NPIMap

Individual provider Active NPI

Roxie C Wells, M.D.

  • Family Medicine Physician
  • Wallace, NC
National Provider Identifier
1740331545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200200299 Issued in NC
Practice address
112 Medical Village Dr
Wallace, NC 28466-1668
Phone
(910) 285-2111
Fax
(910) 285-4436
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200200299 NC Primary

Addresses

Primary practice location

112 Medical Village Dr
Wallace, NC 28466-1668

Mailing address

112 Medical Village Dr
Wallace, NC 28466-1668
Phone (910) 285-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100123000205 NC Practitioner - Family Practice 3375685795 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Healthcare, LLC Current Accepting new patients
Bladen Healthcare, LLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Hoke Healthcare, LLC CurrentSince Aug 1, 2013 Accepting new patients
Hoke Healthcare LLC CurrentSince Aug 1, 2013 Accepting new patients
Bladen Healthcare LLC CurrentSince Jan 1, 2017 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 1, 2010 Accepting new patients
Duplin Medical Association Inc PastSince Feb 24, 2014 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1463 Pamalee Dr
Fayetteville, NC 28303
Phone (910) 482-3000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

6387 Ramsey St
Unit 210
Fayetteville, NC 28311
Phone (910) 609-3920

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035

114 Forte Rd
Stedman, NC 28391
Phone (910) 485-6228

Interoperability endpoints

  • Direct secure messaging: rwells35344@capefearvalley.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Fear Valley Bladen Medical AssociatesElizabethtown, NC, CCN 343469 Rural health clinic W-2 Managing Employee Jul 9, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740331545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEDICAL VILLAGE DR",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661668",
            "telephone_number": "910-285-2111",
            "fax_number": "910-285-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MEDICAL VILLAGE DR",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661668",
            "telephone_number": "910-285-2111",
            "fax_number": "910-285-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ROXIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200200299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

Verify at the official NPI Registry.