CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC (NPI# 1356665152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356665152 |
| Entity Type | Organization |
| Organization Name | CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC |
| Other Organization Name | CONVENIENT CARE FOR HOKE |
| Practice Address |
104 W Southern Ave Raeford NC 28376-3218 |
| Mailing Address |
Po Box 40908 Fayetteville NC 28309-0908 |
| Practice Telephone | 9106153140 |
| Practice Fax Number | 9104862169 |
| Mailing Telephone | 9106156448 |
| Mailing Fax Number | 9106155070 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | MR. MICHAEL NAGOWSKI (CEO) |
| Authorized Official Telephone | 9106156700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0213 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913981 | 05 |
| Other Name | Type Code |
|---|---|
| CONVENIENT CARE FOR HOKE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344183 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 588 Bailey Rd Ste K, Lumberton, NC 28358-2470 | 2017-08-30 |
| 1083927313 | Cape Fear Valley Health System Specialty Group, LLC | General Practice | 4545 Fayetteville Road, Raeford, NC 28376 | 2010-07-15 |
| 1841605995 | Cape Fear Valley Health System Specialty Group, LLC | Clinic/Center | 805 Tilghman Dr Ste C, Dunn, NC 28334-5883 | 2014-06-27 |
| 1609196633 | Cape Fear Valley Health System Specialty Group, LLC | Psychiatry & Neurology | 107 East Dunham Street, Elizabethtown, NC 28337 | 2010-06-01 |
| 1750616108 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2009-10-02 |
| Street Address |
104 W SOUTHERN AVE |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225175995 | Birth and Womens Care Pa | Obstetrics & Gynecology | 104 W Southern Ave, Raeford, NC 28376-3218 | 2007-01-31 |
| 1497059877 | Knowles, Smith & Associates, LLP | Dentist | 104 W Southern Ave, Raeford, NC 28376-3218 | 2010-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627346 | Vaxcare North Carolina, LLC | Family Medicine | 929 W Prospect Rd, Raeford, NC 28376-9543 | 2018-11-08 |
| 1003104092 | Tabitha M Bedini | Family Medicine | 6408 Fayetteville Rd, Moore Regional Hospital - Hoke Campus, Raeford, NC 28376-7977 | 2011-07-12 |
| 1609066158 | Karen L.smith Md, Pa | Family Medicine | 929 West Prospect Avenue, Raeford, NC 28376-6197 | 2007-07-31 |
| 1629101746 | Rockfish Medical Clinic, Pllc | Family Medicine | 116 Campus Avenue, Raeford, NC 28376 | 2007-03-14 |
| 1336207158 | Kyu Lee | Family Medicine | 855 Old Hwy 211, Mccin Hospital, Raeford, NC 28376 | 2006-12-05 |
| 1174629414 | Donna M Ajo | Family Medicine | 300 Medical Pavilion Dr Ste 150, Raeford, NC 28376-0030 | 2006-09-15 |
| 1194754275 | Cecilia Rose Nashatizadeh | Family Medicine | 169 Old Colony Pl, Raeford, NC 28376-6425 | 2006-07-01 |
| 1790775690 | Garnett Marcus Lowry | Family Medicine | 313 Teal Dr, Raeford, NC 28376-2527 | 2005-10-24 |
| 1245232123 | Warren Charles Johnson IIi | Family Medicine | 300 Medical Pavilion Dr, Suite 150, Raeford, NC 28376-0019 | 2005-08-11 |
| 1699779454 | Martina Dockery Monroe | Family Medicine | 405 S Main St, Raeford, NC 28376-3222 | 2005-06-09 |
| Find all providers in RAEFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.