NPIMap

Individual provider Active NPI

Eric Lemoine Mansfield, M.D.

  • Otolaryngology Physician
  • Fayetteville, NC
National Provider Identifier
1679544829
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9800954 Issued in NC
Practice address
2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3688
Phone
(910) 323-9222
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9800954 NC Primary

Addresses

Primary practice location

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3688

Mailing address

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3688
Phone (910) 485-5682

Other practice location 1

500 Holly Springs Rd Ste 100
Holly Springs, NC 27540-6204
Phone (984) 225-2558

Other identifiers 2

IdentifierTypeStateIssuer
89129FPMedicaidNC
016WNOtherNCBLUE CROSS BLUE SHIELD OF NORTH CAROLINA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000787 NC Practitioner - Otolaryngology 7416932934

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Morehouse School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Otolaryngology PAGroup PAC ID 7719962232, 4 clinicians

Practice addresses (Care Compare)

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3983
Phone (910) 323-9222

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as individual
Quality
90.22
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Otolaryngology, PA CurrentSince Jun 21, 2004 Accepting new patients

Locations

2053 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 323-9222

2135 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 323-9222

Organizations & group practices 1

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

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679544829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Holly Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406204",
            "country_code": "US",
            "telephone_number": "984-225-2558",
            "fax_number": "984-225-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "ERIC",
        "middle_name": "LEMOINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9800954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129FP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "016WN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.