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CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
NPI 1629886189
Family Medicine in Fayetteville, NC

Active since December 30, 2024
1307 AVON ST, FAYETTEVILLE, NC 28304(910) 323-1718(910) 483-0647 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Dec 30, 2024 (2 updates tracked since 2024).

About Cape Fear Valley Health Medical Group Llc NPPES

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

CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC (NPI 1629886189), doing business as Cape Fear Valley Primary Care-fayetteville Family, is a healthcare organization registered as a family medicine in Fayetteville, North Carolina and active in the NPI registry since December 2024. The organization lists Joseph Barton Fiser, Vp Revenue Cycle And Managed Care, as its authorized official.

NPPES Registry Identity

NPI1629886189
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Location Address1307 AVON STFayetteville, NC 28304-4423
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6949 · Fax (910) 615-9761
Phone(910) 323-1718
Fax(910) 483-0647
Organization SubpartYesParent: Cumberland County Hospital System Inc
Authorized OfficialJoseph Barton FiserVp Revenue Cycle And Managed Care · (910) 615-5572
Enumeration DateDecember 30, 2024
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1629886189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1307 AVON ST, Fayetteville, NC 28304
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Other Names 1

Doing Business AsCape Fear Valley Primary Care-fayetteville Family

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cape Fear Valley Health Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

411

Medicare enrollment records show 411 clinicians reassign Medicare billing to Cape Fear Valley Health Medical Group LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 257 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner72
Physical Therapist in Private Practice47
Obstetrics/Gynecology38
General Surgery36
Internal Medicine27
Family Practice26
Orthopedic Surgery20
Podiatry17
30 other specialties128

Nearest to this location (20)

See all 411
Dunia Laith Anwar-Pealstrom, DO
Family Practice
NPI 1124609516
1307 AVON ST
Fayetteville, NC 28304
(910) 323-1718
✔ PECOS✔ Accepts MedicareSame address
Christopher Imber, M. D.
Family Practice
NPI 1245288307
1307 AVON ST
Fayetteville, NC 28304
(910) 323-1718
✔ PECOS✔ Accepts MedicareSame address
Sharon Mitchell, MD
Family Practice
NPI 1447240072
1307 AVON ST
Fayetteville, NC 28304
(910) 323-1718
✔ PECOS✔ Accepts MedicareSame address
Shaun Hines, DO
Family Practice
NPI 1619358710
1315 AVON ST
Fayetteville, NC 28304
(910) 433-9004
✔ PECOS✔ Accepts MedicareSame address
Roxanne King, FNP-BC
Nurse Practitioner
NPI 1912899519
1315 AVON ST
Fayetteville, NC 28304
(910) 433-9004
✔ PECOS✔ Accepts MedicareSame address
Kendall Myers, NP
Nurse Practitioner
NPI 1457102584
1315 AVON ST
Fayetteville, NC 28304
(910) 433-9004
✔ PECOS✔ Accepts MedicareSame address
Andre Hall, MD
Obstetrics/Gynecology
NPI 1780645572
3601 CAPE CENTER DRIVE
Fayetteville, NC 28304
(910) 484-3101
✔ PECOS✔ Accepts Medicare0.1 mi
Lauren Blackmon, NP-BC
Nurse Practitioner
NPI 1831604180
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 323-4733
✔ PECOS✔ Accepts Medicare0.1 mi
Jayesh Dave, M.D.
Internal Medicine
NPI 1750451852
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 323-4733
✔ PECOS✔ Accepts Medicare0.1 mi
Holly Douglas, CNM
Certified Nurse Midwife (CNM)
NPI 1588372841
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 609-3840
✔ PECOS✔ Accepts Medicare0.1 mi
Irlene Locklear, M.D.
Pulmonary Disease
NPI 1609946607
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 323-4733
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Haworth, MD
Neurosurgery
NPI 1669530390
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 615-3350
✔ PECOS✔ Accepts Medicare0.1 mi
Stephen Kouba, M.D.
Orthopedic Surgery
NPI 1073588620
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 609-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Levine, M.D.
Hand Surgery
NPI 1750305728
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 609-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Beadle, MD
Vascular Surgery
NPI 1164606026
1251 OLIVER ST
Fayetteville, NC 28304
(910) 822-6587
✔ PECOS✔ Accepts Medicare0.2 mi
Kenneth Fleishman, M.D.
Psychiatry
NPI 1457433138
3425 MELROSE RD
Fayetteville, NC 28304
(910) 615-3610
✔ PECOS✔ Accepts Medicare0.2 mi
Terrence Sproul, LMFT
Clinical Social Worker
NPI 1639173461
3425 MELROSE RD
Fayetteville, NC 28304
(910) 609-3700
✔ PECOS✔ Accepts Medicare0.2 mi
Rami Abdel Aziz, MD
Neurology
NPI 1497252365
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-3350
✔ PECOS✔ Accepts Medicare0.2 mi
Zulfiqar Ali, MD
Pediatric Medicine
NPI 1083947444
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-8492
✔ PECOS0.2 mi
Erik Grossgold, M.D.
Urology
NPI 1235201427
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-7392
✔ PECOS✔ Accepts Medicare0.2 mi
See all 411 clinicians

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 Cape Fear Valley Health Medical Group LLC's NPI number?

The NPI number for Cape Fear Valley Health Medical Group LLC is 1629886189. It was assigned to this organization in the NPPES registry on December 30, 2024. The provider is doing business as Cape Fear Valley Primary Care-Fayetteville Family.

Where is Cape Fear Valley Health Medical Group LLC located?

Cape Fear Valley Health Medical Group LLC is located at 1307 Avon St, Fayetteville, NC 28304. The listed phone number is (910) 323-1718.

What is Cape Fear Valley Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cape Fear Valley Health Medical Group LLC enrolled in Medicare?

Yes. Cape Fear Valley Health Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cape Fear Valley Health Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 411 clinicians in 38 Medicare specialties reassign their Medicare billing to Cape Fear Valley Health Medical Group LLC. 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 Nurse Practitioner (72), Physical Therapist in Private Practice (47) and Obstetrics/Gynecology (38). Of these, 6 practice at this address and 257 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cape Fear Valley Health Medical Group LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Cape Fear Valley Health Medical Group LLC 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 Cape Fear Valley Health Medical Group LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.