Individual provider Active NPI

Anna Frances Fakadej, MD

  • Ophthalmology Physician
  • Southern Pines, NC
National Provider Identifier
1932190261
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9701744 Issued in NC
Practice address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone
(910) 295-2100
Fax
(910) 295-3625
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9701744 NC Primary

Addresses

Primary practice location

2170 Midland Rd
Southern Pines, NC 28387-2927

Mailing address

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

Other practice location 1

101 Medical Circle
Rockingham, NC 28379-5221
Phone (910) 997-4489

Other practice location 2

220 Foust St
Ste C
Asheboro, NC 27203-5585
Phone (336) 629-1451

Other identifiers 10

IdentifierTypeStateIssuer
1097XOtherNCBCBS
2247575OtherDMERC
FH2000135OtherNCFIRSTCAROLINACARE
364186OtherNCMAMSI
83520OtherNCMEDCOST
180034436OtherRAILROAD MEDICARE
1932190261OtherNCMEDICAID
891097XMedicaidNC
0838864OtherNCUNITED HEALTHCARE
N01745MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.fakadej@direct.carolinaeye.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000270 NC Practitioner - Ophthalmology 8527035880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye Associates Inc 39 clinicians

Practice addresses (Care Compare)

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

Merit-based Incentive Payment System (MIPS)

Final score
86.76 of 100Reported as group
Quality
87.45
Promoting interoperability
97
Improvement activities
40
Cost
70.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9701744NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Associates Inc Ophthalmology Current Accepting new patients
Carolina Eye Associates Inc Ophthalmology CurrentSince Feb 1, 1999 Accepting new patients
Carolina Eye Associates Inc Ophthalmology Current Accepting new patients
Carolina Eye Associates Inc Ophthalmology Past Accepting new patients

Locations

220 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 629-1451

1991 Fordham Dr
Ste 301
Fayetteville, NC 28304
Phone (910) 484-7744

514 S Main St
Laurinburg, NC 28352
Phone (910) 276-4075

2905 N Elm St
Lumberton, NC 28358
Phone (910) 370-0100

101 Medical Cir
Rockingham, NC 28379
Phone (910) 997-4489

1223 Carthage St
Sanford, NC 27330
Phone (919) 776-7549

2170 Midland Rd
Southern Pnes, NC 28387
Phone (910) 295-1221

Interoperability endpoints

  • Direct secure messaging: anna.fakadej@direct.carolinaeye.nextgenshare.com

Organizations & group practices 9

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1932190261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Medical Circle",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283795221",
            "country_code": "US",
            "telephone_number": "910-997-4489",
            "fax_number": "910-895-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Foust St",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035585",
            "country_code": "US",
            "telephone_number": "336-629-1451",
            "fax_number": "336-629-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKADEJ",
        "first_name": "ANNA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9701744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1097X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "2247575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE",
            "identifier": "FH2000135",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "364186",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "83520",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1932190261",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891097X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0838864",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01745",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.fakadej@direct.carolinaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2170 Midland Rd",
            "city": "Southern Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283872927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.