Individual provider Active NPI

Wendy Futch, NP

  • Acute Care Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1386010478
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN215942 Issued in GA
Practice address
1499 Fair Rd
Statesboro, GA 30458-1683
Phone
(912) 486-1433
Fax
(912) 871-2261
NPI assigned
Aug 12, 2015
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN215942 GA
Acute Care Nurse Practitioner 363LA2100X RN215942 GA Primary

Addresses

Primary practice location

1499 Fair Rd
Statesboro, GA 30458-1683

Mailing address

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1433

Other practice location 1

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1240

Other practice location 2

119 Hill Pond Ln
Statesboro, GA 30458
Phone (912) 354-6190

Other practice location 3

505 Eisenhower Dr
Savannah, GA 31406
Phone (912) 354-6190

Other identifiers 2

IdentifierTypeStateIssuer
RN215942OtherGARN LICENSE
2015012072OtherGAANCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151209001937 GA Practitioner - Nurse Practitioner 6002117462 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro Hma Physician Management LLCGroup PAC ID 8820196058, 23 clinicians

Practice addresses (Care Compare)

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 871-5437

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN215942GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC Nurse Practitioner CurrentSince Apr 1, 2019 Accepting new patients
Statesboro Hma Physician Management LLC Acute Care CurrentSince May 1, 2016 Accepting new patients
Coastal Allergy & Asthma PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

2500 Starling St
Ste 101
Brunswick, GA 31520
Phone (912) 354-6190

505 Eisenhower Dr
Savannah, GA 31406
Phone (912) 354-6190

119 Hill Pond Ln
Statesboro, GA 30458
Phone (912) 354-6190

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

Organizations & group practices 4

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

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1386010478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1433",
            "fax_number": "912-871-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1433",
            "fax_number": "912-871-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Kite Rd",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013231",
            "country_code": "US",
            "telephone_number": "478-289-1240",
            "fax_number": "478-289-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Hill Pond Ln",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "30458",
            "country_code": "US",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31406",
            "country_code": "US",
            "telephone_number": "912-354-6190",
            "fax_number": "912-354-6172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "WENDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN215942",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN215942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN215942",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2015012072",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.