Elizabeth Ann Marie Wise, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001011052 Issued in NC

Practice address

556 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone

(910) 483-2646

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewise88886@capefearvalley.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment
• Stedman - Wade Health Services, Inc

  • Community Health Clinic/Center
  • Fayetteville, NC
  • NPI 1912639808
  Medicare reassignment
• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, NC
  • NPI 1609186790
  Medicare reassignment
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Red Springs, NC
  • NPI 1700552270
  NPD
• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wade, NC
  • NPI 1578534871
  NPD
• Cumberland County Hospital System Inc

  • Hospitalist Physician
  • Dunn, NC
  • NPI 1124426804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1104419472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MAIN ST",
            "city": "GODWIN",
            "state": "NC",
            "postal_code": "283448361",
            "telephone_number": "910-723-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7118 Main St",
            "address_purpose": "LOCATION",
            "city": "Wade",
            "state": "NC",
            "postal_code": "283959749",
            "country_code": "US",
            "telephone_number": "910-483-6694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 N Bragg Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "283903307",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001011052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Wint
• Falisha Salina Winters, FNP-C
• Maryselle Winters, DO
• Wise Choice Tender Loving Casre
• Barbara V. Wise, M.D.
• Larry Dale Withers, MD
• Within Your Doors Home Care
• Lisa Withrow
• Mary G Witkowski, PA
• Donna Lee Witt, LCAS-A

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.