Cape Fear Valley Health System Specialty Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC

Doing business as

Quik Care at Robeson

Practice address

588 Bailey Rd Ste K
Lumberton, NC 28358-2470

Phone

(910) 615-1888

NPI assigned

Aug 30, 2017

Last updated

Sep 1, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

CUMBERLAND COUNTY HOSPITAL SYSTEM, INCAs reported in NPPES

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

Authorized official

Name

Michael Nagowski

Title

Ceo

Phone

(910) 615-6700

Specialties & licenses 1

Addresses

Other names 1

• Quik Care at Robeson Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cape Fear Valley Health System Specialty Group, LLC

  dba Bladen Sleep Disorders Clinic

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Elizabethtown, NC
  • NPI 1609196633

  O20100223000688

  Same enrollment
• Cape Fear Valley Health System Specialty Group, LLC

  dba Three Rivers Medical Center

  • Family Medicine Physician
  • Saint Pauls, NC
  • NPI 1750616108

  O20100223000688

  Same enrollment
• Cape Fear Valley Health System Specialty Group, LLC

  dba Cape Fear Valley Cancer Center at Harnett

  • Health Service Clinic/Center
  • Dunn, NC
  • NPI 1841605995

  O20100223000688

  Same enrollment

Part of

H S a Cumberland Hospital

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Elizabeth Bullard, M.D.

  • Family Medicine Physician
  • Pinehurst, NC
  • NPI 1255334736
  NPD

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1104344183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 BAILEY RD STE K",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582470",
            "telephone_number": "910-615-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM, INC",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "NAGOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-615-6700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quik Care at Robeson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri Lisa Davis Campbell, FNP
• Campbell's Transportation LLC
• Connie Lee Canady, CNM
• Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
• Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
• Alan Craig Capistrant, LPC
• Carenet, Inc. (Baptist Hospital Carenet Counseling Centers)
• Carey McNeill Collins, DDS, Ms, PLLC (Lumberton Pediatric Dentistry)
• Caring Touch Home & Behavioral Health Care, LLC
• Karen Elizabeth Carlisle, FNP-C

• Family Medicine Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.