Active NPI
Cape Fear Valley Health Medical Group LLC
- Neurology Physician
- Fayetteville, NC
National Provider Identifier
1376351833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-3350
- Fax
- (910) 321-6253
- NPI assigned
- Dec 30, 2024
- Organization subpart
- Yes
- Parent organization
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Barton Fiser
- Title
- VP Revenue Cycle and Managed Care
- Phone
- (910) 615-5572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Other names 1
- Cape Fear Valley Neurology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241220003892 | NC | Part B Supplier - Clinic/Group Practice | 0648707109 |
Receives reassigned benefits from 440 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Cumberland County EMS
Locations
225 Brightwater Dr
Lillington, NC 27546
Phone (910) 893-4041
40 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 295-3100
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1366955189
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1992779656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1376351833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6949",
"fax_number": "910-615-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-3350",
"fax_number": "910-321-6253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
"enumeration_date": "2024-12-30",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "FISER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "BARTON",
"authorized_official_title_or_position": "VP REVENUE CYCLE AND MANAGED CARE",
"authorized_official_telephone_number": "910-615-5572"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Fear Valley Neurology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.