NPIMap

Organization Active NPI

Angier Medical Services, LLC

Doing business as Cape Fear Valley Primary Care - Angier

  • Family Medicine Physician
  • Angier, NC
National Provider Identifier
1760717151
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGIER MEDICAL SERVICES, LLC
Doing business as
Cape Fear Valley Primary Care - Angier
Practice address
1535 N Raleigh St
Angier, NC 27501-8920
Phone
(919) 331-2477
Fax
(919) 331-2481
NPI assigned
Oct 2, 2009
Last updated
Oct 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Authorized official

Name
Joseph Fiser
Title
VP Corp Rev Cycle/Managed Care
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1535 N Raleigh St
Angier, NC 27501-8920

Mailing address

PO Box 1706
Dunn, NC 28335-1706

Other practice location 1

185 Rawls Rd
Angier, NC 27501-8539
Phone (919) 331-2477

Other names 1

  • Cape Fear Valley Primary Care - Angier Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000604 NC Part B Supplier - Clinic/Group Practice 8527106319 Receives reassigned benefits from 6 practitioners
Practice locations: Angier, NC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

185 Rawls Rd
Angier, NC 27501
Phone (910) 892-1107

Practitioners & affiliated clinicians

Practitioners 6

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": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728691200000",
    "number": "1760717151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283351706"
        },
        {
            "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": "919-331-2477",
            "fax_number": "919-331-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Rawls Rd",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018539",
            "country_code": "US",
            "telephone_number": "919-331-2477",
            "fax_number": "919-331-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGIER MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP CORP REV CYCLE/MANAGED CARE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Primary Care - Angier",
            "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 Oct 12, 2024; 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.