Active NPI
Edwin Aziegbe Avbuere, MD
- Internal Medicine Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2001-01168
- Practice address
- 3231 Yanceyville Street
Greensboro, NC 27405 - Phone
- (336) 358-1528
- Fax
- (336) 358-1582
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2001-01168 | NC | Primary |
Addresses
Primary practice location
3231 Yanceyville Street
Greensboro, NC 27405
Mailing address
PO Box 13070
3231 Yanceyville Street
Greensboro, NC 27405
Phone (336) 358-1528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891309K | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100525000112 | NC | Practitioner - Internal Medicine | 0244369593 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- College of Medicine and Surgery, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3231 Yanceyville St
Greensboro, NC 27405-4043
Phone (336) 358-1528
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-01168 | NC | MD | Internal Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Clinics, PA | Internal Medicine | Current | Accepting new patients |
| Premier Clinics of Rock Hill | Past | Accepting new patients | |
| Alpha Medical Center, PA | Internal Medicine | Past | Accepting new patients |
| Premier Clinics PA | Internal Medicine | Past | Accepting new patients |
Locations
2325 Randleman Rd
Greensboro, NC 27406
Phone (336) 617-2377
3231 Yanceyville St
Greensboro, NC 27405
Phone (336) 358-1528
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- alpha@alpha.medicalservices.net
- https://fhir4.healow.com/fhir/r4/DCFEBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1285719997
Internal Medicine
-
- Clinic/Center
- Rock Hill, SC
- NPI 1407860752
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013019470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13070",
"address_2": "3231 YANCEYVILLE STREET",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-358-1528",
"fax_number": "336-358-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 YANCEYVILLE STREET",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-358-1528",
"fax_number": "336-358-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVBUERE",
"first_name": "EDWIN",
"middle_name": "AZIEGBE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2001-01168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891309K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.