Active NPI
Anjanette Laurice McIlwain, MD
- Pediatrics Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200200411
- Practice address
- 6387 Ramsey St
Suite 240
Fayetteville, NC 28311-9441 - Phone
- (910) 615-3960
- Fax
- (910) 486-2159
- NPI assigned
- Nov 23, 2005
- Last updated
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200200411 | NC | Primary |
Addresses
Primary practice location
6387 Ramsey St
Suite 240
Fayetteville, NC 28311-9441
Mailing address
6387 Ramsey St
Suite 240
Fayetteville, NC 28311-9441
Phone (910) 615-3960
Other practice location 1
300 Medical Pavilion Dr Ste 150
Raeford, NC 28376-0030
Phone (910) 904-8025
Other practice location 2
1262 Oliver St Ste B
Fayetteville, NC 28304-4449
Phone (910) 615-4801
Other practice location 3
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200411 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Healthcare, LLC | Current | Accepting new patients | |
| Hoke Healthcare LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Pediatrics | Past | Accepting new patients |
Locations
300 Medical Pavilion Dr
#15
Raeford, NC 28376
Phone (910) 904-8020
300 Medical Pavilion Dr
Ste 150
Raeford, NC 28376
Phone (910) 904-8020
Interoperability endpoints
- amcilwainmccollum10254@capefearvalley.direct-ci.com
Organizations & group practices 3
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 Cape Fear Valley Hoke Hospital
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
-
dba Cape Fear Valley Pediatric Care
- Pediatrics Physician
- Fayetteville, NC
- NPI 1295738920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1164405189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6387 RAMSEY ST",
"address_2": "SUITE 240",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119441",
"telephone_number": "910-615-3960",
"fax_number": "910-486-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6387 RAMSEY ST",
"address_2": "SUITE 240",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119441",
"telephone_number": "910-615-3960",
"fax_number": "910-486-2159"
}
],
"practiceLocations": [
{
"address_1": "300 Medical Pavilion Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283760030",
"country_code": "US",
"telephone_number": "910-904-8025",
"fax_number": "910-615-9751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1262 Oliver St Ste B",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283044449",
"country_code": "US",
"telephone_number": "910-615-4801",
"fax_number": "910-615-5406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCILWAIN",
"first_name": "ANJANETTE",
"middle_name": "LAURICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200200411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.