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FERNCREEK CARDIOLOGY PA
NPI 1104144914
Internal Medicine - Cardiovascular Disease in Fayetteville, NC

Active since May 05, 2010CLIA 34D2015075 · Waiver
3650 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 483-0049(910) 339-8905 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ferncreek Cardiology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNCREEK CARDIOLOGY PA (NPI 1104144914) is a healthcare organization registered as a cardiovascular disease in Fayetteville, North Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Matthew A Daka, President, as its authorized official.

NPPES Registry Identity

NPI1104144914
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameFERNCREEK CARDIOLOGY PA
Location Address3650 CAPE CENTER DRFayetteville, NC 28304-2139
Mailing Address3650 Cape Center DrFayetteville, NC 28304-2139 · (910) 483-0049 · Fax (910) 339-8905
Phone(910) 483-0049
Fax(910) 339-8905
Organization SubpartNo
Authorized OfficialMatthew A DakaPresident · (910) 483-0049
Enumeration DateMay 5, 2010
Last NPPES UpdateJune 20, 2016
✔ NPI 1104144914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 2007-00976
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3650 CAPE CENTER DR, Fayetteville, NC 28304
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2015075

Ferncreek Cardiology PA · Fayetteville, NC
Active · expires Oct 22, 2027
CLIA Number34D2015075
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Matthew A. Daka
Laboratory Phone(910) 483-0049
Laboratory LocationFerncreek Cardiology PA3650 Cape Center Drive, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA TAYLOR PA
Physician Assistant
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0049
DR. DEBBIE R. WRIGHT-THOMASSON MD
Internal Medicine (Cardiovascular Disease)
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0049
SURIYA BANDARA JAYAWARDENA MD
Internal Medicine (Interventional Cardiology)
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0049
BRANDON LEE LOCKLEAR
Nurse Practitioner
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 338-5313
KARLA BELEN MEDRANO PA-C
Physician Assistant
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0049
MATTHEW AMIEBI DAKA M.D
Internal Medicine (Interventional Cardiology)
3650 CAPE CENTER DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0049
VALERIE J BELTRANE-PRESTON PT
Physical Therapist
3650 CAPE CENTER DR, SUITE201
FAYETTEVILLE, NC 28304
Cumberland County (910) 423-5550
CAROLINA NEUROSURGICAL SERVICES, P.A.
Specialist
3650 CAPE CENTER DR, SUITE 100
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-9802

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 Ferncreek Cardiology PA's NPI number?

The NPI number for Ferncreek Cardiology PA is 1104144914. It was assigned to this organization in the NPPES registry on May 5, 2010.

Where is Ferncreek Cardiology PA located?

Ferncreek Cardiology PA is located at 3650 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-0049.

What is Ferncreek Cardiology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Ferncreek Cardiology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2015075) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ferncreek Cardiology PA accept?

Health plans from Blue Cross and Blue Shield of NC list Ferncreek Cardiology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ferncreek Cardiology PA was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.