAC ID: 7214964113 Enrollment ID: I20071205000646 |
| Provider Name | Margaret Susan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124025556 PECOS PAC ID: 0042399933 Enrollment ID: I20080503000018 |
| Provider Name | Vickie Lynn Farmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255311916 PECOS PAC ID: 3476568874 Enrollment ID: I20080508000774 |
| Provider Name | Richard T Ferro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962536516 PECOS PAC ID: 0042231433 Enrollment ID: I20081023000861 |
| Provider Name | Shahzad Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508815143 PECOS PAC ID: 4082773247 Enrollment ID: I20081104000213 |
| Provider Name | Yen-jwu Olive Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104087717 PECOS PAC ID: 2163554064 Enrollment ID: I20120727000329 |
| Provider Name | Michael Zappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598733560 PECOS PAC ID: 1456337815 Enrollment ID: I20120816000896 |
| Provider Name | William R Laurence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346218534 PECOS PAC ID: 9234372194 Enrollment ID: I20130826000644 |
| Provider Name | Judith Borger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093026007 PECOS PAC ID: 5294972790 Enrollment ID: I20130905000682 |
| Provider Name | Harry Amoako Kissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518126267 PECOS PAC ID: 1254517501 Enrollment ID: I20150601002713 |
| Provider Name | Christopher Nou Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093060360 PECOS PAC ID: 0941525091 Enrollment ID: I20151026002472 |
| Provider Name | Brian Alan Krakover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144206319 PECOS PAC ID: 1557349008 Enrollment ID: I20151103001086 |
| Provider Name | David William Schaffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457717472 PECOS PAC ID: 2769788058 Enrollment ID: I20160314000201 |
| Provider Name | Brian Daniel Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174058093 PECOS PAC ID: 2668743584 Enrollment ID: I20170810000999 |
| Provider Name | Roger F Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356315337 PECOS PAC ID: 6305825407 Enrollment ID: I20171023002021 |
| Provider Name | Dinah Hunt Oxendine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134271729 PECOS PAC ID: 3476797408 Enrollment ID: I20171130001783 |
| Provider Name | Emmaleigh Madeline Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487812889 PECOS PAC ID: 9537203302 Enrollment ID: I20180627001896 |
| Provider Name | Hope Lynn Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841852852 PECOS PAC ID: 9739417205 Enrollment ID: I20190821002863 |
| Provider Name | Tracy L Muhammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033161435 PECOS PAC ID: 1951305523 Enrollment ID: I20200910003079 |
| Provider Name | Elena Antonia Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649653197 PECOS PAC ID: 5193052090 Enrollment ID: I20201103001038 |
| Provider Name | Deborah Louise Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978999 PECOS PAC ID: 8224449202 Enrollment ID: I20201123002867 |
| Provider Name | Benjamin Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184082091 PECOS PAC ID: 8022301548 Enrollment ID: I20210112002196 |
| Provider Name | Sharon M Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790392801 PECOS PAC ID: 4183031180 Enrollment ID: I20210317002974 |
| Provider Name | Candice Jones Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364331 PECOS PAC ID: 8426457524 Enrollment ID: I20210521001460 |
| Provider Name | Kelissa Stacy Shillingford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427545508 PECOS PAC ID: 8921402637 Enrollment ID: I20210803001091 |
| Provider Name | Dezmond Bernard Sumter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831452853 PECOS PAC ID: 6608183801 Enrollment ID: I20220824000496 |
| Provider Name | Thomas Michael Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639605330 PECOS PAC ID: 0547668782 Enrollment ID: I20221024000692 |
| Provider Name | Emmagrace Ann Stochl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952938599 PECOS PAC ID: 2163898669 Enrollment ID: I20221025002762 |
| Provider Name | Helen Young Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264370 PECOS PAC ID: 6800264748 Enrollment ID: I20221123002606 |
| Provider Name | Jennifer Portmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417124314 PECOS PAC ID: 7517023955 Enrollment ID: I20221213002951 |
| Provider Name | Jason Mark Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467018903 PECOS PAC ID: 7810329596 Enrollment ID: I20221213003335 |
| Provider Name | John Kevin Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952925448 PECOS PAC ID: 2961895818 Enrollment ID: I20240305000009 |
| Provider Name | Kevin Lee Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598527558 PECOS PAC ID: 1557700028 Enrollment ID: I20240416003909 |
| Provider Name | James Alan Harter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720602824 PECOS PAC ID: 9032599196 Enrollment ID: I20240613001537 |
| Provider Name | Justin Andrew De La Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164009585 PECOS PAC ID: 9133529886 Enrollment ID: I20240820000877 |
| Provider Name | Disney Kulachati Samutsakorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255875571 PECOS PAC ID: 6507234283 Enrollment ID: I20250107003566 |
| Provider Name | Stephen Daniel Breisach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437773884 PECOS PAC ID: 9931575107 Enrollment ID: I20250211000837 |
| Provider Name | Anna Augustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407343528 PECOS PAC ID: 5294131231 Enrollment ID: I20250512000474 |
Massey Hill Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Southern Ave, Fayetteville, NC 28306 Phone: 910-723-5693 |
Health Pavilion Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6387 Ramsey St Unit 210, Fayetteville, NC 28311 Phone: 910-615-3920 Fax: 910-321-6221 |
Rapha Primary Care Center of Fayetteville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5085 Morganton Rd, Fayetteville, NC 28314 Phone: 910-864-4357 Fax: 910-221-0099 |
America Virtual Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2165 Stonewash Dr, Fayetteville, NC 28306 Phone: 336-212-3047 |
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 |
Goodlife Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6650 Ramsey St, Fayetteville, NC 28311 Phone: 910-630-5203 |