Individual provider Active NPI

Edwin Aziegbe Avbuere, MD

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1013019470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001-01168 Issued in NC
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891309KMedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-01168NCMDInternal Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Alpha Clinics, PA Internal Medicine CurrentSince Oct 1, 2002 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 PastSince Nov 1, 2000 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

  • Direct secure messaging: alpha@alpha.medicalservices.net
  • FHIR API: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.