Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly M Mott, FNP

Individual provider Family Nurse Practitioner · NPI 1750995676

Beverly M Mott, FNP is a Nurse Practitioner in Wallace, North Carolina. Qualified in 2020, 6 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

125 River Vine Pkwy
Wallace, NC 28466-2377
Phone: (910) 285-2134
Fax: (910) 285-4610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5013422 (NC)

Record details

NPI number1750995676
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 8, 2020
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address125 River Vine Pkwy, Wallace, NC 28466-2377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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