Look up the most recent NPI and PECOS records

Cape Fear Valley Health Medical Group Llc

Surgery

Allopathic & Osteopathic Physicians

1841 Quiet Cv, Fayetteville, NC 28304-3985

PECOS Enrollment

Based on the most recent information from CMS, provider Cape Fear Valley Health Medical Group Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1598649667
Provider Type
Organization
Full Name
Cape Fear Valley Health Medical Group Llc

Subpart
No
Enumeration Date
8/2/2025
Last Updated
8/2/2025

Contact Information

Practice Location

1841 Quiet Cv, Fayetteville, NC 28304-3985

(910) 323-2626

(910) 484-7962

Mailing Location

PO Box 40908, Fayetteville, NC 28309-0908

(910) 615-6949

Unlisted Fax

Authorized Official

Fiser, Joseph Barton (Vp Managed Care/Revenue Cycle)

(910) 615-5572

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer

Cape Fear Valley Health Medical Group Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Bryant, Michael Steven

Schultz, Susan

Davidson, Leo Warren

Mccullough, Daniel Grant

Classen, James Anthony

Nelson, Marsha Criscio

Albrecht, Robert Joseph

Chaudhuri, Debi P

Starr, Teressa

Faillace General Surgery