Individual provider Active NPI

Cheryl H Dodson, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1386452837
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5021411 Issued in NC
Practice address
1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451
Phone
(910) 504-3506
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021411 NC Primary

Addresses

Primary practice location

1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451

Mailing address

764 Walnut Knoll LN
Cordova, TN 38018-3113
Phone (910) 504-3506

Other practice location 1

1357 Walter Reed Rd Ste 101
Fayetteville, NC 28304-4417
Phone (910) 504-3506

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318003701 NC Practitioner - Nurse Practitioner 3375065493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recon Neurology and PsychiatryGroup PAC ID 3870965924, 20 clinicians

Practice addresses (Care Compare)

1340 Walter Reed Rd
Suite 202
Fayetteville, NC 28304-4451
Phone (910) 504-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recon Neurology & Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
Pinehurst Womens Clinic PA PastSince Jan 1, 2003 Accepting new patients

Locations

1357 Walter Reed Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 504-3506

1340 Walter Reed Rd
Ste 202
Fayetteville, NC 28304
Phone (910) 504-3506

70 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-4342

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1386452837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALNUT KNOLL LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183113",
            "telephone_number": "910-504-3506",
            "fax_number": "910-504-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044451",
            "telephone_number": "910-504-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 Walter Reed Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044417",
            "country_code": "US",
            "telephone_number": "910-504-3506",
            "fax_number": "910-504-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "CHERYL",
        "middle_name": "H",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.