Individual provider Active NPI

Prabhakar Narhari Vaidya, M.D.

  • Internal Medicine Physician
  • Erwin, NC
National Provider Identifier
1467496760
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20214 Issued in NC
Practice address
133 Professional Park
Erwin, NC 28339-9106
Phone
(910) 230-7930
Fax
(910) 230-7949
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20214 NC
Internal Medicine Physician 207R00000X 20214 NC Primary

Addresses

Primary practice location

133 Professional Park
Erwin, NC 28339-9106

Mailing address

PO Box 14006
Raleigh, NC 27620-4006
Phone (919) 231-3966

Other practice location 1

3031 New Bern Ave
Suite 306
Raleigh, NC 27610-1214
Phone (919) 231-3966

Other identifiers 3

IdentifierTypeStateIssuer
84620OtherNCBLUE CROSS BLUE SHIELD
8984620MedicaidNC
390001311OtherNCPALMETTO GBA

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
I20040409000064 NC Practitioner - NephrologyPractitioner - Internal Medicine 0345132304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Professional Park
Erwin, NC 28339-9106
Phone (910) 230-7930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20214NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 4, 2016 Accepting new patients
Harnett Health System, Inc. Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 4, 2016 Accepting new patients
Dunn Medical Services LLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Harnett Health System Inc CurrentSince Jul 8, 2023 Accepting new patients
Harnett Health System Inc Family Medicine CurrentSince Jul 8, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jul 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Family Medicine CurrentSince Jul 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients

Locations

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

803 Tilghman Dr
Ste 100
Dunn, NC 28334
Phone (910) 892-1091

133 Professional Park
Erwin, NC 28339
Phone (910) 230-7930

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

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

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

Interoperability endpoints

  • Direct secure messaging: pvaidya94713@capefearvalley.direct-ci.com

Organizations & group practices 10

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1467496760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14006",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204006",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PROFESSIONAL PARK",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399106",
            "telephone_number": "910-230-7930",
            "fax_number": "910-230-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 New Bern Ave",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101214",
            "country_code": "US",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "PRABHAKAR",
        "middle_name": "NARHARI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "20214",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84620",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984620",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "390001311",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, NC

Sources for this page

Verify at the official NPI Registry.