SIA SAM-SUMANA
NPI 1740026483
Nurse Practitioner - Family in Fayetteville, NC
About Sia Sam-sumana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIA SAM-SUMANA (NPI 1740026483) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5020304) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sia Sam-sumana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sia Sam-sumana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 4 clinicians in this Medicare group
Goldsboro, NC 27534
- Reassigned Medicare billing, North Carolina enrollment
- 9 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unc Health Wayne
Acute Care Hospitals · Goldsboro, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
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 Sia Sam-sumana's NPI number?
The NPI number for Sia Sam-sumana is 1740026483. It was assigned to this individual provider in the NPPES registry on July 2, 2024.
Where is Sia Sam-sumana located?
Sia Sam-sumana practices at 3616 Cape Center Dr Ste A, Fayetteville, NC 28304. The listed phone number is (910) 779-0780.
What is Sia Sam-sumana's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sia Sam-sumana enrolled in Medicare?
Yes. Sia Sam-sumana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sia Sam-sumana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sia Sam-sumana reassigns Medicare benefits to 2 organizations: Divine Family Practice And Urgent Care, PLLC (Fayetteville, NC) and Family Medicine & Rehabilitation Center, PC (Goldsboro, NC). Each 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 Sia Sam-sumana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sia Sam-sumana accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Sia Sam-sumana 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.
Is Sia Sam-sumana affiliated with any hospitals?
According to CMS data, Sia Sam-sumana is affiliated with Unc Health Wayne.
When was this NPI record last updated?
The NPPES record for Sia Sam-sumana was last updated on July 2, 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.
# Sia Sam-Sumana · NPI 1740026483
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since July 2, 2024.
## Identity
- **NPI:** 1740026483 (Entity type: Individual)
- **Enumerated:** July 2, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5020304 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3616 CAPE CENTER DR STE A, Fayetteville, NC 28304-4456
- **Phone:** (910) 779-0780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Divine Family Practice And Urgent Care, PLLC (NPI 1477197168, Fayetteville, NC); Family Medicine & Rehabilitation Center, PC (NPI 1457436917, Goldsboro, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740026483) · Data from the CMS NPPES public registry.