Owen Drive Surgical Clinic of Fayetteville PLLC
NPI 1598841868ActiveOrganization· Surgery· Fayetteville, NC
Surgery in Fayetteville, North Carolina, registered in NPPES in October 2006. The authorized official on file is Bunny Marie Pere, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1598841868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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