Individual provider Active NPI

William Stewart Futch Jr., MD

  • Gastroenterology Physician
  • Supply, NC
National Provider Identifier
1548216757
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9601318 Issued in NC
Practice address
13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093
Phone
(910) 754-5988
Fax
(910) 754-5989
NPI assigned
May 26, 2006
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9601318 NC Primary

Addresses

Primary practice location

13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2607 Medical Office Pl Ste B
Goldsboro, NC 27534-9437
Phone (919) 587-3700

Other practice location 2

208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414
Phone (919) 731-6018

Other identifiers 1

IdentifierTypeStateIssuer
891130JMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wfutch890816@direct.novanthealth.org

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
I20040130000983 NC Practitioner - Gastroenterology 1052214525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Medical GroupGroup PAC ID 4789713108, 5 clinicians

Practice addresses (Care Compare)

2541 N Queen St
Kinston, NC 28501-1632
Phone (252) 527-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Atlantic Medical Group PC Gastroenterology CurrentSince Oct 1, 2025 Accepting new patients
Atlantic Medical Group PC Gastroenterology CurrentSince Oct 1, 2025 Accepting new patients

Locations

4 Josh Ct
Jacksonville, NC 28546
Phone (252) 527-3636

2541 N Queen St
Kinston, NC 28501
Phone (252) 527-3636

Interoperability endpoints

  • Direct secure messaging: wfutch890816@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1548216757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MEDICAL CAMPUS DR NW STE 102",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624093",
            "telephone_number": "910-754-5988",
            "fax_number": "910-754-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Medical Office Pl Ste B",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349437",
            "country_code": "US",
            "telephone_number": "919-587-3700",
            "fax_number": "919-580-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Cox Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349414",
            "country_code": "US",
            "telephone_number": "919-731-6018",
            "fax_number": "919-580-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "WILLIAM",
        "middle_name": "STEWART",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9601318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891130J",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wfutch890816@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "13 Medical Campus Dr NW Ste 102",
            "city": "Supply",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284624093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.