John Matthews Wooten, MD
Individual provider Active NPI Emergency Medicine Physician · Chapel Hill, NC
NPI 1669035853 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1669035853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2021-03331 (NC)
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (984) 974-4721
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Brody School of Medicine at East Carolina University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Emergency Physicians PA
Practice addresses (Care Compare)
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 233-2300
Hospital & facility affiliations
- Pruitthealth Hospice - Rocky Mount
- Wakemed, Raleigh Campus
- Unc Lenoir Health Care
- Wakemed, Cary Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Neighborhealth Center Inc |
Federally qualified health center | Corporate Director | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220706000609 | NC | Practitioner - Emergency Medicine | 4981938388 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-03331 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Emergency Medicine | Current |
Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- jwooten457007@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2021-03331 | NC | Yes |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
170 Manning Dr # 7594
Chapel Hill, NC 27514-4221
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 859-3373
Other providers in Chapel Hill, NC
- Danielle Marino Woody
- Jennifer Rhodes Woody
- Jesse Williams Woon
- John Woosley
- Carol G. Fountain Wooten
- Nathaniel Gray Wooten
- Cameron Penland Worden
- Juliana Workman
- Rebecca Marie Workman
- Carol Diane Worley
All providers in Chapel Hill, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.