Individual provider Active NPI

Amy Elizabeth Freeth-Fountain, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, NC
National Provider Identifier
1508822420
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2024-01118 Issued in NC
Practice address
413 Middle Grove LN
Wilmington, NC 28411-4402
Phone
(607) 435-9934
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215894 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 215894 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2024-01118 NC Primary

Addresses

Primary practice location

413 Middle Grove LN
Wilmington, NC 28411-4402

Mailing address

413 Middle Grove LN
Wilmington, NC 28411-4402
Phone (607) 354-9934

Other identifiers 1

IdentifierTypeStateIssuer
02569419MedicaidNY

Other names 1

  • Dr. Amy Elizabeth Fountain Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110000212 NC Practitioner - EndocrinologyPractitioner - Internal Medicine 4082687264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

643 5TH Ave W
Hendersonville, NC 28739-4205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215894NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients

Locations

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

643 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 693-5225

Interoperability endpoints

  • Direct secure messaging: telemed2u.amyfountain@160918.advancedmd-direct.com

Organizations & group practices 3

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 1

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1508822420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 MIDDLE GROVE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114402",
            "telephone_number": "607-354-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MIDDLE GROVE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114402",
            "telephone_number": "607-435-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREETH-FOUNTAIN",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215894",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "215894",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2024-01118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02569419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FOUNTAIN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.