NPIMap

Individual provider Active NPI

Jerome Vincent Ponder, MD

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
National Provider Identifier
1659332369
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9900735 Issued in NC
Practice address
413 Owen Dr
Suite 101
Fayetteville, NC 28304-3489
Phone
(910) 480-4880
Fax
(910) 488-4856
NPI assigned
Mar 31, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9900735 NC Primary

Addresses

Primary practice location

413 Owen Dr
Suite 101
Fayetteville, NC 28304-3489

Mailing address

413 Owen Dr
Suite 101
Fayetteville, NC 28304-3489
Phone (910) 480-4880

Other practice location 1

805 Tilghman Dr Ste C
Dunn, NC 28334-5883
Phone (910) 892-4092

Other identifiers 1

IdentifierTypeStateIssuer
89130V8MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040731000194 NC Practitioner - Obstetrics/Gynecology 4183694557 Reassigns benefits to 6 organizations
I20170228000741 SC Practitioner - Obstetrics/Gynecology 4183694557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

805 Tilghman Dr
Suite C
Dunn, NC 28334-5883
Phone (910) 892-4092

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harnett OBGYN LLC Obstetrics & Gynecology CurrentSince Aug 9, 2021 Accepting new patients
Hoke Healthcare, LLC Obstetrics & Gynecology CurrentSince Oct 19, 2015 Accepting new patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2008 Accepting new patients
Cumberland County Hospital System Inc Obstetrics & Gynecology CurrentSince Oct 19, 2015 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Jan 19, 2022 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Jul 15, 2025 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 8, 2021 Accepting new patients
Scotland Memorial Hospital, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Jerome V Ponder MD PC Obstetrics & Gynecology CurrentSince Jul 1, 2006 Accepting new patients
Cape Fear Valley Health Medical Group LLC Obstetrics & Gynecology CurrentSince Jul 15, 2025 Accepting new patients
DLP Central Carolina Medical Group LLC Obstetrics & Gynecology CurrentSince Dec 8, 2021 Accepting new patients
Hoke Healthcare LLC CurrentSince Oct 19, 2015 Accepting new patients
Scotland Memorial Hospital Inc Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Oct 19, 2015 Accepting new patients
Scotland Memorial Hospital, Inc Obstetrics & Gynecology CurrentSince Dec 24, 2016 Accepting new patients

Locations

805 Tilghman Dr
Ste C
Dunn, NC 28334
Phone (910) 891-2677

1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500

3601 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 484-3101

413 Owen Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 480-4880

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

105 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 277-3331

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035

300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: jponder22926@capefearvalley.direct-ci.com
  • Direct secure messaging: jponder24369@directmcleodehealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1659332369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 OWEN DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043489",
            "telephone_number": "910-480-4880",
            "fax_number": "910-488-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 OWEN DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043489",
            "telephone_number": "910-480-4880",
            "fax_number": "910-488-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Tilghman Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345883",
            "country_code": "US",
            "telephone_number": "910-892-4092",
            "fax_number": "910-892-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "JEROME",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9900735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130V8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.