Individual provider Active NPI

Yeymy Moats, FNP-BC

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1326845488
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5021691 Issued in NC
Practice address
911 Hay St
Fayetteville, NC 28305-5313
Phone
(910) 486-6818
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021691 NC
Nurse Practitioner 363L00000X 5021691 NC Primary

Addresses

Primary practice location

911 Hay St
Fayetteville, NC 28305-5313

Mailing address

PO Box 187
Faison, NC 28341-0187
Phone (910) 267-2042

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
I20250331000489 NC Practitioner - Nurse Practitioner 2769905876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 1, 2025 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

906 N US Highway 421
Clinton, NC 28328
Phone (910) 592-1462

801 Tilghman Dr
Ste A
Dunn, NC 28334
Phone (910) 892-6500

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

911 Hay St
Fayetteville, NC 28305
Phone (910) 438-0939

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970

Interoperability endpoints

  • Direct secure messaging: ymoats@goshenmedical.cloudcraftdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1326845488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187",
            "telephone_number": "910-267-2042",
            "fax_number": "855-996-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055313",
            "telephone_number": "910-486-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATS",
        "first_name": "YEYMY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021691",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.