Active NPI
Ryan Michael Anyanwu
- Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09054
- Practice address
- 3501 W Holcombe Blvd
Houston, TX 77025-1313 - Phone
- (281) 407-9341
- NPI assigned
- Jan 30, 2013
- Last updated
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2453 | SC | |
| Physician Assistant | 363A00000X | 0010-06077 | NC | |
| Physician Assistant | 363A00000X | PA09054 | TX | Primary |
Addresses
Primary practice location
3501 W Holcombe Blvd
Houston, TX 77025-1313
Mailing address
5717 Albemarle Rd
Charlotte, NC 28212-1634
Other practice location 1
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578
1090 NE Gateway CT NE
Suite 202
Concord, NC 28025-2423
Phone (704) 403-9050
119 Market Place Ave
Suite D
Mooresville, NC 28117-9157
Phone (704) 801-9140
12016 Lemmond Farm Dr
Charlotte, NC 28227-8353
12905 Rosedale Hill Ave
Huntersville, NC 28078-3341
Phone (704) 801-1000
14001 E Independence Blvd
Suite C
Indian Trail, NC 28079-9658
Phone (704) 247-6598
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
1426 E Morehead St
Charlotte, NC 28204-2926
Phone (704) 446-6090
1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610
3320 Robinwood Rd
Suite 100
Gastonia, NC 28054-6689
Phone (980) 487-2930
340 Jake Alexander Blvd W
Suite 105
Salisbury, NC 28147-1364
Phone (704) 403-6240
50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
5727 Prosperity Crossing Dr
Suite 1100
Charlotte, NC 28269-5604
Phone (704) 863-9930
6030 W Hwy 74
Indian Trail, NC 28079-3469
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone (704) 283-8193
703 Leonard Ave
Albemarle, NC 28001-5257
Phone (704) 550-0050
910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268
9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590
9325 JW Clay Blvd
Suite 221
Charlotte, NC 28262-5411
Phone (704) 863-9050
9332 S Tryon St
Charlotte, NC 28273-3108
Phone (704) 587-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09054 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Mecklenburg Medical Group | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Physician Assistant | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590
1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
Interoperability endpoints
- ranyanwu342137@carolinashealthcaresystem.direct-ci.com
- ranyanwu709551@direct.novanthealth.org
Organizations & group practices 17
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.
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
dba Memorial Hermann-GoHealth Urgent Care
- Family Medicine Physician
- Sugar Land, TX
- NPI 1730821208
-
dba Atrium Health Urgent Care Arboretum
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Salisbury, NC
- NPI 1053296509
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Women's Care Urogynecology and Pelvic Surgery
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Charlotte, NC
- NPI 1548876923
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1073851770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 ALBEMARLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282121634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251313",
"telephone_number": "281-407-9341"
}
],
"practiceLocations": [
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYANWU",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2453",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06077",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.