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Cumberland County Hospital System Inc

Organization Active NPI Nurse Practitioner · Fayetteville, NC

NPI 1063964708 · NPPES record last updated Dec 14, 2023

Key facts

NPI
1063964708
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-5490
Fax
(910) 615-7696
NPI assigned
Oct 28, 2016
Organization subpart
No

Authorized official

Name
Joseph B Fiser
Title
VP Managed Care and Revenue Cycle
Phone
(910) 615-5572

Corporate family (same tax ID) 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Maritza B Boyd, NP-BC Acute Care Nurse Practitioner · Fayetteville, NC · NPI 1568987253
    NPD NURSE PRACTITIONER
  • Hugh Scott Cameron, MD Neonatal-Perinatal Medicine Physician · Fayetteville, NC · NPI 1750485959
    NPD NURSE PRACTITIONER
  • Kristen Boswell Coggin, M.D. Neonatal-Perinatal Medicine Physician · Fayetteville, NC · NPI 1336366210
    NPD NURSE PRACTITIONER
  • Tabitha Dew, NNP-BC Neonatal Nurse Practitioner · Fayetteville, NC · NPI 1700434511
    NPD NURSE PRACTITIONER
  • Keith James Gallaher, MD Neonatal-Perinatal Medicine Physician · Fayetteville, NC · NPI 1649374745
    NPD NURSE PRACTITIONER
  • Neil Hamilton, PA-C Physician Assistant · Fayetteville, NC · NPI 1417938408
    NPD PHYSICIAN ASSISTANT
  • Aydan Luke Heavner Physician Assistant · Lillington, NC · NPI 1093420697
    NPD PHYSICIAN ASSISTANT
  • Tiffany Meares Horne, NNP Nurse Practitioner · Fayetteville, NC · NPI 1710421870
    NPD NURSE PRACTITIONER
  • Liza Howle, MSN, NNP-BC Neonatal Nurse Practitioner · Fayetteville, NC · NPI 1033941133
    NPD
  • Lisa Jensen Mitchell, DO Neonatal-Perinatal Medicine Physician · Fort Bragg, NC · NPI 1891033981
    NPD
  • Cheyanne Trinity Parker Pediatrics Physician · Fayetteville, NC · NPI 1598239436
    NPD
  • Leonard Alexander Stallings, MD Emergency Medicine Physician · Concord, NC · NPI 1003102146
    NPD
  • Bridgette Cross, CPNP Pediatric Nurse Practitioner · Atlanta, GA · NPI 1225499635
    NPD NURSE PRACTITIONER
  • Denice Long Gardner, NNP-BC Neonatal Nurse Practitioner · Lansing, MI · NPI 1396290748
    NPD
  • Katherine Lucas, DNP, RNC, NNP Critical Care Neonatal Nurse Practitioner · Charleston, SC · NPI 1245482827
    NPD NURSE PRACTITIONER
  • Barrington R Owens, MD Family Medicine Physician · Panama City, FL · NPI 1568401784
    NPD

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031112000693 NC Part B Supplier - Clinic/Group Practice 1850204041 Receives reassigned benefits from 1,012 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC; Lillington, NC; Lumberton, NC; Raeford, NC; Red Springs, NC; Spring Lake, NC; Stedman, NC; Angier, NC…

National Provider Directory

Tax ID family
Cumberland County EMS (50 organizations share this tax ID)

Locations

1638 Owen Dr
#2
Fayetteville, NC 28304

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X Yes

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

PO Box 40908
Attn: Managed Care Planning
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other names

  • Cape Fear Valley Neonatal Practitioners Doing business as

Other providers in Fayetteville, NC

All providers in Fayetteville, NC · Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.