Individual provider Active NPI

Adithya Kattamanchi

  • Endocrinology, Diabetes & Metabolism Physician
  • Dunn, NC
National Provider Identifier
1275080731
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2022-02588 Issued in NC
Practice address
803 Tilghman Dr Ste 400
Dunn, NC 28334-6699
Phone
(910) 892-1000
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 2022-02588 NC Primary

Addresses

Primary practice location

803 Tilghman Dr Ste 400
Dunn, NC 28334-6699

Mailing address

1813 Baldhead Island Dr
Apex, NC 27502-8573
Phone (281) 771-4917

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5240

Other practice location 2

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117001263 NC Practitioner - Internal Medicine 8729324660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
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)

803 Tilghman Dr
Suite 400
Dunn, NC 28334-6699
Phone (910) 230-7920

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harnett Health System Inc CurrentSince Nov 14, 2022 Accepting new patients
Cape Fear Valley Health Medical Group LLC Multi-Specialty Current Accepting new patients
Harnett Health System, Inc. Multi-Specialty Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jul 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 2025 Accepting new patients
Harnett Health System Inc Multi-Specialty CurrentSince Nov 14, 2022 Accepting new patients

Locations

803 Tilghman Dr
Ste 400
Dunn, NC 28334
Phone (910) 230-2920

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

Interoperability endpoints

  • Direct secure messaging: akattamanchi425056@direct.shands.ufl.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1275080731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BALDHEAD ISLAND DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028573",
            "telephone_number": "281-771-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TILGHMAN DR STE 400",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346699",
            "telephone_number": "910-892-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTAMANCHI",
        "first_name": "ADITHYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2022-02588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.