Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sia Sam-Sumana

Individual provider Family Nurse Practitioner · NPI 1740026483

Sia Sam-Sumana is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2018, 8 years ago. Practices with Family Medicine and Rehabilitation Center PC, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

3616 Cape Center Dr Ste A
Fayetteville, NC 28304-4456
Phone: (910) 779-0780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5020304 (NC)

Record details

NPI number1740026483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Family Medicine And Rehabilitation Center Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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