Thurmond Eric Siceloff, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

388 Issued in NC

Practice address

145 Tilghman Dr Ste 400
Dunn, NC 28334-4865

Phone

(910) 892-1107

NPI assigned

May 24, 2005

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsiceloff115706@capefearvalley.direct-ci.com

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.

• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Orthopedics & Sports Medicine of Cape Fear Valley Health

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• Foot & Ankle Associates of the Triad, PA

  • Podiatrist
  • Winston Salem, NC
  • NPI 1063641710
  NPD (past) Authorized official
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Podiatry, Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, NC
  • NPI 1477363760
  NPD
• Cape Fear Valley Health Medical Group LLC

  dba Cape Fear Valley Orthopedic Spine Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Cardiovascular

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fayetteville, NC
  • NPI 1386084671
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD

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

• Harnett Health System, Inc.

  dba Cape Fear Valley Betsy Johnson Hospital and Cape Fear Valley Central Harnett Hospital

  • General Acute Care Hospital
  • Dunn, NC
  • NPI 1922144757
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1164425013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 COOK AVE",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129379",
            "telephone_number": "336-766-8400",
            "fax_number": "336-766-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TILGHMAN DR STE 400",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344865",
            "telephone_number": "910-892-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E McKay St Ste E",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-737-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760019",
            "country_code": "US",
            "telephone_number": "910-266-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 N Raleigh St",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018920",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465615",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043425",
            "country_code": "US",
            "telephone_number": "910-615-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582455",
            "country_code": "US",
            "telephone_number": "910-738-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 Metromedical Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043861",
            "country_code": "US",
            "telephone_number": "910-484-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6341 Cook Ave",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "27012",
            "country_code": "US",
            "telephone_number": "336-766-4800",
            "fax_number": "336-766-8486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICELOFF",
        "first_name": "THURMOND",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "388",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "388",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908019",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCH360B699",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164425013",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01909015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Shavers
• Danielle Shea, PT
• Marvin J Sherron II, SPEECH THERAPIST
• Shipman Family Home Care Inc.
• Joseph Sibley, DO
• Pryia Simmons, MD
• Shantanu Singh, M.D.
• Patricia Yabes Skulavik, PA
• Evelyn Patrick Slee, D.O.
• Camille Blue Smith

• Primary Podiatric Medicine Podiatrist in Dunn, NC
• Providers in Dunn, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.

Verify at the official NPI Registry.