Individual provider

Edward Dickerson, Iv, MD

Otolaryngology Physician Otolaryngology/Facial Plastic Surgery Physician Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Medicare enrolled

Edward Dickerson, Iv, MD is an Otolaryngology Physician in Fayetteville, NC, registered under NPI 1376514521. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2053 VALLEYGATE DR STE 102, Fayetteville, NC 28304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2053 VALLEYGATE DR STE 102, Fayetteville, NC 28304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9400044 NC Otolaryngology Physician primary
9400044 NC Otolaryngology/Facial Plastic Surgery…
94-00044 NC Plastic Surgery Within the Head and Neck…

This provider holds licence 9400044 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
1153306675

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Otolaryngology covers

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
Allopathic & Osteopathic Physicians Otolaryngology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Y00000X Otolaryngology Physician 9400044 NC primary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Otolaryngology/Facial Plastic Surgery 9400044 NC
2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Plastic Surgery Within the Head and Neck 94-00044 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376514521 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 27, 2006
Last updatedOct 12, 2023
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2053 VALLEYGATE DR STE 102
Fayetteville, NC 28304
(910) 323-9222
Mailing address PO BOX 2814
Bryson City, NC 28713
Other identifiers 89129FP (NC)
This record was updated on Oct 12, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1376514521 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 5 1 4 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 1 1 8 5 4

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376514521?
NPI 1376514521 is the National Provider Identifier assigned to Edward Dickerson, Iv, MD in Fayetteville, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology Physician cover?
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or…
How do I contact Edward Dickerson, Iv, MD?
The phone number on file with NPPES is (910) 323-9222, last updated Oct 12, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edward Dickerson, Iv, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376514521 a valid number?
Yes. 1376514521 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.