Individual provider Active NPI

Joseph Chiso Okoye, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1063407625
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
200400929 Issued in NC
Practice address
1220 Eastway Dr
Charlotte, NC 28205-2202
Phone
(704) 360-8893
Fax
(704) 626-6515
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27261 SC
Hospitalist Physician 208M00000X 27261 SC
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 200400929 NC Primary

Addresses

Primary practice location

1220 Eastway Dr
Charlotte, NC 28205-2202

Mailing address

1220 Eastway Dr
Charlotte, NC 28205-2202
Phone (704) 360-8893

Other identifiers 3

IdentifierTypeStateIssuer
272617MedicaidSC
89059FCMedicaidNC
P00708649OtherSCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041117000176 SC Practitioner - Internal Medicine 4880658020 Reassigns benefits to 3 organizations
I20050504000697 NC Practitioner - Internal Medicine 4880658020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastway Medical Center and Urgent Care PLLCGroup PAC ID 4981971348, 2 clinicians

Practice addresses (Care Compare)

1220 Eastway Dr
Charlotte, NC 28205-2202
Phone (704) 360-8898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400929NCMDAdolescent Medicine (Internal Medicine) Physician
27261SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 3, 2013 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Oct 13, 2008 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Oct 13, 2008 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Oct 14, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Oct 13, 2008 Accepting new patients
Pelham Medical Center CurrentSince Oct 13, 2008 Accepting new patients
Charlotte Weight Loss and Wellness Clinic Internal Medicine CurrentSince Jun 29, 2025 Accepting new patients
York Physician Services PC Hospitalist Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

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

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • Direct secure messaging: joseph.okoye.1@26979.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1063407625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "JOSEPH",
        "middle_name": "CHISO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "27261",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "27261",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NC",
            "license": "200400929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272617",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89059FC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00708649",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.