ANGELINA KATHLEEN MATHERLY DO
NPI 1467011668
General Practice in Fort Bragg, NC

Q: What is Angelina Matherly's NPI number?

The NPI number for Angelina Matherly is 1467011668. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Angelina Matherly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Angelina Matherly was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 11, 2019PECOS Enrolled

2817 REILLY ST, FORT BRAGG, NC 28310(910) 907-6000 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Sep 8, 2022, Jun 11, 2019 (3 updates tracked since 2019).

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About Angelina Kathleen Matherly Do NPPES

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

ANGELINA KATHLEEN MATHERLY DO (NPI 1467011668) is an individual general practice provider in Fort Bragg, North Carolina, licensed in North Carolina (2020-03801) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467011668

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameANGELINA KATHLEEN MATHERLYCredential: DO

Location Address2817 REILLY STFort Bragg, NC 28310-7324

Mailing Address2817 Reilly StFort Bragg, NC 28310-7324 · (910) 907-6000

Phone(910) 907-6000

Sole ProprietorYes

Enumeration DateJune 11, 2019

Last NPPES UpdateJune 3, 20253 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1467011668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NC · 2020-03801

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

2817 REILLY ST, Fort Bragg, NC 28310

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelina Kathleen Matherly Do 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.

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Other Providers at the Same Location NPPES 20

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

MARILYN MACKEPRANG

Dental Assistant

2817 REILLY ST
FORT BRAGG, NC 28310

Cumberland County (910) 643-2196

MRS. STEPHANIE BURG LCSW

Social Worker (Clinical)

2817 REILLY ST, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

JACOB MATTHEW HYDE PHARMD

Pharmacist

2817 REILLY ST
FORT BRAGG, NC 28310

Cumberland County (910) 907-6337

CAITLYN OCAMPO

Pharmacist

2817 REILLY ST
FORT BRAGG, NC 28310

Cumberland County (910) 908-2291

ROBIN DENISE MURDOCK

Social Worker (Clinical)

2817 REILLY ST, DEPARTMENT OF THE ARMY
FORT BRAGG, NC 28310

Cumberland County (910) 643-1772

TERESA OVERMAN PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2817 REILLY ST
FT BRAGG, NC 28310

Cumberland County (910) 907-6337

FRANK LAGA

Dentist

2817 REILLY ST
FORT BRAGG, NC 28310

Cumberland County (910) 643-2196

ALYSSA CORDELL LCSW

Social Worker (Clinical)

2817 REILLY ST
FORT BRAGG, NC 28310

Cumberland County (910) 907-8922

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 Angelina Matherly's NPI number?

The NPI number for Angelina Matherly is 1467011668. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Angelina Matherly located?

Angelina Matherly practices at 2817 Reilly St, Fort Bragg, NC 28310. The listed phone number is (910) 907-6000.

What is Angelina Matherly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angelina Matherly enrolled in Medicare?

Yes. Angelina Matherly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelina Matherly was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.