Individual provider Active NPI

Zachary Anton Nevolo, DO

  • Family Medicine Physician
  • Lillington, NC
National Provider Identifier
1508355058
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-01066 Issued in NC
Practice address
215 Brightwater Dr
Lillington, NC 27546-5156
Phone
(910) 892-1000
Fax
(910) 984-3708
NPI assigned
May 9, 2018
Last updated
May 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS021033 PA
Family Medicine Physician 207Q00000X 2022-01066 NC Primary

Addresses

Primary practice location

215 Brightwater Dr
Lillington, NC 27546-5156

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

75 E Street Rd
Feasterville Trevose, PA 19053-6047
Phone (267) 684-1047

Other practice location 2

4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6694

Other practice location 3

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

Other identifiers 1

IdentifierTypeStateIssuer
2022-01066OtherNCLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20230214000203 NC Practitioner - Family Practice 0547695256 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Nov 7, 2022 Accepting new patients
Harnett Health System Inc CurrentSince Jul 8, 2023 Accepting new patients
Dunn Medical Services LLC Family Medicine CurrentSince May 22, 2023 Accepting new patients
Harnett Health System Inc Family Medicine CurrentSince Jul 8, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Harnett Health System, Inc. Current 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 CurrentSince Jul 15, 2025 Accepting new patients
Raleigh Primary Care Specialists PLLC Family Medicine Current Accepting new patients
Lillington Medical Services, LLC Family Medicine CurrentSince Jul 23, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 7, 2022 Accepting new patients

Locations

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

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

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

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

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

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

7 E Duncan St
Lillington, NC 27546
Phone (910) 814-1212

Interoperability endpoints

  • Direct secure messaging: znevolo101494@capefearvalley.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1508355058",
    "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": "215 BRIGHTWATER DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465156",
            "telephone_number": "910-892-1000",
            "fax_number": "910-984-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Street Rd",
            "address_purpose": "LOCATION",
            "city": "Feasterville Trevose",
            "state": "PA",
            "postal_code": "190536047",
            "country_code": "US",
            "telephone_number": "267-684-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "215-871-6694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Professional Park",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "NC",
            "postal_code": "283399106",
            "country_code": "US",
            "telephone_number": "910-230-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVOLO",
        "first_name": "ZACHARY",
        "middle_name": "ANTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021033",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-01066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2022-01066",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "75 E Street Rd",
            "city": "Feasterville Trevose",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190536047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.