Fair Bluff Medical Clinic PLLC
NPI 1699661652 · Nurse Practitioner · Fair Bluff, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fair Bluff Medical Clinic PLLC is a Nurse Practitioner organization in Fair Bluff, NC (NPI 1699661652).
Provider details
- NPI number
- 1699661652
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Blackwell, Owner(910) 374-0722
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Fair Bluff Medical Clinic PLLC's NPI number?
- Fair Bluff Medical Clinic PLLC's National Provider Identifier (NPI) is 1699661652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fair Bluff Medical Clinic PLLC?
- Fair Bluff Medical Clinic PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fair Bluff Medical Clinic PLLC located?
- Fair Bluff Medical Clinic PLLC's practice location on file with NPPES is 12291 Andrew Jackson Hwy Sw, Fair Bluff, NC 28439-9597.
- What is Fair Bluff Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fair Bluff Medical Clinic PLLC is (910) 207-2714.
- Does Fair Bluff Medical Clinic PLLC accept Medicare?
- Fair Bluff Medical Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fair Bluff Medical Clinic PLLC?
- The authorized official listed on Fair Bluff Medical Clinic PLLC's NPPES record is Elizabeth Blackwell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fair Bluff Medical Clinic PLLC's NPI active?
- Yes — Fair Bluff Medical Clinic PLLC's NPI (1699661652) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.