Active NPI
Omolara Layeni, PA-C
- Physician Assistant
- Pineville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001005636
- Practice address
- 9101 Pineville Matthews Rd Ste C4
Pineville, NC 28134-8840 - Phone
- (980) 202-7920
- NPI assigned
- Nov 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001005636 | NC | Primary |
Addresses
Primary practice location
9101 Pineville Matthews Rd Ste C4
Pineville, NC 28134-8840
Mailing address
9628 Rea Rd
Charlotte, NC 28277-6697
Phone (704) 542-5072
Other practice location 1
9628 Rea Rd
Charlotte, NC 28277-6697
Phone (704) 542-5072
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15015 Lancaster Hwy
Suite 200
Charlotte, NC 28277-2010
Phone (980) 202-7980
2810 Maplewood Ave
Winston Salem, NC 27103-4138
Phone (336) 860-6194
500 Pineview Dr
Suite 205
Kernersville, NC 27284-3814
Phone (336) 329-3295
9101 Pineville Matthews Rd
Suite C4
Pineville, NC 28134-8840
Phone (980) 202-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physicians PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- olayeni281163@direct.novanthealth.org
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.
-
- Family Medicine Physician
- Kernersville, NC
- NPI 1487276499
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1790706844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1063766848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9628 REA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776697",
"telephone_number": "704-542-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 PINEVILLE MATTHEWS RD STE C4",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348840",
"telephone_number": "980-202-7920"
}
],
"practiceLocations": [
{
"address_1": "9628 Rea Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282776697",
"country_code": "US",
"telephone_number": "704-542-5072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAYENI",
"first_name": "OMOLARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001005636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.