CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC (NPI# 1609196633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609196633 |
| Entity Type | Organization |
| Organization Name | CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC |
| Other Organization Name | BLADEN SLEEP DISORDERS CLINIC |
| Practice Address |
107 East Dunham Street Elizabethtown NC 28337 |
| Mailing Address |
Po Box 40908 Fayetteville NC 28309-0908 |
| Practice Telephone | 9106156389 |
| Practice Fax Number | 9106154542 |
| Mailing Telephone | 9106156448 |
| Mailing Fax Number | 9106155070 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |
| 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 | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
H0213 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| BLADEN SLEEP DISORDERS CLINIC | 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 |
| 1356665152 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 104 W Southern Ave, Raeford, NC 28376-3218 | 2010-03-23 |
| 1750616108 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2009-10-02 |
| Street Address |
107 EAST DUNHAM STREET |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442364 | Bladen County Hospital | Clinic/Center | 107 East Dunham Street, Elizabethtown, NC 28337 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356668834 | Carolinas Sleep Specialists Pa | Psychiatry & Neurology | 920 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2010-04-23 |
| 1578890521 | Sound Sleep Interpretations LLC | Psychiatry & Neurology | 2103 Bay Ct, High Point, NC 27265-9323 | 2009-11-12 |
| 1154559847 | Dt Neuro Consulting Pllc | Psychiatry & Neurology | 21 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2009-07-01 |
| 1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
| 1952423717 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 760 Hartness Rd, Statesville, NC 28677-3425 | 2007-04-04 |
| 1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1386284511 | Greater Carolina Sleep Diagnostics Pllc | Psychiatry & Neurology | 4111 Capitol St Ste A, Durham, NC 27704-2153 | 2020-01-15 |
| 1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
| 1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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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.