NPIMap

Individual provider Active NPI

Nailesh D Dave, M.D.

  • Specialist
  • Lillington, NC
National Provider Identifier
1184680522
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9900027 Issued in NC
Practice address
350 Pine State St
Lillington, NC 27546-9428
Phone
(910) 893-9700
Fax
(910) 893-9747
NPI assigned
Apr 25, 2006
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9900027 NC Primary

Addresses

Primary practice location

350 Pine State St
Lillington, NC 27546-9428

Mailing address

350 Pine State Street
Lillington, NC 27546-7961
Phone (910) 893-9700

Other identifiers 4

IdentifierTypeStateIssuer
891209MMedicaidNC
7638069OtherNCAETNA HEALTHCARE
2076867OtherNCFIRST HEALTH
1209MOtherNCBLUE CROSS BLUE SHIELD NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125001100 NC Practitioner - Neurology 1759330350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Management, PLLCGroup PAC ID 6305895905, 15 clinicians

Practice addresses (Care Compare)

180 Magnolia Square CT
Aberdeen, NC 28315-2225
Phone (910) 491-2744

325 S Walton Dr
Benson, NC 27504-9396
Phone (919) 894-1003

3400 Walsh Pkwy
Suite 100
Fayetteville, NC 28311-1642
Phone (910) 491-2744

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

5015 S Park Dr
Suite 110
Durham, NC 27713-7736
Phone (910) 893-9700

6402 McCrimmon Pkwy
Suite 300
Morrisville, NC 27560-8139
Phone (919) 234-6016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Center, PLLC Specialist CurrentSince Feb 1, 2005 Accepting new patients
Atlantic Radiology Associates PA Past Accepting new patients
One Stop Rehab LLC PastSince Aug 18, 2024 Accepting new patients

Locations

180 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 491-2744

325 S Walton Dr
Benson, NC 27504
Phone (919) 894-1003

1291 Oliver St
Fayetteville, NC 28304
Phone (910) 491-2744

3400 Walsh Pkwy
Ste 100
Fayetteville, NC 28311
Phone (910) 491-2744

5511 Ramsey St
Ste 200
Fayetteville, NC 28311
Phone (910) 491-2744

350 Pine State St
Lillington, NC 27546
Phone (910) 893-9700

6402 McCrimmon Pkwy
Ste 300
Morrisville, NC 27560
Phone (910) 584-5003

1212 Central Dr
Ste 101
Sanford, NC 27330

Interoperability endpoints

  • Direct secure messaging: naileshdave@napm.allscriptsdirect.net

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1184680522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE STATE STREET",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467961",
            "telephone_number": "910-893-9700",
            "fax_number": "910-893-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9700",
            "fax_number": "910-893-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "NAILESH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9900027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891209M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7638069",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2076867",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1209M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.