CAPE FEAR AESTHETICS PLLC – NPI #1811192552
Plastic Surgery

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Health Care Provider Taxonomy Code for Plastic Surgery

CAPE FEAR AESTHETICS PLLC is a plastic surgeon located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1811192552 to CAPE FEAR AESTHETICS PLLC on June 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

The NPI profile was previously updated about 5 years ago on Jul 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPE FEAR AESTHETICS PLLC below.

NPI Profile for
CAPE FEAR AESTHETICS PLLC

NPI Number
1811192552
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPE FEAR AESTHETICS PLLC
Primary location
2053 VALLEYGATE DR
STE. 102
FAYETTEVILLE, NC 28304-3688
Phone: (910) 323-3757 Fax: (910) 323-9247
Mailing address
PO BOX 2814
BRYSON CITY, NC 28713-2814
Phone: (910) 239-7600 Fax: (828) 538-4441
Organization Subpart
No
Authorized Official
EDWARD DICKERSON
OWNER
Phone: (910) 323-3757
Updated
Certification Date
Jul 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)		 NC
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.