FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A.
NPI 1538189279
Specialist in Fayetteville, NC
About Fayetteville Otolaryngology Head And Neck Surgery P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY P.A. (NPI 1538189279) is a healthcare organization registered as a specialist in Fayetteville, North Carolina and active in the NPI registry since July 2006. The organization lists Gwendolyn C Parks, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fayetteville Otolaryngology Head And Neck Surgery P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Fayetteville Otolaryngology Head And Neck Surgery P.A., which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 Fayetteville Otolaryngology Head And Neck Surgery P.A.'s NPI number?
The NPI number for Fayetteville Otolaryngology Head And Neck Surgery P.A. is 1538189279. It was assigned to this organization in the NPPES registry on July 19, 2006.
Where is Fayetteville Otolaryngology Head And Neck Surgery P.A. located?
Fayetteville Otolaryngology Head And Neck Surgery P.A. is located at 1839 Quiet Cv, Fayetteville, NC 28304. The listed phone number is (910) 323-1463.
What is Fayetteville Otolaryngology Head And Neck Surgery P.A.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Fayetteville Otolaryngology Head And Neck Surgery P.A. enrolled in Medicare?
Yes. Fayetteville Otolaryngology Head And Neck Surgery P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fayetteville Otolaryngology Head And Neck Surgery P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Fayetteville Otolaryngology Head And Neck Surgery P.A.. 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. The largest specialties are Otolaryngology (4) and Qualified Audiologist (3). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fayetteville Otolaryngology Head And Neck Surgery P.A. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Fayetteville Otolaryngology Head And Neck Surgery P.A. 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 Fayetteville Otolaryngology Head And Neck Surgery P.A. was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Fayetteville Otolaryngology Head And Neck Surgery P.a. · NPI 1538189279
Specialist organization in Fayetteville, North Carolina. Organization record, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1538189279 (Entity type: Organization)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Gwendolyn Parks, ADMINISTRATOR
## Practice location
- **Address:** 1839 QUIET CV, Fayetteville, NC 28304-3857
- **Phone:** (910) 323-1463 · **Fax:** (910) 323-1575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (4), Qualified Audiologist (3); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2007
- **Other identifiers:** Other CA7111 (NC); Medicaid 890130C (NC); Medicare ID-Type Unspecified 2317232 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1538189279) · Data from the CMS NPPES public registry.