NPIMap

Individual provider Active NPI

Daniel Nardi, PA-C

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1255971883
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-09685 Issued in NC
Practice address
1991 Fordham Dr
Fayetteville, NC 28304-3773
Phone
(910) 491-6793
Fax
(833) 428-3630
NPI assigned
Jan 11, 2020
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-09685 NC Primary

Addresses

Primary practice location

1991 Fordham Dr
Fayetteville, NC 28304-3773

Mailing address

PO Box 39240
Belfast, ME 04915-1234

Other practice location 1

115 Kildaire Park Dr
Cary, NC 27518-8130
Phone (919) 238-1110

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
I20200610002356 NC Practitioner - Physician Assistant 0941621379 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teamwork Health PLLCGroup PAC ID 6305374778, 8 clinicians

Practice addresses (Care Compare)

1991 Fordham Dr
Suite 302
Fayetteville, NC 28304-3774
Phone (910) 491-6793

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-09685NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince May 4, 2020 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince May 4, 2020 Accepting new patients
Healthsouth Men's Clinic Past Accepting new patients

Locations

906 N US Highway 421
Clinton, NC 28328
Phone (910) 592-1462

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Interoperability endpoints

  • Direct secure messaging: daniel.nardi.1@32082.direct.athenahealth.com
  • Direct secure messaging: daniel.nardi@187.securemail.prognocis.com
  • Direct secure messaging: dnardi@goshenmedical.cloudcraftdirect.com

Organizations & group practices 9

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1255971883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39240",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043773",
            "telephone_number": "910-491-6793",
            "fax_number": "833-428-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Kildaire Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188130",
            "country_code": "US",
            "telephone_number": "919-238-1110",
            "fax_number": "833-428-3628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARDI",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.