DR. JEROME EARL FONKE D.C.
NPI 1720084338
Chiropractor in Fayetteville, NC
About Dr. Jerome Earl Fonke D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEROME EARL FONKE D.C. (NPI 1720084338) is an individual chiropractor in Fayetteville, North Carolina, licensed in North Carolina (1875) and active in the NPI registry since June 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jerome Earl Fonke D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerome Fonke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 5 clinicians in this Medicare group
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 Jerome Fonke's NPI number?
The NPI number for Jerome Fonke is 1720084338. It was assigned to this individual provider in the NPPES registry on June 28, 2005.
Where is Jerome Fonke located?
Jerome Fonke practices at 305 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-5999.
What is Jerome Fonke's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jerome Fonke enrolled in Medicare?
Yes. Jerome Fonke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerome Fonke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerome Fonke reassigns Medicare benefits to Fayetteville Chiropractic Solutions PA (Fayetteville, NC). The 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 Jerome Fonke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerome Fonke was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Jerome Earl Fonke, D.C. · NPI 1720084338
Chiropractor provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since June 28, 2005.
## Identity
- **NPI:** 1720084338 (Entity type: Individual)
- **Enumerated:** June 28, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 1875 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 OWEN DR, Fayetteville, NC 28304-3410
- **Phone:** (910) 484-5999 · **Fax:** (910) 484-2523
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Fayetteville Chiropractic Solutions PA (NPI 1013781020, Fayetteville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2017
- **Other identifiers:** Other 350047272 (NC); Medicaid 890823W (NC); Other 0840G (NC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720084338) · Data from the CMS NPPES public registry.