NPIMap

Organization Active NPI

Cape Fear Valley Health Medical Group LLC

Doing business as Cape Fear Valley Community Mental Health

  • Psychiatry Physician
  • Angier, NC
National Provider Identifier
1710844642
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Doing business as
Cape Fear Valley Community Mental Health
Practice address
1535 N Raleigh St
Angier, NC 27501-8920
Phone
(910) 615-3333
Fax
(910) 615-3750
NPI assigned
Jan 5, 2026
Last updated
Apr 18, 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 18, 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 Managed Care and Revenue Cycle
Phone
(910) 615-5572

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1535 N Raleigh St
Angier, NC 27501-8920

Mailing address

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

Other practice location 1

805 Tilghman Dr Ste A
Dunn, NC 28334-5883
Phone (910) 615-3333

Other practice location 2

711 Executive Pl
Fayetteville, NC 28305-5193
Phone (910) 615-3333

Other practice location 3

300 Medical Pavilion Dr Ste 150
Raeford, NC 28376-0030
Phone (910) 615-3333

Other practice location 4

7569 N West St
Falcon, NC 28342-8903
Phone (910) 615-3333

Other names 1

  • Cape Fear Valley Community Mental Health 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
Tax ID family
Cape Fear Valley Health Medical Group LLC55 organizations share this tax ID, including this one
Part of
Melrose Pediatric Care

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

1535 N Raleigh St
Angier, NC 27501
Phone (910) 892-1107

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1710844642",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N RALEIGH ST",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018920",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Tilghman Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345883",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Executive Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055193",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760030",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7569 N West St",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "NC",
            "postal_code": "283428903",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "fax_number": "910-615-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2026-01-05",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "VP MANAGED CARE AND REVENUE CYCLE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.