NPIMap

Individual provider Active NPI

James Junious Pilgrim III, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, NC
National Provider Identifier
1790095537
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
085579 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-5132
Fax
(910) 321-6236
NPI assigned
Oct 14, 2010
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 085579 NC Primary
Certified Registered Nurse Anesthetist 367500000X 211027 NC

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6448

Other practice location 1

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Other practice location 2

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000732 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416125349 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1505 SW Cary Pkwy
Suite 100
Cary, NC 27511-6219
Phone (919) 651-3880

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
085579NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jan 28, 2022 Accepting new patients
Raleigh Medical Group, PA CurrentSince Jul 1, 2015 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
Johnston Health Services Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2022 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 1, 2011 Accepting new patients
Johnston Health Services Corporation CurrentSince Apr 7, 2022 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2013 Accepting new patients
Raleigh Sedation Associates LLC Anesthesiology CurrentSince Jun 3, 2018 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Nov 1, 2012 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Oct 26, 2012 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jan 28, 2022 Accepting new patients
Regional Anesthesia, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 1, 2011 Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3031 New Bern Ave
Ste 100
Raleigh, NC 27610
Phone (919) 747-7820

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Organizations & group practices 15

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 15

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1790095537",
    "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": "910-615-6448",
            "fax_number": "910-615-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5132",
            "fax_number": "910-321-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILGRIM",
        "first_name": "JAMES",
        "middle_name": "JUNIOUS",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "085579",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "211027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 Aug 5, 2026; 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.

Verify at the official NPI Registry.