Active NPI
Nicholas Ryan Fiacco
- Internal Medicine Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 201801251
- Practice address
- 112 Perkins Dr Ste 400
Chapel Hill, NC 27514-1786 - Phone
- (984) 261-1560
- NPI assigned
- Nov 11, 2009
- Last updated
- Dec 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101256953 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 201801251 | NC | |
| Internal Medicine Physician | 207R00000X | 201801251 | NC | Primary |
Addresses
Primary practice location
112 Perkins Dr Ste 400
Chapel Hill, NC 27514-1786
Mailing address
112 Perkins Dr Ste 400
Chapel Hill, NC 27514-1786
Phone (984) 261-1560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Mercer University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27 Doctors Dr
Hendersonville, NC 28792-7209
Phone (828) 687-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256953 | VA | MD | Internal Medicine Physician |
| 201801251 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children's and Multispecialty Clinic, PA | Internal Medicine | Current | Accepting new patients |
| Element Endocrinology and Diabetes, PLLC | Internal Medicine | Current | Accepting new patients |
| Forsyth Medical Group LLC | Current | Accepting new patients | |
| Forsyth Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Forsyth Memorial Hospital Inc | Past | Accepting new patients | |
| Family Care Clinic, P.a. | Past | Accepting new patients |
Locations
530 New Waverly Pl
Ste 101
Cary, NC 27518
Phone (919) 233-3959
112 Perkins Dr
Ste 400
Chapel Hill, NC 27514
Phone (919) 960-2720
5107 Southpark Dr
Ste 202
Durham, NC 27713
Phone (919) 544-2583
812 W Haggard Ave
Elon College, NC 27244
Phone (336) 449-4030
27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800
114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
1520 Sunday Dr
Ste 309
Raleigh, NC 27607
Phone (919) 354-7077
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nicholas.fiacco.1@27575.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Privia Medical Group - North Carolina
- Obstetrics & Gynecology Physician
- Hendersonville, NC
- NPI 1750081378
Internal Medicine
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1164519070
Internal Medicine
-
- Internal Medicine Physician
- Chapel Hill, NC
- NPI 1497450373
-
dba Queen City Ear Nose and Throat
- Otolaryngology Physician
- Monroe, NC
- NPI 1710866405
-
- Clinic/Center
- Jacksonville, NC
- NPI 1316033590
-
dba Novant Health Cardiology
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1114200771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1093042095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 PERKINS DR STE 400",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141786",
"telephone_number": "984-261-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PERKINS DR STE 400",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141786",
"telephone_number": "984-261-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIACCO",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2023-12-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101256953",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "201801251",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "201801251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.