Organization Active NPI

Family Medical and Advanced Wound Management

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1427961143
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY MEDICAL AND ADVANCED WOUND MANAGEMENT
Practice address
1941 Purple Dr
Fayetteville, NC 28314-8494
Phone
(561) 927-5046
Fax
(910) 919-3902
NPI assigned
Sep 24, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Denise Rolle, NPNPI 1427866201
Title
NP
Phone
(561) 927-5046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1941 Purple Dr
Fayetteville, NC 28314-8494

Mailing address

1941 Purple Dr
Fayetteville, NC 28314-8494
Phone (561) 927-5046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1427961143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 PURPLE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148494",
            "telephone_number": "561-927-5046",
            "fax_number": "910-919-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 PURPLE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148494",
            "telephone_number": "561-927-5046",
            "fax_number": "910-919-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL AND ADVANCED WOUND MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "561-927-5046",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.