DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC (NPI# 1477197168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477197168 |
| Entity Type | Organization |
| Organization Name | DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC |
| Practice Address |
526 Sandhurst Dr Fayetteville NC 28304-4426 |
| Practice Telephone | 9107790780 |
| Practice Fax Number | 9107790896 |
| Mailing Telephone | 9107790780 |
| Mailing Fax Number | 9107790896 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | DR. ABIMBOLA OGUNLEYE-KOLAWOLE (PRESIDENT) |
| Authorized Official Telephone | 9107790780 |
| Authorized Official Credential | DNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 526 Sandhurst Dr, Fayetteville, NC 283044426 | 9104941669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881279 | Divine Family Practice and Urgent Care, Pllc | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2020-05-05 |
| Street Address |
526 SANDHURST DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689752065 | Adebiyi Adedapo Oremosu | Dentist | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2006-11-01 |
| 1548881279 | Divine Family Practice and Urgent Care, Pllc | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2020-05-05 |
| 1023294261 | Abimbola A Ogunleye-kolawole | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2008-01-17 |
| 1356527287 | A.a. Oremosu, D.d.s., P.a. | Dentist | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326405903 | Summit Urgent Care, LLC | Clinic/Center | 749 Lanier Ave W, Fayetteville, GA 30214-7658 | 2016-01-27 |
| 1417390154 | Fayette Medical Services Pllc | Clinic/Center | 5447 Maple Ln Ste B, Fayetteville, WV 25840-6872 | 2013-04-11 |
| 1467768135 | Angels Urgent Care, PC | Clinic/Center | 2356 John Smith Road, Fayetteville, NC 28306 | 2010-08-19 |
| 1750490876 | Guardian Hart Medical Care | Clinic/Center | 1074 Southern Ave, Fayetteville, NC 28306 | 2006-08-30 |
| 1366939456 | American Current Care of North Carolina PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
| 1619419363 | First Choice Family and Orthopedic Urgent Care Center | Clinic/Center | 420 Owen Dr, Fayetteville, NC 28304-3430 | 2016-11-11 |
| 1609296128 | Pura Clinic Family Medicine PC | Clinic/Center | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-8733 | 2014-04-23 |
| 1588095673 | Bridgeview Urgent Care | Clinic/Center | 5447 Maple Ln, Suite B, Fayetteville, WV 25840-6872 | 2013-11-27 |
| 1922248251 | Urgent Care Obstetrics & Gynecology | Clinic/Center | 413 Owen Dr, Suite 101, Fayetteville, NC 28304-3489 | 2009-02-26 |
| 1093919409 | Cape Fear Family Medical Care, Pa | Clinic/Center | 413 Owen Drive, Suite 202, Fayetteville, NC 28304 | 2007-06-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.