Active NPI
Mehmet Ali Ergun, DC
- Chiropractor
- Fayetteville, NC
National Provider Identifier
1679583967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2185
- Practice address
- 3217 Ramsey St
Fayetteville, NC 28301-3183 - Phone
- (910) 488-4477
- Fax
- (910) 488-3577
- NPI assigned
- Aug 9, 2006
- Last updated
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2185 | NC | Primary |
Addresses
Primary practice location
3217 Ramsey St
Fayetteville, NC 28301-3183
Mailing address
3217 Ramsey St
Fayetteville, NC 28301-3183
Phone (910) 488-4477
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5167042 | Other | AETNA | |
| 609654 | Other | ACN | |
| 153704700 | Other | ACS | |
| 562009826 | Other | TRIAD | |
| 4313519 | Other | CSI | |
| 562009826 | Other | UNITED HEALTHCARE | |
| 0843P | Other | BCBS | |
| 562009826 | Other | CIGNA | |
| 562009826 | Other | HUMANA | |
| 890843P | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3217 Ramsey St
Fayetteville, NC 28301-3183
Phone (910) 488-4477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2185 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Chiropractic North Inc | Chiropractor | Current | Accepting new patients |
Locations
3217 Ramsey St
Fayetteville, NC 28301
Phone (910) 488-4477
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back & Neck Pain Clinic
- Chiropractor
- Fayetteville, NC
- NPI 1659381945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1679583967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013183",
"telephone_number": "910-488-4477",
"fax_number": "910-488-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013183",
"telephone_number": "910-488-4477",
"fax_number": "910-488-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERGUN",
"first_name": "MEHMET",
"middle_name": "ALI",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5167042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "609654",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "153704700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIAD",
"identifier": "562009826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSI",
"identifier": "4313519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "562009826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0843P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "562009826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "562009826",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890843P",
"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 Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.