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

Dr. Gouthami Boddu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972173011

Dr. Gouthami Boddu, MD is an Internal Medicine in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Practices with Cumberland County Hospital System Inc, a 592-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 S Poplar St, Elizabethtown, NC 28337-9375 — (910) 862-5100
  • 210 Medical Pavilion Dr, Raeford, NC 28376-9111 — (910) 904-8000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2024-01318 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972173011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cumberland County Hospital System Inc — 592 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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