MEDICARE: HERITAGE FAMILY PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1003818485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE FAMILY PHYSICIANS

Provider Business Mailing Address
First Line	:	1638 OWEN DRIVE
Second Line	:	ATTN: MANAGED CARE PLANNING
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304
Country	:	US
Telephone Number	:	910-615-6949
Fax Number	:	910-615-9761

Provider Business Practice Location Address
First Line	:	6387 RAMSEY ST UNIT 210
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-9442
Country	:	US
Telephone Number	:	910-615-3920
Fax Number	:	910-321-6221

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOSEPH FISER
Credential	:
Telephone Number	:	910-615-5572

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/19/2024

Similar Medicare Providers

1134162597 — CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Practice Location Address:

6387 RAMSEY ST UNIT 100
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-609-3879
Practice Fax: 910-321-6219

1487812889 — EMMALEIGH MADELINE SMITH
Practice Location Address:

6387 RAMSEY ST UNIT 100
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3879
Practice Fax:

1447416334 — ANUSHA REDDY MADADI MD
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax:

1750609582 — AVINASH PASAM MD
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax: 910-321-6216

1093017253 — KAMALESH KUMAR BALA M.D.
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax: 910-321-6216

1275829616 — DR. JERLINDA GLADYS CAMILLE ROSS M.D.
Practice Location Address:

6387 RAMSEY ST UNIT 240
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3999
Practice Fax:

Directions to “HERITAGE FAMILY PHYSICIANS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.