Active NPI
Chinazaekpele Nweke
- Internal Medicine Physician
- Longview, TX
National Provider Identifier
1063101319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026-03821
- Practice address
- 700 E Marshall Ave
Longview, TX 75601-5580 - Phone
- (903) 315-2000
- NPI assigned
- May 3, 2023
- Last updated
- Aug 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 2026-03821 | NC | Primary |
Addresses
Primary practice location
700 E Marshall Ave
Longview, TX 75601-5580
Mailing address
1100 McCann Rd Apt F304
Longview, TX 75601-0038
Phone (310) 908-0477
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5663
Other practice location 2
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other practice location 3
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other practice location 4
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20230725000332 | TX | Order and Referring Only - Internal Medicine | 4688034572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1063101319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MCCANN RD APT F304",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756010038",
"telephone_number": "310-908-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015580",
"telephone_number": "903-315-2000"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5663",
"fax_number": "910-615-5080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"fax_number": "910-904-8445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"fax_number": "910-904-8445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWEKE",
"first_name": "CHINAZAEKPELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2026-03821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.