| NPI | 1053130609 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2024-10-09 |
| Last Updated | 2026-04-08 |
| Authorized Official | Joseph Fiser VP Managed Care and Revenue Cycle Phone: 9106155572 |
| Mailing Address | Po Box 40908 Fayetteville, NC 28309-0908 United States Phone: (910) 615-6949 📍 View Map |
| Primary Practice Address | 300 Medical Pavilion Dr Ste 170 Raeford, NC 28376-0019 United States Phone: (910) 904-8200 | Fax: (910) 615-3201 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2084S0012X – Psychiatry & Neurology, Sleep Medicine | - | - |
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About NPI 1053130609
Cape Fear Valley Health Medical Group Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053130609. The primary specialty listed is Psychiatry & Neurology, Sleep Medicine. The organization is located in Raeford, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-10-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053130609?
NPI 1053130609 belongs to Cape Fear Valley Health Medical Group Llc, a Psychiatry & Neurology, Sleep Medicine in Raeford, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053130609 active?
The current status of NPI 1053130609 in the NPPES registry is Active. The record was last updated on 2026-04-08.
What specialty is NPI 1053130609?
NPI 1053130609 is classified under the taxonomy Psychiatry & Neurology, Sleep Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053130609?
You can verify NPI 1053130609 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053130609?
The primary practice address on file for NPI 1053130609 is 300 Medical Pavilion Dr Ste 170, Raeford, NC 28376-0019. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053130609 issued?
NPI 1053130609 was first issued (enumerated) on 2024-10-09. The NPPES record was last updated on 2026-04-08.
Practice Location Map
Cape Fear Valley Health Medical Group Llc is located at 300 Medical Pavilion Dr Ste 170, Raeford, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Cape Fear Valley Health Medical Group Llc. All records sourced from the CMS NPPES registry.