Cumberland County Hospital System Inc
Organization Active NPI Diagnostic Radiology Physician · Fayetteville, NC
NPI 1962299743 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1962299743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-8199
- Fax
- (910) 321-6273
- NPI assigned
- Apr 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Joseph Barton Fiser
- Title
- VP Managed Care/Revenue Cycle
- Phone
- (910) 615-5572
Owned or controlled facilities with NPI records 15
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 49
Member organizations 35
Practitioners 1,083
-
David James Allison, M.D.
-
Harry T Ameredes, M.D.
-
Demir E Bastug, M.D.
-
Alex David Bibbey, M.D.
-
Fred A Caruso, M.D.
-
Osmani Deochand, M.D.
-
Bruce Michael Distell, M.D.
-
Inga Edwin, M.D.
-
Max Henry Faykus Jr., M.D.
-
David R Fisher, M.D.
-
Jeffrey M Kotzan, M.D.
-
Carolyn H Maynor, MD
-
Ali Nasim, M.D.
-
Brandon Philip Olivieri, M.D.
-
Nicholas Plundo, D.O.
-
Tereza Poghosyan, MD
-
Leroy Roberts Jr., M.D.
-
Richard E. Roux, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (25 enrollments) in FL, MO, TN, TX, OK, PA, GA, DC, CA, MD, UT, CO, NJ, VA, NM, NC, NH, MA, NY, WA, OH, AZ, IA, SC, KY
All facility ownership & control disclosures 15
| Facility | Type | Role | Since |
|---|---|---|---|
| Highsmith-Rainey Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 7, 1966 |
| Cape Fear Valley-Bladen County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 1, 2008 Jun 1, 2008 |
| Cape Fear Valley - Bladen County Hospital |
Hospital | Operational/Managerial Control | Jun 1, 2008 |
| Cape Fear Valley Betsy Johnson Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 31, 2021 |
| Cape Fear Valley Hoke Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 11, 2009 Dec 1, 2014 |
| Southeastern Regional Rehabilitation Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 3, 2012 |
| Cape Fear Valley Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (33%) | Oct 1, 2008 |
| Cape Fear Valley Hospice and Palliative Care |
Hospice | 5% Or Greater Direct Ownership Interest (33%) | Oct 1, 2008 |
| Bladen Healthcare LLC |
Rural health clinic | Operational/Managerial Control (100%) | Aug 20, 2021 |
| CFV Bma Elizabethtown |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2008 |
| CFV Bma Express Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2008 |
| Cape Fear Valley - Bladen Medical Associates |
Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jun 1, 2008 Jun 1, 2008 |
| Cape Fear Valley Bladen Medical Associates |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2017 Apr 1, 2017 |
| Cape Fear Valley Bladen Medical Associates |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 9, 2018 Jul 9, 2018 |
| CFV Primary Care-Vineland Family Medicine |
Rural health clinic | Operational/Managerial Control | Oct 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250702004580 | FL | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 5 practitioners Practice locations: Orlando, FL; Naples, FL; Gulf Breeze, FL; Enterprise, FL |
| O20250707001978 | MO | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MO |
| O20250708003074 | TN | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 3 practitioners Practice locations: Bristol, TN; Knoxville, TN; Signal Mountain, TN; Soddy Daisy, TN |
| O20250708004424 | TX | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 6 practitioners Practice locations: Katy, TX; Spring, TX; Plano, TX; Lubbock, TX; Houston, TX; Missouri City, TX |
| O20250709001676 | OK | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Edmond, OK |
| O20250710001773 | PA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 3 practitioners Practice locations: Wynnewood, PA; Ambler, PA; Pittsburgh, PA |
| O20250710003071 | GA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 5 practitioners Practice locations: Brooks, GA; Ellerslie, GA; Saint Simons Island, GA; Savannah, GA |
| O20250710003738 | DC | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 2 practitioners Practice locations: Arlington, VA |
| O20250711000894 | CA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 5 practitioners Practice locations: Los Angeles, CA; Seal Beach, CA; Santa Rosa, CA; San Diego, CA; Moorpark, CA; Laguna Niguel, CA; Danville, CA |
| O20250711001556 | MD | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 2 practitioners Practice locations: Lutherville, MD; Monkton, MD |
| O20250714003377 | UT | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Salt Lake City, UT |
| O20250717001954 | CO | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Monument, CO |
| O20250718003117 | NJ | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Tenafly, NJ |
| O20250721000957 | VA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Williamsburg, VA |
| O20250721002297 | NM | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
| O20250731000671 | NC | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 37 practitioners Practice locations: Greensboro, NC; Fayetteville, NC; Whiteville, NC; Lillington, NC; Linden, NC; Pinehurst, NC; Raeford, NC; Raleigh, NC… |
| O20250801000154 | NH | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Durham, NH |
| O20250801000522 | MA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 2 practitioners Practice locations: Amherst, MA; Newburyport, MA |
| O20250801000926 | NY | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 2 practitioners Practice locations: Brooklyn, NY |
| O20250807000992 | WA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 7 practitioners Practice locations: Bellevue, WA; Anacortes, WA; Seattle, WA; Leavenworth, WA; Clyde Hill, WA; Kirkland, WA; Bellingham, WA |
| O20250812000768 | OH | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Maumee, OH |
| O20250826000676 | AZ | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 5 practitioners Practice locations: Avondale, AZ; Mesa, AZ; Phoenix, AZ; Rio Verde, AZ; Scottsdale, AZ |
| O20251010002752 | IA | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 2 practitioners Practice locations: Ames, IA; Mason City, IA |
| O20251217000665 | SC | Part B Supplier - Clinic/Group Practice | 1850204041 |
Receives reassigned benefits from 1 practitioner Practice locations: Easley, SC |
| O20260615000999 | KY | Part B Supplier - Clinic/Group Practice | 1850204041 | Practice locations: Bowling Green, KY |
National Provider Directory
- Tax ID family
- Cumberland County EMS
Locations
6387 Ramsey St
Unit 130
Fayetteville, NC 28311
Phone (910) 615-3900
1213 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 615-6389
101 Robeson St
Ste 210
Fayetteville, NC 28301
Phone (910) 615-1825
3186 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 221-2500
4140 Ferncreek Dr
Fayetteville, NC 28314
Phone (910) 484-2171
6387 Ramsey St
Unit 200
Fayetteville, NC 28311
Phone (910) 615-3885
2301 Robeson St
Ste 203
Fayetteville, NC 28305
Phone (910) 615-3220
3412 Ramsey St
Fayetteville, NC 28311
Phone (910) 630-3100
1320 Medical Dr
Fayetteville, NC 28304
Phone (910) 323-3301
6387 Ramsey St
Unit 208
Fayetteville, NC 28311
Phone (910) 615-3982
2109 Valleygate Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 609-3636
1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500
6387 Ramsey St
Unit 120
Fayetteville, NC 28311
Phone (910) 615-3815
1724 Roxie Ave
#18
Fayetteville, NC 28304
524 Beaumont Rd
Fayetteville, NC 28304
Phone (910) 609-3879
3403 Melrose Rd
Fayetteville, NC 28304
Phone (910) 615-6861
6387 Ramsey St
Unit 210
Fayetteville, NC 28311
Phone (910) 609-3920
1262 Oliver St
#B
Fayetteville, NC 28304
Phone (910) 609-4801
3429 Melrose Rd
Fayetteville, NC 28304
Phone (910) 615-3200
1930 Skibo Rd
Fayetteville, NC 28314
Phone (910) 615-3058
1262 Oliver St
Ste A
Fayetteville, NC 28304
Phone (910) 323-2503
4900 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 739-8899
114 Forte Rd
Stedman, NC 28391
Phone (910) 485-6228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 896323
Charlotte, NC 28289-6323
Phone (833) 492-1792
Other names
- Cape Fear Valley Professional Radiology Group
Other providers in Fayetteville, NC
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Cumberland County Hospital System, Inc
- Cumberland County Hospital System, Inc
All providers in Fayetteville, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.