CAPE FEAR VALLEY LEGACY PEDIATRICS
NPI 1689445520
Pediatrics in Fayetteville, NC

Active since January 10, 2024CLIA Certified · 2 labs
556 SANDHURST DR, FAYETTEVILLE, NC 28304(910) 483-2646(910) 483-9470 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cape Fear Valley Legacy Pediatrics NPPES

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

CAPE FEAR VALLEY LEGACY PEDIATRICS (NPI 1689445520) is a healthcare organization registered as a pediatrics in Fayetteville, North Carolina and active in the NPI registry since January 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Spring Lake, and lists Joseph B Fiser, Vp Managed Care And Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1689445520
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCUMBERLAND COUNTY HOSPITAL SYSTEM INC
Location Address556 SANDHURST DRFayetteville, NC 28304-4426
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6949 · Fax (910) 615-9761
Fax(910) 483-9470
Organization SubpartNo
Authorized OfficialJoseph B FiserVp Managed Care And Revenue Cycle · (910) 615-5572
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1689445520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
556 SANDHURST DR, Fayetteville, NC 28304

Other Names 1

Doing Business AsCape Fear Valley Legacy Pediatrics

Secondary Practice Location 1

Location 11095 N Bragg Blvd Ste 104Spring Lake, NC 28390-3307 · Phone (910) 339-6015 · Fax (910) 339-6017

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

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 Legacy Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

903

Medicare enrollment records show 903 clinicians reassign Medicare billing to Cape Fear Valley Legacy Pediatrics, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 433 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Internal Medicine167
Nurse Practitioner118
Certified Registered Nurse Anesthetist (CRNA)107
Hospitalist69
Family Practice61
Neurology47
General Surgery41
Pediatric Medicine33
37 other specialties260

Nearest to this location (20)

See all 903
Pediatric Medicine
NPI 1306809926
556 SANDHURST DR
Fayetteville, NC 28304
(910) 483-2646
✔ PECOSSame address
Pulmonary Disease
NPI 1609946607
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 323-4733
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1619535069
1201 WALTER REED RD
Fayetteville, NC 28304
(910) 609-3840
✔ PECOS0.1 mi
Family Practice
NPI 1124609516
1307 AVON ST
Fayetteville, NC 28304
(910) 323-1718
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1457102584
1315 AVON ST
Fayetteville, NC 28304
(910) 433-9004
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1487608725
1209 CAPE CT
Fayetteville, NC 28304
(910) 485-7003
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1124750898
1262 OLIVER ST STE B
Fayetteville, NC 28304
(910) 615-4801
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1073588620
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 609-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1184785859
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 615-3350
✔ PECOS0.2 mi
Hand Surgery
NPI 1750305728
1219 WALTER REED RD
Fayetteville, NC 28304
(910) 609-5000
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1245202696
1309 MEDICAL DR SUITE 102
Fayetteville, NC 28304
(910) 437-5130
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1760741961
1340 WALTER REED RD STE 202
Fayetteville, NC 28304
(910) 504-3506
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1275513020
1261 OLIVER ST
Fayetteville, NC 28304
(910) 323-1626
✔ PECOS✔ Accepts Medicare0.2 mi
Vascular Surgery
NPI 1215950035
1251 OLIVER ST
Fayetteville, NC 28304
(910) 822-6587
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1639173461
3425 MELROSE RD
Fayetteville, NC 28304
(910) 609-3700
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023689478
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-5132
✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1073833455
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-4000
✔ PECOS0.3 mi
General Practice
NPI 1982674396
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-8000
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1023094406
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-7392
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1235201427
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-7392
✔ PECOS✔ Accepts Medicare0.3 mi
See all 903 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 34D2236790

Cape Fear Valley Legacy Pediatrics · Spring Lake, NC
Active · expires Sep 19, 2027
CLIA Number34D2236790
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorAna C. Hodges
Laboratory Phone(910) 339-6015
Laboratory LocationCape Fear Valley Legacy Pediatrics1095 N Bragg Blvd Ste 104, Spring Lake, NC 28390
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1101942

Cape Fear Valley Legacy Pediatrics · Fayetteville, NC
Active · expires Jul 7, 2027
CLIA Number34D1101942
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorAna C. Hodges
Laboratory Phone(910) 483-2646
Laboratory LocationCape Fear Valley Legacy Pediatrics556 Sandhurst 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.

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 Cumberland County Hospital System Inc's NPI number?

The NPI number for Cumberland County Hospital System Inc is 1689445520. It was assigned to this organization in the NPPES registry on January 10, 2024. The provider is doing business as Cape Fear Valley Legacy Pediatrics.

Where is Cumberland County Hospital System Inc located?

Cumberland County Hospital System Inc is located at 556 Sandhurst Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-2646.

What is Cumberland County Hospital System Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cumberland County Hospital System Inc enrolled in Medicare?

Yes. Cumberland County Hospital System Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cumberland County Hospital System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 903 clinicians in 45 Medicare specialties reassign their Medicare billing to Cumberland County Hospital System Inc. 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 Internal Medicine (167), Nurse Practitioner (118) and Certified Registered Nurse Anesthetist (CRNA) (107). Of these, 1 practice at this address and 433 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cumberland County Hospital System Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cumberland County Hospital System Inc accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Cumberland County Hospital System Inc 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 Cumberland County Hospital System Inc was last updated on January 10, 2024. 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.