Organization Active NPI

Cumberland Neurology, P.a.

  • Neurology Physician
  • Fayetteville, NC
National Provider Identifier
1467581512
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200400759 Issued in NC
Legal business name
CUMBERLAND NEUROLOGY, P.A.
Practice address
4140 Ferncreek Dr Ste 401
Fayetteville, NC 28314-2567
Phone
(910) 323-0179
Fax
(910) 323-4295
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Paul Eric Szwejbka, MDNPI 1366447757
Title
Owner President
Phone
(910) 323-0179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 200400759 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr Ste 401
Fayetteville, NC 28314-2567

Mailing address

4140 Ferncreek Dr Ste 401
Fayetteville, NC 28314-2567
Phone (910) 323-0179

Other identifiers 1

IdentifierTypeStateIssuer
5903113MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000707 NC Part B Supplier - Clinic/Group Practice 1850300658 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2016358Cumberland Neurology PA4140 Ferncreek Drive Ste 401, Fayetteville, NC 28314Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

4140 Ferncreek Dr
Ste 401
Fayetteville, NC 28314
Phone (910) 323-0179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1467581512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 401",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142567",
            "telephone_number": "910-323-0179",
            "fax_number": "910-323-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 401",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142567",
            "telephone_number": "910-323-0179",
            "fax_number": "910-323-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SZWEJBKA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "910-323-0179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200400759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.