NPIMap

Organization Active NPI

Cape Fear Family Medical Care, PA

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1215996103
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9501363 Issued in NC
Legal business name
CAPE FEAR FAMILY MEDICAL CARE, PA
Practice address
405 Owen Dr
Fayetteville, NC 28304-3411
Phone
(910) 323-3183
Fax
(910) 223-7555
NPI assigned
Mar 21, 2006
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Raymond Albert Gaskins, Jr., M.D.
Title
Owner
Phone
(910) 323-3183

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20544 NC
Family Medicine Physician 207Q00000X 9501363 NC Primary
Family Medicine Physician 207Q00000X 200825 NC
Family Medicine Physician 207Q00000X 201072 NC
Family Medicine Physician 207Q00000X 103432 NC
Family Medicine Physician 207Q00000X 200500822 NC
Family Medicine Physician 207Q00000X 9401111 NC

Addresses

Primary practice location

405 Owen Dr
Fayetteville, NC 28304-3411

Mailing address

405 Owen Dr
Fayetteville, NC 28304-3411
Phone (910) 323-3183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000641 NC Part B Supplier - Clinic/Group Practice 8224097738 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: ahmedelnaggar@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: chasitysullivan@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: chelseablack@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: christinajones@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: georginaishak@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: jamesrichard@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: jessicarittler@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: julianorem@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: kristinametz@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: laurieszoka@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: mackenzieeikamp@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: marisaberlin@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: morgenlyon@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: mschultzvillarreal@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: nicolegreyshock@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: pattycockman@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: raymondgaskins@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: sharonbelflowers@cffmcpa.allscriptsdirect.net
  • Direct secure messaging: shireeshasangineni@cffmcpa.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1215996103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043411",
            "telephone_number": "910-323-3183",
            "fax_number": "910-223-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043411",
            "telephone_number": "910-323-3183",
            "fax_number": "910-223-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR FAMILY MEDICAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "GASKINS, JR.",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-323-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20544",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501363",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "103432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200500822",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401111",
            "primary": false
        }
    ],
    "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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.