NPIMap

Individual provider Active NPI

Carrie Mae Clough, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1801514922
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016749 Issued in NC
Practice address
1248 Fort Bragg Rd
Fayetteville, NC 28305-4981
Phone
(910) 323-0334
Fax
(910) 676-7340
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016749 NC
Family Nurse Practitioner 363LF0000X 5016749 NC Primary

Addresses

Primary practice location

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981

Mailing address

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981
Phone (910) 323-0334

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
I20221104000124 NC Practitioner - Nurse Practitioner 3173990181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

1248 Fort Bragg Rd
Suite 101
Fayetteville, NC 28305-4982
Phone (910) 323-0334

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 29, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 29, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Hope Mills Urgent Care & Medical Clinic, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

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

1248 Fort Bragg Rd
Ste 101
Fayetteville, NC 28305
Phone (910) 323-0334

3758 S Main St
Hope Mills, NC 28348
Phone (910) 429-0647

Interoperability endpoints

  • Direct secure messaging: ccloughrn86826@capefearvalley.direct-ci.com

Organizations & group practices 7

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1801514922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054981",
            "telephone_number": "910-323-0334",
            "fax_number": "910-676-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054981",
            "telephone_number": "910-323-0334",
            "fax_number": "910-676-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "CARRIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.