Pinehurst Surgical Clinic, PA
NPI 1710609276 · Surgery Physician · Fayetteville, NC
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pinehurst Surgical Clinic, PA is a Surgery Physician organization in Fayetteville, NC (NPI 1710609276).
Provider details
- NPI number
- 1710609276
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pinehurst Surgical Clinic PA
- Organization subpart
- Yes
- Authorized official
- Katie Heffner, Credentialing Coordinator(910) 235-2711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pinehurst Surgical Clinic
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Frequently asked questions
- What is Pinehurst Surgical Clinic, PA's NPI number?
- Pinehurst Surgical Clinic, PA's National Provider Identifier (NPI) is 1710609276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pinehurst Surgical Clinic, PA?
- Pinehurst Surgical Clinic, PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pinehurst Surgical Clinic, PA located?
- Pinehurst Surgical Clinic, PA's practice location on file with NPPES is 3716 Morganton Rd, Fayetteville, NC 28303-4963.
- What is Pinehurst Surgical Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Pinehurst Surgical Clinic, PA is (910) 302-8026.
- Does Pinehurst Surgical Clinic, PA accept Medicare?
- Pinehurst Surgical Clinic, PA 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 Pinehurst Surgical Clinic, PA?
- The authorized official listed on Pinehurst Surgical Clinic, PA's NPPES record is Katie Heffner, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pinehurst Surgical Clinic, PA's NPI active?
- Yes — Pinehurst Surgical Clinic, PA's NPI (1710609276) is active in the NPPES registry as of the last update on 2022-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.