Cape Fear Valley Health System Specialty Group LLC
A Medicare group practice based in Elizabethtown, NC: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2567506942), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2567506942
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100223000688 | NC | Part B Supplier - Clinic/Group Practice | 1750616108 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Cape Fear Valley Health System Specialty Group, LLC
- Family Medicine Physician
- Saint Pauls, NC
- NPI 1750616108
-
Cape Fear Valley Health System Specialty Group, LLC
- Family Medicine Physician
- Lumberton, NC
- NPI 1104344183
-
Cape Fear Valley Health System Specialty Group, LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Elizabethtown, NC
- NPI 1609196633
-
Cape Fear Valley Health System Specialty Group, LLC
- Health Service Clinic/Center
- Dunn, NC
- NPI 1841605995
Practice locations
- Saint Pauls, NC1
- Elizabethtown, NC1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Justin Adams
- Physician Assistant
- Saint Pauls, NC
- NPI 1457773814
-
Tracy Elizabeth Bullard, M.D.
- Family Medicine Physician
- Pinehurst, NC
- NPI 1255334736
-
Samuel Fleishman, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fayetteville, NC
- NPI 1316941065
-
Angie Evans Lowry, FNP
- Family Nurse Practitioner
- Elizabethtown, NC
- NPI 1982902771
-
Johnnie Moultrie, MD
- Family Medicine Physician
- Hope Mills, NC
- NPI 1609882117
-
Amita Sadashiv Shetty, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Fayetteville, NC
- NPI 1548267958
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.