Paul David Wyman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11220470 Issued in NC

Practice address

439 US Highway 158 W
Yanceyville, NC 27379-8304

Phone

(366) 949-3313

NPI assigned

Jul 2, 2024

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHCADA

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.

• Compassion Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Yanceyville, NC
  • NPI 1134201387
  Medicare reassignment NPD
• Compassion Health Care Inc

  dba CFMC At North Village Pharmacy

  • Long Term Care Pharmacy
  • Yanceyville, NC
  • NPI 1740932029
  NPD
• Compassion Health Care Inc

  dba CFMC Urgent Care

  • Urgent Care Clinic/Center
  • Yanceyville, NC
  • NPI 1053848820
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144066911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "366-949-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "366-949-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F11220470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3036)
• Anna Elizabeth Whited, NCMHCA
• David Fielding Willis, M.D.
• Miranda G Worley, PA-C
• WP-Yanceyville Health Holdings, LLC (Caswell House)
• Yanceyville Opco LLC
• Yanceyville Operating Al, LLC (Caswell House)
• Yanceyville Primary Care PA
• Youth Haven Services, Inc.
• Serena Shunan Zhou-Talbert, M.D., MPH

• Family Nurse Practitioner in Yanceyville, NC
• Providers in Yanceyville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.