NPIMap

Organization Active NPI

Cape Fear Valley Health Medical Group LLC

Doing business as Cape Fear Valley Primary Care-Fayetteville Family

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1629886189
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Doing business as
Cape Fear Valley Primary Care-Fayetteville Family
Practice address
1307 Avon St
Fayetteville, NC 28304-4423
Phone
(910) 323-1718
Fax
(910) 483-0647
NPI assigned
Dec 30, 2024
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Joseph Barton Fiser
Title
VP Revenue Cycle and Managed Care
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1307 Avon St
Fayetteville, NC 28304-4423

Mailing address

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

Other names 1

  • Cape Fear Valley Primary Care-Fayetteville Family Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220003892 NC Part B Supplier - Clinic/Group Practice 0648707109 Receives reassigned benefits from 440 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Cape Fear Valley Radiology

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1629886189",
    "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": "1307 AVON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044423",
            "telephone_number": "910-323-1718",
            "fax_number": "910-483-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
        "enumeration_date": "2024-12-30",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "VP REVENUE CYCLE AND MANAGED CARE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Primary Care-Fayetteville Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.