Active NPI
Amy Elizabeth Freeth-Fountain, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2024-01118
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02569419 | Medicaid | NY |
Other names 1
- Dr. Amy Elizabeth Fountain
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 215894 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1447999057
-
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1013694165
-
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
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
- Freedom Therapy Services II LLC
- Freedom Therapy Services, LLC.
- Jere Freeman IV
- Katherine L Freeman, MD
- Richard D Freese, PHARMACIST
- Daniel Garren Freeze, DMD
- Jamie Lynn Freiburghouse, HEALTH COACH
- Kelly Nicole French, LCMHC
- Nathan Erik French, D.D.S.
- Fresh Start Primary Care and Outpatient Recovery PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.