NPIMap

Individual provider Active NPI

Elena Terece Reynolds, PA-C

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1902958697
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-00804 Issued in NC
Practice address
2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3747
Phone
(910) 323-9222
Fax
(910) 223-9783
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00804 NC
Medical Physician Assistant 363AM0700X 0010-00804 NC Primary

Addresses

Primary practice location

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3747

Mailing address

2149 Valleygate Dr Ste 101
Fayetteville, NC 28304-3666
Phone (910) 670-0207

Other practice location 1

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-5616

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
I20070516000403 NC Practitioner - Physician Assistant 4587761127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00804NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Center, P.a. CurrentSince Sep 20, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 14, 2023 Accepting new patients
Cape Fear Otolaryngology, PA CurrentSince Aug 30, 2015 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

2053 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 323-9222

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

Interoperability endpoints

  • Direct secure messaging: ereynolds109628@capefearvalley.direct-ci.com

Organizations & group practices 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1902958697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 VALLEYGATE DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "910-670-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043747",
            "telephone_number": "910-323-9222",
            "fax_number": "910-223-9783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015570",
            "country_code": "US",
            "telephone_number": "910-615-5616",
            "fax_number": "910-615-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELENA",
        "middle_name": "TERECE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00804",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.