Individual provider Active NPI

Sylvia Ezewuzie, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1013504356
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5013902 Issued in NC
Practice address
249 E NC Highway 54 Ste 320
Durham, NC 27713-2490
Phone
(919) 907-3334
Fax
(919) 907-3335
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5013902 NC Primary

Addresses

Primary practice location

249 E NC Highway 54 Ste 320
Durham, NC 27713-2490

Mailing address

249 E NC Highway 54 Ste 320
Durham, NC 27713-2490
Phone (919) 907-3334

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211003017 NC Practitioner - Nurse Practitioner 0244645844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holly Hill Hospital LLCGroup PAC ID 7810806650, 10 clinicians
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians

Practice addresses (Care Compare)

3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone (919) 250-7000

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013902NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Springs Physician Group, LLC Multi-Specialty CurrentSince Feb 8, 2021 Accepting new patients
Holly Hill Hospital LLC Multi-Specialty CurrentSince Mar 12, 2022 Accepting new patients
Garner Behavioral Hospital, LLC Multi-Specialty CurrentSince Mar 15, 2025 Accepting new patients
Optimal Behavioral Health Current Accepting new patients

Locations

101 S 5th St
Ste 3850
Louisville, KY 40202

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1013504356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "919-907-3334",
            "fax_number": "919-907-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "919-907-3334",
            "fax_number": "919-907-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEWUZIE",
        "first_name": "SYLVIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.