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DR. JOHNNIE MOULTRIE MD
NPI 1609882117
Family Medicine in Hope Mills, NC

Active since August 01, 2006PECOS Enrolled
4092 PROFESSIONAL DR, HOPE MILLS, NC 28348(910) 424-0123(910) 424-3852 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Johnnie Moultrie Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNIE MOULTRIE MD (NPI 1609882117) is an individual family medicine provider in Hope Mills, North Carolina, licensed in North Carolina (0090-00780) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1609882117
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHNNIE MOULTRIECredential: MD
Location Address4092 PROFESSIONAL DRHope Mills, NC 28348-2366
Mailing AddressPo Box 41209Fayetteville, NC 28309-1209 · (910) 609-6448 · Fax (910) 609-5070
Phone(910) 424-0123
Fax(910) 424-3852
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1609882117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 0090-00780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4092 PROFESSIONAL DR, Hope Mills, NC 28348
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Secondary Practice Locations 7

Location 15523 Waldos Beach RdFayetteville, NC 28306-5505 · Phone (910) 615-6949 · Fax (910) 615-9761
Location 2580 W McLean StSaint Pauls, NC 28384-1421 · Phone (910) 615-6949 · Fax (910) 615-9761
Location 31638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4000
Location 4501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 862-5100
Location 5150 Robeson StFayetteville, NC 28301-5570 · Phone (910) 615-1000
Location 6300 Medical Pavilion Dr Ste 150Raeford, NC 28376-0030 · Phone (910) 615-6949 · Fax (910) 615-9761
Location 71463 Pamalee DrFayetteville, NC 28303-3974 · Phone (910) 615-6919 · Fax (910) 615-9761

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnnie Moultrie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113027848
PECOS Enrollment IDI20070711000229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Johnnie Moultrie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland County Hospital System Inc
3.0 mi
Family Medicine
2356 JOHN SMITH RD STE 101
Fayetteville, NC 28306
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1366984403 (910) 339-2274
Cape Fear Valley Health Medical Group LLC
4.2 mi
Dermatology
3526 VILLAGE DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1891648747 (910) 609-3970
Hoke Healthcare, LLC
10 mi
Urgent Care
300 MEDICAL PAVILION DR, SUITE 150
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 64 clinicians in this Medicare group
NPI 1730439654 (910) 904-8020
Cape Fear Valley Health System Specialty Group, LLC
11 mi
Family Medicine
580 W MCLEAN ST
Saint Pauls, NC 28384
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1750616108 (910) 615-3570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
259 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
78 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Cape Fear Valley-Bladen County Hospital

Critical Access Hospitals · Elizabethtown, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341315
Location501 South Poplar StreetElizabethtown, NC 28337 · Bladen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28348 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims63 services$6.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers11 claims11 services$5.17 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$32.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$84.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$205.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIRLEY ELBINIAS-TAN MD
Family Medicine
4092 PROFESSIONAL DR
HOPE MILLS, NC 28348
Cumberland County (910) 615-3120
MRS. JENNIFER SMITH FNP
Nurse Practitioner (Family)
4092 PROFESSIONAL DR
HOPE MILLS, NC 28348
Cumberland County (910) 615-3120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnnie Moultrie's NPI number?

The NPI number for Johnnie Moultrie is 1609882117. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Johnnie Moultrie located?

Johnnie Moultrie practices at 4092 Professional Dr, Hope Mills, NC 28348. The listed phone number is (910) 424-0123.

What is Johnnie Moultrie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johnnie Moultrie enrolled in Medicare?

Yes. Johnnie Moultrie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johnnie Moultrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnnie Moultrie reassigns Medicare benefits to 4 organizations: Cumberland County Hospital System Inc (Fayetteville, NC), Cape Fear Valley Health Medical Group LLC (Fayetteville, NC), Hoke Healthcare, LLC (Raeford, NC) and Cape Fear Valley Health System Specialty Group, LLC (Saint Pauls, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnnie Moultrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnnie Moultrie accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Johnnie Moultrie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Johnnie Moultrie affiliated with any hospitals?

According to CMS data, Johnnie Moultrie is affiliated with Cape Fear Valley Medical Center, Cape Fear Valley Hoke Hospital and Cape Fear Valley-Bladen County Hospital.

When was this NPI record last updated?

The NPPES record for Johnnie Moultrie was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.