JOHN F NEELY DMD PA
NPI 1043243124
Dentist - Oral and Maxillofacial Surgery in Pinehurst, NC
About John F Neely Dmd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN F NEELY DMD PA (NPI 1043243124) is a healthcare organization registered as an oral and maxillofacial surgery in Pinehurst, North Carolina and active in the NPI registry since July 2006. The organization lists John Frank Neely, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John F Neely Dmd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to John F Neely Dmd PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John F Neely Dmd PA's NPI number?
The NPI number for John F Neely Dmd PA is 1043243124. It was assigned to this organization in the NPPES registry on July 9, 2006.
Where is John F Neely Dmd PA located?
John F Neely Dmd PA is located at 93 Aviemore Dr, Pinehurst, NC 28374. The listed phone number is (910) 295-8088.
What is John F Neely Dmd PA's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is John F Neely Dmd PA enrolled in Medicare?
Yes. John F Neely Dmd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John F Neely Dmd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to John F Neely Dmd PA, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John F Neely Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John F Neely Dmd Pa · NPI 1043243124
Oral and Maxillofacial Surgery organization in Pinehurst, North Carolina. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1043243124 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** John Neely, PRESIDENT
## Practice location
- **Address:** 93 AVIEMORE DR, Pinehurst, NC 28374-9797
- **Phone:** (910) 295-8088 · **Fax:** (910) 295-8855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Maxillofacial Surgery (1), Oral Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 1073594222 (NC); Other 1861473019 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1043243124) · Data from the CMS NPPES public registry.