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DR. EDWARD ERNEST DICKERSON, IV MD
NPI 1376514521
Otolaryngology in Fayetteville, NC

Active since January 27, 2006PECOS Enrolled
2053 VALLEYGATE DR STE 102, FAYETTEVILLE, NC 28304(910) 323-9222 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Jul 14, 2021 (2 updates tracked since 2021).

About Dr. Edward Ernest Dickerson, Iv Md NPPES

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

DR. EDWARD ERNEST DICKERSON, IV MD (NPI 1376514521) is an individual otolaryngology provider in Fayetteville, North Carolina, licensed in North Carolina (9400044) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1376514521
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. EDWARD ERNEST DICKERSON, IVCredential: MD
Location Address2053 VALLEYGATE DR STE 102Fayetteville, NC 28304-3983
Mailing AddressPo Box 2814Bryson City, NC 28713-2814 · (910) 239-7600 · Fax (828) 538-4441
Phone(910) 323-9222
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1376514521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 9400044
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 9400044 (NC)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 94-00044 (NC)
2053 VALLEYGATE DR STE 102, Fayetteville, NC 28304
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Secondary Practice Location 1

Location 18510 Colonnade Center Dr Ste 100Raleigh, NC 27615-5862 · Phone (919) 391-3750

Other Identifiers 1

Medicaid89129FPNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Ernest Dickerson, Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. JONATHAN RAY HALL CRNA
Nurse Anesthetist, Certified Registered
2053 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3757
MRS. ANNA BROOKS MANESS REED NP
Nurse Practitioner
2053 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-3757

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 Edward Dickerson, Iv's NPI number?

The NPI number for Edward Dickerson, Iv is 1376514521. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Edward Dickerson, Iv located?

Edward Dickerson, Iv practices at 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 323-9222.

What is Edward Dickerson, Iv's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Edward Dickerson, Iv enrolled in Medicare?

Yes. Edward Dickerson, Iv is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Dickerson, Iv was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.