Cape Fear Family Medical Care,PA

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

License

20544 Issued in NC

Legal business name

CAPE FEAR FAMILY MEDICAL CARE,PA

Practice address

1340 Walter Reed Rd
Med One Sleep Center
Fayetteville, NC 28304-4448

Phone

(910) 323-3183

Fax

(910) 223-7555

NPI assigned

Aug 5, 2015

Organization subpart

Yes

Parent organization

CAPE FEAR FAMILY MEDICAL CAREAs reported in NPPES

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

Authorized official

Name

Raymond A Gaskins Jr., MDNPI 1073519690

Title

President

Phone

(910) 323-3183

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cape Fear Family Medical Care, PA

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1093919409

  O20041008000641

  Same enrollment
• Cape Fear Family Medical Care, PA

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1215996103

  O20041008000641

  Same enrollment

Part of

Cape Fear Family Medical

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond A Gaskins Jr., M.D.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1073519690

  Sleep Medicine

  NPD Authorized official
• Nicole Gaskins Greyshock, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fayetteville, NC
  • NPI 1063689826
  NPD
• Julia E Norem, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1881690402
  NPD
• James John Richard, MPAS, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1467779322
  NPD
• Shireesha Sangineni, MD

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1578791422
  NPD
• Mary Elizabeth Schultz-Villarreal, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1285982173
  NPD
• Laurie Szoka

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1104822733
  NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1972989598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD",
            "address_2": "MED ONE SLEEP CENTER",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044448",
            "telephone_number": "910-323-3183",
            "fax_number": "910-223-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD",
            "address_2": "MED ONE SLEEP CENTER",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044448",
            "telephone_number": "910-323-3183",
            "fax_number": "910-223-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR FAMILY MEDICAL CARE,PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPE FEAR FAMILY MEDICAL  CARE",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-323-3183",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NC",
            "license": "20544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Eye Surgical PLLC
• Cape Fear Family Medical Care
• Cape Fear Family Medical Care, PA
• Cape Fear Family Medical Care, PA
• Cape Fear Family Medical Care, PA
• Cape Fear Neonatology
• Cape Fear Neurology Associates PA
• Cape Fear Neurosurgery
• Cape Fear Optometric Clinic PA
• Cape Fear Oral and Maxillofacial Surgery

• Sleep Medicine (Family Medicine) Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Sleep Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.