Fayetteville Neuropsychology PLLC
NPI 1053830315 · Clinical Neuropsychologist · Fayetteville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fayetteville Neuropsychology PLLC is a Clinical Neuropsychologist organization in Fayetteville, NC (NPI 1053830315).
Provider details
- NPI number
- 1053830315
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Robert Gamble, Office Manager(910) 677-0000
- License
- 1853 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Frequently asked questions
- What is Fayetteville Neuropsychology PLLC's NPI number?
- Fayetteville Neuropsychology PLLC's National Provider Identifier (NPI) is 1053830315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Neuropsychology PLLC?
- Fayetteville Neuropsychology PLLC is classified in the NPPES registry as Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Fayetteville Neuropsychology PLLC located?
- Fayetteville Neuropsychology PLLC's practice location on file with NPPES is 2931 Breezewood Ave Ste 100, Fayetteville, NC 28303-5281.
- What is Fayetteville Neuropsychology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Neuropsychology PLLC is (910) 677-0000.
- Does Fayetteville Neuropsychology PLLC accept Medicare?
- Fayetteville Neuropsychology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fayetteville Neuropsychology PLLC?
- The authorized official listed on Fayetteville Neuropsychology PLLC's NPPES record is Robert Gamble, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Neuropsychology PLLC's NPI active?
- Yes — Fayetteville Neuropsychology PLLC's NPI (1053830315) is active in the NPPES registry as of the last update on 2021-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.