NPIMap

Organization Active NPI

Cape Fear Neurology Associates PA

  • Specialist
  • Fayetteville, NC
National Provider Identifier
1508829003
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9700897 Issued in NC
Legal business name
CAPE FEAR NEUROLOGY ASSOCIATES PA
Practice address
2135 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3750
Phone
(910) 323-2247
Fax
(910) 486-8064
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Sampath V Charya, M.D.
Title
President
Phone
(910) 323-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9700897 NC Primary

Addresses

Primary practice location

2135 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3750

Mailing address

PO Box 87049
Fayetteville, NC 28304-7049
Phone (910) 323-2247

Other identifiers 2

IdentifierTypeStateIssuer
890171PMedicaidNC
COMMERICALOtherNCGROUP NUMBER

National Provider Directory

National Provider Directory

Locations

4140 Ferncreek Dr
Ste 501
Fayetteville, NC 28314
Phone (910) 491-3922

4140 Ferncreek Dr
Ste 602
Fayetteville, NC 28314
Phone (910) 568-5113

Practitioners & affiliated clinicians

Practitioners 7

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": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1508829003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87049",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047049",
            "telephone_number": "910-323-2247",
            "fax_number": "910-486-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043750",
            "telephone_number": "910-323-2247",
            "fax_number": "910-486-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR NEUROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "CHARYA",
        "authorized_official_first_name": "SAMPATH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-323-2247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9700897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890171P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "COMMERICAL",
            "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 Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.