Angier Pediatrics and Adult Medical Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC

Practice address

441 Lakestone Commons Ave
Fuquay Varina, NC 27526-6972

Phone

(919) 577-0481

Fax

(919) 577-0512

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kingsley Chuks Ugochukwu, M.DNPI 1306918123

Title

Medical Director

Phone

(919) 234-3517

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kingsley Chuks Ugochukwu, MD

  • Family Medicine Physician
  • Fuquay-Varina, NC
  • NPI 1306918123
  Medicare reassignment NPD Authorized official
• Latoshia Danielle Williams, FNP-C

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1548669104
  Medicare reassignment NPD
• Shakeila Bell, FNP

  • Nurse Practitioner
  • Fuquay Varina, NC
  • NPI 1902433444
  NPD
• Uchenna Harrison Enyinnaya, NP

  • Family Nurse Practitioner
  • Fuquay Varina, NC
  • NPI 1427643857
  NPD
• Susan G Edwards, PA C

  • Physician Assistant
  • Benson, NC
  • NPI 1356453120
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1104096015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HOWARD GROVE PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LAKESTONE COMMONS AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275266972",
            "telephone_number": "919-577-0481",
            "fax_number": "919-577-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "UGOCHUKWU",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "CHUKS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-234-3517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136U6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy N. Balfour, Speech-Language Pathologist, PLLC
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• Daniel Amyradakis, D.D.S
• Rosalind Gayla Anderson-Fennell
• Alyssa Anderson
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• Caroline Ardis
• Argus Optics Store #1 Inc
• Argus Optics Store #1 Inc

• Family Medicine Physician in Fuquay Varina, NC
• Providers in Fuquay Varina, 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 Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.