Age-Undefined, PLLC
NPI 1891667861ActiveOrganization· Physician Assistant, Medical· Fayetteville, NC
Physician Assistant, Medical in Fayetteville, North Carolina, registered in NPPES in September 2025. The authorized official on file is Scott Festa, DMSC, Owner/Operator.
Overview
| NPI | 1891667861 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2025 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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