Johnnie Moultrie, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0090-00780 Issued in NC

Practice address

4092 Professional Dr
Hope Mills, NC 28348-2366

Phone

(910) 424-0123

Fax

(910) 424-3852

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Cape Fear Valley Health System Specialty Group LLCGroup PAC ID 2567506942, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
• Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315
• Highsmith Rainey Memorial Hospital Long-term care hospital, Fayetteville, NC, CCN 342014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmoultrie10263@capefearvalley.direct-ci.com

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.

• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment Care Compare group NPD
• Cape Fear Valley Health System Specialty Group, LLC

  • Family Medicine Physician
  • Saint Pauls, NC
  • NPI 1750616108
  Medicare reassignment Care Compare group
• Cape Fear Valley Health Medical Group LLC

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment NPD
• Hoke Healthcare, LLC

  • Clinic/Center
  • Raeford, NC
  • NPI 1114277035
  Medicare reassignment NPD
• Cape Fear Valley Health Medical Group LLC

  • Orthopaedic Surgery of the Spine Physician
  • Fayetteville, NC
  • NPI 1568315554
  NPD
• Cape Fear Valley Health Medical Group LLC

  • Family Medicine Physician
  • Saint Pauls, NC
  • NPI 1811872773
  NPD
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010
  NPD
• Cumberland County Hospital System Inc

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• Hoke Healthcare LLC

  • General Acute Care Hospital
  • Raeford, NC
  • NPI 1750788238
  NPD
• Hoke Healthcare, LLC

  • Primary Care Clinic/Center
  • Raeford, NC
  • NPI 1962752881

  Family Medicine

  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bladen Healthcare LLC

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1134162597

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1295738920

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1386649374

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Rural Health Clinic/Center
  • Raeford, NC
  • NPI 1447255328

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
  • NPI 1497757785

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1588668396

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • General Acute Care Hospital
  • Fayetteville, NC
  • NPI 1639172869
  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fayetteville, NC
  • NPI 1639173222

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Stedman, NC
  • NPI 1811999113

  Hospital

  Care Compare affiliation
• Cumberland County Hospital System Inc

  • Rehabilitation Hospital Unit
  • Fayetteville, NC
  • NPI 1821091851
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1609882117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41209",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283091209",
            "telephone_number": "910-609-6448",
            "fax_number": "910-609-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 PROFESSIONAL DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482366",
            "telephone_number": "910-424-0123",
            "fax_number": "910-424-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 W McLean St",
            "address_purpose": "LOCATION",
            "city": "Saint Pauls",
            "state": "NC",
            "postal_code": "283841421",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015570",
            "country_code": "US",
            "telephone_number": "910-615-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760030",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 Pamalee Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033974",
            "country_code": "US",
            "telephone_number": "910-615-6919",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5523 Waldos Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283065505",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-862-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "JOHNNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0090-00780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latanya Yvette Monroe, LCMHC
• Brian E Moore, PHARM D
• Kimberly Mosby, ACNPC-AG
• Mother'S Love Group Home
• Mothers Love Group Home
• Ms. T'S a Home Away From Home
• Lauren Raymes Murray, MS, LCAS, LCMHC
• Swetha Lakshmi Natarajan, MD
• National Vision, Inc.
• Robert Colee Naylor III, OD

• Family Medicine Physician in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.
• 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.

Verify at the official NPI Registry.