Active NPI
Amir Gassemi, MD
- Psychiatry Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2025-01303
- Practice address
- 711 Executive PL FL 3
Fayetteville, NC 28305-5193 - Phone
- (910) 615-3333
- Fax
- (910) 615-3750
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2025-01303 | NC | Primary |
Addresses
Primary practice location
711 Executive PL FL 3
Fayetteville, NC 28305-5193
Mailing address
711 Executive PL
Fayetteville, NC 28305-5193
Phone (910) 615-3333
Other practice location 1
716 S 10th St
Lillington, NC 27546-5615
Phone (910) 892-4248
Other practice location 2
7569 N West St
Falcon, NC 28342
Phone (910) 615-3333
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
One Medical Ctr Blvd
Winston Salem, NC 27157-0001
One Medical Ctr Boulevard
Winston Salem, NC 27157-0001
PO Box
Charlotte, NC 28289
PO Box
Suite 40908
Fayetteville, NC 28309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01303 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Psychiatry | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Interoperability endpoints
- agassemi137750@capefearvalley.direct-ci.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
-
- Psychiatry Physician
- Fayetteville, NC
- NPI 1578996252
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1215566294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-615-3333",
"fax_number": "910-615-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL FL 3",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-615-3333",
"fax_number": "910-615-3750"
}
],
"practiceLocations": [
{
"address_1": "716 S 10th St",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275465615",
"country_code": "US",
"telephone_number": "910-892-4248",
"fax_number": "910-615-3750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7569 N West St",
"address_purpose": "LOCATION",
"city": "Falcon",
"state": "NC",
"postal_code": "28342",
"country_code": "US",
"telephone_number": "910-615-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASSEMI",
"first_name": "AMIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2025-01303",
"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 Aug 18, 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.
- 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.