OrganizationActive
Fayetteville Vamc
NPI 1124422308 · VA Clinic/Center · Jacksonville, NC
Fayetteville Vamc is a VA Clinic/Center organization in Jacksonville, NC (NPI 1124422308).
Provider details
- NPI number
- 1124422308
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Potter, Npi Team Member(202) 382-2579
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
306 Brynn Marr Rd
Jacksonville, NC 28546-7023
Phone: (828) 257-3777
Street-level locationGet directions
Mailing address
Po Box 89494
Cleveland, OH 44101-6494
Other names (DBA / former)
- Other name
- Jacksonville Va Clinic
- Other name
- Jacksonville Va Clinic
Registry dates
- Enumerated
- 2014-10-16
- Last updated
- 2018-04-11
Frequently asked questions
- What is Fayetteville Vamc's NPI number?
- Fayetteville Vamc's National Provider Identifier (NPI) is 1124422308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Vamc?
- Fayetteville Vamc is classified in the NPPES registry as VA Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fayetteville Vamc located?
- Fayetteville Vamc's practice location on file with NPPES is 306 Brynn Marr Rd, Jacksonville, NC 28546-7023.
- What is Fayetteville Vamc's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Vamc is (828) 257-3777.
- Who is the authorized official for Fayetteville Vamc?
- The authorized official listed on Fayetteville Vamc's NPPES record is Erin Potter, Npi Team Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Vamc's NPI active?
- Yes — Fayetteville Vamc's NPI (1124422308) is active in the NPPES registry as of the last update on 2018-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.