FASTMED HOLDINGS, PLLC (NPI# 1154880813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154880813 |
| Entity Type | Organization |
| Organization Name | FASTMED HOLDINGS, PLLC |
| Practice Address |
11491 Us Highway 70, West Suite B Clayton NC 27520-5598 |
| Mailing Address |
935 Shotwell Rd Ste 108 Clayton NC 27520-5598 |
| Practice Telephone | 9195502584 |
| Practice Fax Number | 9195507059 |
| Mailing Telephone | 9195502584 |
| Mailing Fax Number | 9198829575 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | SHELLEY JANE STAYMATES (NAT. 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, PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487112207 | Fastmed Holdings, Pllc | Internal Medicine | 5156 Nc Highway 42 W Ste B, Garner, NC 27529-8417 | 2019-03-11 |
| 1568920387 | Fastmed Holdings, Pllc | Internal Medicine | 160 Hendersonville Rd Ste B, Asheville, NC 28803-2680 | 2019-03-11 |
| Street Address |
11491 US HIGHWAY 70, WEST SUITE B |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-5598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| 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 |
|---|---|---|---|---|
| 1326544289 | Holly Lucas Eubanks | Family Medicine | 19 Ocean Dr, Clayton, NC 27520-3666 | 2018-03-31 |
| 1366898041 | Sarah Elizabeth Starr | Family Medicine | 37 Pineville Blvd Ste 101, Clayton, NC 27527-9355 | 2016-05-11 |
| 1578980504 | Juliann Marques | Family Medicine | 11491 Us Highway 70 West, Clayton, NC 27520 | 2014-03-27 |
| 1205113578 | Laura P West | Family Medicine | 30 Cotton Wood Drive, Clayton, GA 30525-4295 | 2011-11-14 |
| 1376729319 | John M. Peasant Sr. | Family Medicine | 379 Highway 239, Clayton, AL 36016-4618 | 2008-01-19 |
| 1568665610 | Scott M Kahn | Family Medicine | 236 Butternut Dr, Clayton, NC 27520-5857 | 2007-06-07 |
| 1093935355 | Union County Medical Center Inc | Family Medicine | 314 N. 3rd Ave, Clayton, NM 88415-0565 | 2007-04-27 |
| 1457499881 | Robert C. Donlick, Do, Pa | Family Medicine | 210 Clayton Ave., Clayton, DE 19938-1145 | 2007-02-01 |
| 1023180932 | Robert C Donlick | Family Medicine | 210 Clayton Avenue, Clayton, DE 19938-1145 | 2006-11-15 |
| 1417051681 | William B Hebda | Family Medicine | 100 Cunningham Ln, Clayton, NC 27527-3923 | 2006-09-11 |
| Find all providers in CLAYTON | ||||
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| 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.