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

Q: What is Cumberland County Hospital System Inc's specialty?

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

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: August 02, 2026.

On this page

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

Phone(910) 483-2646

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

Leave this field empty

Other Providers at the Same Location NPPES 8

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

KELSEY HARMON PA

Physician Assistant