Cary Nelson Davis Fishburne Jr., MD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

MD30330 Issued in ME

Practice address

300 Professional Dr Ste 2B
Scarborough, ME 04074-8897

Phone

(207) 761-1502

Fax

(207) 774-2015

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, SC, ME3 enrollments

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 3

Specialty

Obstetrics/Gynecology

Education

University of Virginia School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cary.fishburne.1@30548.direct.athenahealth.com

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.

• East Cooper Physician Group LLC

  • Internal Medicine Physician
  • Daniel Island, SC
  • NPI 1861253981
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment NPD
• East Cooper Physician Group LLC

  • Body Imaging Physician
  • Mt Pleasant, SC
  • NPI 1699641571
  NPD
• Novant Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Denver, NC
  • NPI 1477609592
  NPD
• East Cooper Physician Group LLC

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1982475604
  NPD (past)

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

• East Cooper Medical Center LLC

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1841069044
  Care Compare affiliation
• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1285624031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL DR STE 2B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748897",
            "telephone_number": "207-761-1502",
            "fax_number": "207-774-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL DR STE 2B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748897",
            "telephone_number": "207-761-1502",
            "fax_number": "207-774-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 Prosperity Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282691106",
            "country_code": "US",
            "telephone_number": "704-316-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295A Midland Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294855901",
            "country_code": "US",
            "telephone_number": "843-873-9690",
            "fax_number": "843-875-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBURNE",
        "first_name": "CARY",
        "middle_name": "NELSON DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9601608",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "SC",
            "license": "40796",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "ME",
            "license": "MD30330",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD30330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891332Y",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cary.fishburnejr@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "295A Midland Pkwy Ste 130",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294855901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Field, RD
• Dillon Fink, PT
• Martin Robert Finkelstein, PH.D
• First Residential Services, LLC
• Firstlight Home Care of Scarborough
• Jessie Catherine Fjeld
• Ellie E Fleming, PMHNP
• Jocelyn Fletcher, LMT
• Jeffrey E Florman, MD
• Focal Point Manual Therapies

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.