NPIMap

Individual provider Active NPI

Wenda E McCutchan, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1194704346
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003-00263 Issued in NC
Practice address
906 Bingham Dr
Fayetteville, NC 28304-2842
Phone
(910) 213-3547
NPI assigned
Jan 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20212 AL
Family Medicine Physician 207Q00000X 2003-00263 NC Primary

Addresses

Primary practice location

906 Bingham Dr
Fayetteville, NC 28304-2842

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

7300 S Raeford Rd # Pod1C
Fayetteville, NC 28304-6162
Phone (910) 488-2120

Other practice location 2

3441 N Main St
suite D
Hope Mills, NC 28348-1802
Phone (910) 423-5160

Other identifiers 2

IdentifierTypeStateIssuer
35316MedicaidAL
5903135MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000714 NC Practitioner - Family Practice 1557379856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

906 Bingham Dr
Fayetteville, NC 28304-2842
Phone (910) 213-3547

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Highsmith Rainey Memorial Hospital Long-term care hospital, Fayetteville, NC, CCN 342014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20212ALMDFamily Medicine Physician
2003-00263NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince Mar 20, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Mar 20, 2025 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

906 Bingham Dr
Fayetteville, NC 28304
Phone (910) 213-3547

Organizations & group practices 2

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1194704346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BINGHAM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042842",
            "telephone_number": "910-213-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 S Raeford Rd # Pod1C",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283046162",
            "country_code": "US",
            "telephone_number": "910-488-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3441 N Main St",
            "address_2": "suite D",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283481802",
            "country_code": "US",
            "telephone_number": "910-423-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "WENDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20212",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2003-00263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35316",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.