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Becky Leigh Born

Family Medicine

Allopathic & Osteopathic Physicians

1638 Owen Dr, Fayetteville, NC 28304-3424

PECOS Enrollment

This provider is enrolled in PECOS as BECKY BORN.

Based on the most recent information from CMS, provider Becky Leigh Born is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1942966924
Provider Type
Individual
Full Name
Born, Becky Leigh
Title
Ms.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/13/2021
Last Updated
9/9/2024

Contact Information

Practice Location

1638 Owen Dr, Fayetteville, NC 28304-3424

(910) 615-4000

Unlisted Fax

Mailing Location

815 Poplar Dr, Fayetteville, NC 28304-4172

(434) 962-3161

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 5015337 North Carolina
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5015337 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 5015337	Description Other	Issuer NC BON/MEDICAL BOARD North Carolina

Becky Leigh Born

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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