Active NPI
Michael T Futrell, AGNP
- Adult Health Nurse Practitioner
- Faison, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AG07210139
- Practice address
- PO Box 187
Faison, NC 28341-0187 - Phone
- (910) 267-0421
- Fax
- (910) 378-1746
- NPI assigned
- Jul 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5016060 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | AG07210139 | NC | Primary |
Addresses
Primary practice location
PO Box 187
Faison, NC 28341-0187
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220509001950 | NC | Practitioner - Nurse Practitioner | 8921485137 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Goshen Medical Center Incorporated
Practice addresses (Care Compare)
444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421
Hospital & facility affiliations
- Well Care Home Health
- Vidant Duplin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG07210139 | NC | MD | Adult Health Nurse Practitioner |
| 5016060 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Professional Healthcare, LLC | Past | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
261 Sloop Point Loop Rd
Hampstead, NC 28443
Phone (910) 285-2330
102 Main St
Ste 1
Kenansville, NC 28349
Phone (910) 275-0195
113 S Pine St
Warsaw, NC 28398
Phone (910) 293-7246
Interoperability endpoints
- mfutrell@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.
-
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
NC
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
- Federally Qualified Health Center (FQHC)
- Mount Olive, NC
- NPI 1700901287
-
- Nursing Care Agency
- Raleigh, NC
- NPI 1831297019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
Hospital
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1497328140",
"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": "910-267-0421",
"fax_number": "910-378-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "FAISON",
"state": "NC",
"postal_code": "283410187",
"telephone_number": "910-267-0421",
"fax_number": "910-378-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTRELL",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5016060",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "AG07210139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Faison, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.