Active NPI
Regional Diabetes and Endocrine Center
- Endocrinology, Diabetes & Metabolism Physician
- Fayetteville, NC
National Provider Identifier
1962404384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- REGIONAL DIABETES AND ENDOCRINE CENTER
- Practice address
- 101 Robeson St Ste 405
Fayetteville, NC 28301-5520 - Phone
- (910) 615-1623
- Fax
- (910) 321-6248
- NPI assigned
- Aug 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Barton Fiser
- Title
- VP Corporate Reveune Cycle
- Phone
- (910) 615-5572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
101 Robeson St Ste 405
Fayetteville, NC 28301-5520
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89104UR | Medicaid | NC |
Other names 1
- Diabetes and Endocrine Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1015049 | Regional Diabetes & Endocrine Center, the | Certificate of waiver | Jul 21, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
Member Of
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Fayetteville, NC
- NPI 1225285042
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Fayetteville, NC
- NPI 1497045496
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1275054991
Internal Medicine, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1962404384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6448",
"fax_number": "910-615-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROBESON ST STE 405",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283015520",
"telephone_number": "910-615-1623",
"fax_number": "910-321-6248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL DIABETES AND ENDOCRINE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "FISER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "BARTON",
"authorized_official_title_or_position": "VP CORPORATE REVEUNE CYCLE",
"authorized_official_telephone_number": "910-615-5572"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89104UR",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diabetes and Endocrine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.