Beverly M Mott, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013422 Issued in NC

Practice address

125 River Vine Pkwy
Wallace, NC 28466-2377

Phone

(910) 285-2134

Fax

(910) 285-4610

NPI assigned

Sep 8, 2020

Last updated

May 14, 2026By the provider in NPPES

Sex

Female

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

County of DuplinGroup PAC ID 1456341536, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Duplin

  dba Duplin County Health Services

  • State or Local Public Health Clinic/Center
  • Kenansville, NC
  • NPI 1235198177
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• County of Duplin

  dba Duplin County Emergency Medical Services

  • Land Ambulance
  • Kenansville, NC
  • NPI 1508919069
  NPD

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

• Duplin General Hospital Incorporated

  dba ECU Health Duplin Hospital

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1750995676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIVER VINE PKWY",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662377",
            "telephone_number": "910-285-2134",
            "fax_number": "910-285-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVER VINE PKWY",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662377",
            "telephone_number": "910-285-2134",
            "fax_number": "910-285-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "BEVERLY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Mathis
• Victoria Baucom Matthews, FNP
• Cassandra McAllister
• Lindsey McCombie, PHARMD
• Melieyah Moore
• Courtney Elizabeth Munroe, PHARMD
• Myeyedr Optometry of North Carolina PLLC (MyEyeDr)
• Catherine B Newkirk, RPH, BS, BA
• Ketoyia Newkirk, PA-C
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #05577)

• Family Nurse Practitioner in Wallace, NC
• Providers in Wallace, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.