Individual provider Active NPI

Courage Osifo Emokpae, MD

  • Family Medicine Physician
  • Rocky Mount, NC
National Provider Identifier
1033175401
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-01300 Issued in NC
Practice address
576 Shellcastle Rd
Rocky Mount, NC 27804-7710
Phone
(201) 407-0140
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45533 MN
Family Medicine Physician 207Q00000X 2010-01300 NC Primary

Addresses

Primary practice location

576 Shellcastle Rd
Rocky Mount, NC 27804-7710

Mailing address

576 Shellcastle Rd
Rocky Mount, NC 27804-7710
Phone (201) 407-0140

Other identifiers 3

IdentifierTypeStateIssuer
01-13570OtherMEDICA
224M6EMOtherBCBS
362165100MedicaidMN

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
I20110112000137 NC Practitioner - Family Practice 2466346697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

1200 N Elm St
Greensboro, NC 27401-1020

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

618 S Main St
Reidsville, NC 27320-5020
Phone (336) 951-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45533MNMDFamily Medicine Physician
2010-01300NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 7, 2018 Accepting new patients
High Point Regional Health Current Accepting new patients
High Point Regional Health CurrentSince Feb 1, 2015 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 7, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 1, 2017 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Durham County, PLLC Past Accepting new patients
Neuse River Emergency Physicians Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

319 Westwood Ave
High Point, NC 27262
Phone (336) 878-6471

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

319 Westwood Ave
Uppr
High Point, NC 27262
Phone (336) 878-6419

624 Quaker Ln
Ste 207C
High Point, NC 27262
Phone (336) 883-2500

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

210 Smith Church Rd
Ste B
Roanoke Rapids, NC 27870
Phone (252) 535-8870

1385 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 537-9176

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 9

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1033175401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 SHELLCASTLE RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047710",
            "telephone_number": "201-407-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 SHELLCASTLE RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047710",
            "telephone_number": "201-407-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMOKPAE",
        "first_name": "COURAGE",
        "middle_name": "OSIFO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45533",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-01300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-13570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "224M6EM",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362165100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.