Cumberland Internal Medicine, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CUMBERLAND INTERNAL MEDICINE, PA

Practice address

3616 Cape Center Dr
Suite B
Fayetteville, NC 28304-4456

Phone

(919) 477-5152

Fax

(919) 477-5474

NPI assigned

Mar 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Mitchell

Title

Billing/Coding Director

Phone

(919) 477-5152

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1013976471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15133",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040133",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 CAPE CENTER DR",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044456",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING/CODING DIRECTOR",
        "authorized_official_telephone_number": "919-477-5152"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01589",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901589",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland County Schools
• Cumberland County Schools
• Cumberland County Schools
• Cumberland County Transport LLC
• Cumberland Creek Assisted Living Inc.
• Cumberland Medical Associates
• Cumberland Medical Associates, PC
• Cumberland Neurology, P.a.
• Cumberland Pharmacies Inc
• Cumberland Residential & Employment Services & Training

• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.