NPIMap

Individual provider Active NPI

Harry T Ameredes, M.D.

  • Diagnostic Radiology Physician
  • Fayetteville, NC
National Provider Identifier
1104845528
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200600416 Issued in NC
Practice address
3186 Village Dr 201
Fayetteville, NC 28304-3979
Phone
(910) 486-5700
Fax
(910) 486-5950
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 45

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 45

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System Inc (581 clinicians)
Foundation Radiology Group PC (90 clinicians)
X-Ray Associates of Louisville PSC (55 clinicians)
Valley Radiology P a (32 clinicians)
Columbus Regional Healthcare System (120 clinicians)
Scotland Memorial Hospital, Inc (259 clinicians)
University of Virginia Physicians Group (1,685 clinicians)

Practice addresses (Care Compare)

1109 Offshore Dr
Fayetteville, NC 28305-5250
Phone (469) 757-1042

1317 Old Lystra Rd
Chapel Hill, NC 27517-9561
Phone (502) 895-5405

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital · Fayetteville, NC · CCN 340028
  • Columbus Regional Healthcare System Hospital · Whiteville, NC · CCN 340068
  • Betsy Johnson Regional Hospital Hospital · Dunn, NC · CCN 340071
  • Cape Fear Valley Hoke Hospital Hospital · Raeford, NC · CCN 340188
  • Scotland Memorial Hospital Hospital · Laurinburg, NC · CCN 340008

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100 (group)
Quality
73.83
Improvement activities
40
Cost
93.42

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in NC, MD, KY, VA, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061030000128 NC Practitioner - Diagnostic Radiology 6204867021 Reassigns benefits to 6 organizations
I20260409000603 MD Practitioner - Diagnostic Radiology 6204867021 Reassigns benefits to 1 organization
I20260508001565 KY Practitioner - Diagnostic Radiology 6204867021 Reassigns benefits to 1 organization
I20260515002182 VA Practitioner - Diagnostic Radiology 6204867021 Reassigns benefits to 4 organizations
I20260615001803 OH Practitioner - Nuclear Medicine 6204867021

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200600416NCMDDiagnostic Radiology Physician

Practice roles (14 of 15)

OrganizationSpecialtyStatusNew patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients
Columbus Regional Healthcare System Current
since Jan 1, 2025		 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology Current
since Jun 1, 2025		 Accepting new patients
Medical Imaging Center, LLC Current
since May 16, 2009		 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients
Columbus Regional Healthcare System Current
since Jan 1, 2025		 Accepting new patients
Valley Radiology P a Diagnostic Radiology Current
since Jul 1, 2006		 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology Current
since Mar 1, 2026		 Accepting new patients
Scotland Memorial Hospital Inc Current
since Nov 1, 2024		 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology Current
since Jan 1, 2026		 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology Current
since Nov 1, 2024		 Accepting new patients

Locations

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: hameredes2934628@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101288474 VA
Diagnostic Radiology Physician 2085R0202X 200600416 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

3186 Village Dr 201
Fayetteville, NC 28304-3979

Mailing address

3186 Village Dr Ste 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

Other practice location 1

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
Q0041JMedicaidSC
5905921MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2026.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1104845528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043979",
            "telephone_number": "910-486-5700",
            "fax_number": "910-486-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEREDES",
        "first_name": "HARRY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101288474",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200600416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0041J",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905921",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.