OrganizationActive
Fayette Medical Services PLLC
NPI 1417390154 · Urgent Care Clinic/Center · Fayetteville, WV
Provider details
- NPI number
- 1417390154
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deron Hammack, Owner(304) 574-6900
- License
- 2487 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5447 Maple Ln Ste B
Fayetteville, WV 25840-6872
Phone: (304) 574-6900
Fax: (304) 574-6922
Street-level locationGet directions
Mailing address
5447 Maple Ln Ste B
Fayetteville, WV 25840-6872
Other names (DBA / former)
- Doing business as
- Fayetteville Urgent Care
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2013-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.