FASTMED HOLDINGS, PLLC (NPI# 1487112207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487112207 |
| Entity Type | Organization |
| Organization Name | FASTMED HOLDINGS, PLLC |
| Practice Address |
5156 Nc Highway 42 W Ste B Garner NC 27529-8417 |
| Mailing Address |
935 Shotwell Rd Ste 108 Clayton NC 27520-5598 |
| Practice Telephone | 9197797890 |
| Practice Fax Number | 9197797896 |
| Mailing Telephone | 4805002285 |
| Mailing Fax Number | 9198829575 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | SHELLEY JANE STAYMATES (NATIONAL CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4805002285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FastMed Health, NC, PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880813 | Fastmed Holdings, Pllc | Internal Medicine | 11491 Us Highway 70, West, Suite B, Clayton, NC 27520-5598 | 2019-03-13 |
| 1568920387 | Fastmed Holdings, Pllc | Internal Medicine | 160 Hendersonville Rd Ste B, Asheville, NC 28803-2680 | 2019-03-11 |
| Street Address |
5156 NC HIGHWAY 42 W STE B |
| City | GARNER |
| State | NC |
| Zip Code | 27529-8417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021392 | Renee Diamond | Family Medicine | 840 W Us Highway 18, Garner, IA 50438-1023 | 2011-06-27 |
| 1093971038 | Erin Bennek Reis | Family Medicine | 811 Us 70 Hwy W, Garner, NC 27529-2541 | 2008-07-30 |
| 1578616132 | Stephenie Vandermeer Brinson | Family Medicine | 876 Timber Dr, Garner, NC 27529-4850 | 2007-01-18 |
| 1295800381 | Gonzalo Andres Fernandez | Family Medicine | 112 Donmoor Ct, Garner, NC 27529-2500 | 2006-11-22 |
| 1427164896 | Connie J Arispe | Family Medicine | 730 W 3rd St, Garner, IA 50438-1242 | 2006-08-21 |
| 1275595407 | Jason Daniel Jones | Family Medicine | 801 Poole Drive, Garner, NC 27529 | 2006-04-04 |
| 1518967405 | Janet Wilder Bowen | Family Medicine | 22 Shipwash Dr, Garner, NC 27529-6861 | 2005-07-21 |
| 1427580505 | Alison Michelle Flanagan-singletary | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2017-03-29 |
| 1649637174 | Melissa Ernst | Family Medicine | 5156 Nc Highway 42 W, Garner, NC 27529-8417 | 2016-01-28 |
| 1992192694 | Unc Physicians Network Group Practices, LLC | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2015-04-20 |
| Find all providers in GARNER | ||||
Please comment or provide details below to improve the information on FASTMED HOLDINGS, 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.