Individual provider Active NPI

Amie Renae Motley, FNP

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1104572452
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MOTL-MXRMG Issued in NC
Practice address
2412 Wilkins Dr
Sanford, NC 27330-7268
Phone
(919) 776-6000
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MOTL-MXRMG NC Primary

Addresses

Primary practice location

2412 Wilkins Dr
Sanford, NC 27330-7268

Mailing address

2300 Cape Jasmine Dr
Sanford, NC 27330-9464

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220526003005 NC Practitioner - Nurse Practitioner 3971981275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Central Carolina Medical Group LLCGroup PAC ID 3577840420, 38 clinicians

Practice addresses (Care Compare)

2412 Wilkins Dr
Sanford, NC 27330-7268
Phone (919) 776-6000

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MOTL-MXRMGNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2022 Accepting new patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2022 Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

2412 Wilkins Dr
Sanford, NC 27330
Phone (919) 776-6000

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: amie.motley.1@15593.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1104572452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CAPE JASMINE DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILKINS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307268",
            "telephone_number": "919-776-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "AMIE",
        "middle_name": "RENAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "MOTL-MXRMG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.