Active NPI
Michael G Wohl, DO
- General Practice Physician
- Fayetteville, NC
National Provider Identifier
1548013915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 323639
- Practice address
- 1905 Skibo Rd
Fayetteville, NC 28314-0260 - Phone
- (910) 864-4357
- NPI assigned
- Apr 8, 2024
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 323639 | NC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2025-03235 | NC |
Addresses
Primary practice location
1905 Skibo Rd
Fayetteville, NC 28314-0260
Mailing address
200 Belle Terre Rd
Port Jefferson, NY 11777-1968
Phone (631) 474-6349
Other practice location 1
200 Belle Terre Rd
Port Jefferson, NY 11777-1968
Phone (631) 474-6349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-03235 | NC | MD | Physical Medicine & Rehabilitation Physician |
| 323639 | NC | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771113600000",
"number": "1548013915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BELLE TERRE RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771968",
"telephone_number": "631-474-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140260",
"telephone_number": "910-864-4357"
}
],
"practiceLocations": [
{
"address_1": "200 Belle Terre Rd",
"address_purpose": "LOCATION",
"city": "Port Jefferson",
"state": "NY",
"postal_code": "117771968",
"country_code": "US",
"telephone_number": "631-474-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHL",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-08",
"last_updated": "2026-02-15",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "323639",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "2025-03235",
"primary": false
}
],
"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 Feb 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.