Tagbo John Ekwonu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900826 Issued in NC

Practice address

4115 The PLZ
Eastowne Family Physicians, P.a,
Charlotte, NC 28205-1356

Phone

(704) 532-4567

Fax

(704) 532-4580

NPI assigned

Oct 25, 2006

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@eastownefamilyphysicians.e-mdsdirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FCFGDD
• Direct secure messaging: tabo.ekwonu@direct.efp.nchie.net
• Direct secure messaging: tagbo-ekwonu@eastownefamilyphysicians.e-mdsdirect.com

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.

• Eastowne Family Physicians, P.a

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1154518678
  Medicare reassignment NPD Authorized official
• Charlotte Health Initiative, Inc.

  • Case Management Agency
  • Charlotte, NC
  • NPI 1164967444
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1093890535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061280",
            "telephone_number": "704-532-4567",
            "fax_number": "704-532-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 THE PLZ",
            "address_2": "EASTOWNE FAMILY PHYSICIANS, P.A,",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051356",
            "telephone_number": "704-532-4567",
            "fax_number": "704-532-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWONU",
        "first_name": "TAGBO",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "9900826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1235R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891235R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uwadiogbu Odinaka Ejindu, MD
• Theresa Nkechi Ekenedo, NP
• Tiffany Ekker
• Theodore O Ekong
• Ekr, LLC (EKR Counseling Services)
• Nnemka Ijeoma Ekwueme-Sturdivant, MD
• Nicole El Helou, MD
• Nadine Ahmed El Komy, DO
• Lamia El Nawal, PHARMACIST
• Cari Ann El Sheshai, AU.D.

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.