CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP LLC NPI 1083927313

NPI Information

  • NPI: 1083927313
  • Provider Name: CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: CAPE FEAR VALLEY HEALTH-THE CLINIC AT WALMART
  • Address: 4545 FAYETTEVILLE ROAD
    RAEFORD, NC
    ZIP 28376
  • Phone: (910) 615-3100

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NPI Details

CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC is a general practice in Raeford, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC NPI is 1083927313. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cape Fear Valley Health-the Clinic At Walmart.

The provider's business location address is:

4545 FAYETTEVILLE ROAD
RAEFORD, NC
ZIP 28376
Phone: (910) 615-3100
Fax: (910) 486-2154

The provider's authorized official is Michael Nagowski .
The authorized official title is Ceo and has the following contact phone number (910) 615-6700.

The enumeration date for this NPI number is 7/15/2010 and was last updated on 7/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeH0213NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICARE PINNORTH CAROLINA
2PENDINGMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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