Deborah Jean Sides, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5014334 Issued in NC

Practice address

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981

Phone

(910) 486-6818

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Medical Center IncorporatedGroup PAC ID 3173434479, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsides@goshenmedical.cloudcraftdirect.com

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.

• Goshen Medical Center, Incorporated

  dba Goshen Medical Center - Duplin

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment Care Compare group NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center, Inc.

  dba Goshen Medical Center-Cape Fear

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, NC
  • NPI 1215366216
  NPD
• Goshen Medical Center Incorporated

  dba Goshen Medical Center - Apex

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1558931766
  NPD (past)
• Goshen Medical Center Incorporated

  dba Goshen Medical Center - Mount Olive Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1700901287
  NPD (past)

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

• Atrium Health Hospitals Inc

  dba Atrium Health Stanly

  • General Acute Care Hospital
  • Albemarle, NC
  • NPI 1104627926
  Care Compare affiliation
• Atrium Health Hospitals Inc

  dba Atrium Health Stanly Behavioral Health

  • Psychiatric Hospital Unit
  • Albemarle, NC
  • NPI 1740081553
  Care Compare affiliation

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1952983785",
    "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": "910-486-6818"
        },
        {
            "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": "910-486-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ann Shumard
• Lindsay K Shumate, FNP-BC
• Joseph L Shurtleff, DDS
• Hunnain Siddiqui, PHARMD
• Stacie A Sidebotham, FNP
• Kellsie Rae Siebach, LMFT
• Kate Sifuentes
• Breanna Sigler, PHARMD
• Sigma Solutions, PLLC
• Zachary Sikder

• Adult Health Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.