Individual provider Active NPI

Charles Chike Anikwue, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1124061924
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22208 Issued in NC
Practice address
1928 Randolph Rd
Ste. 206
Charlotte, NC 28207-1105
Phone
(704) 332-3308
Fax
(704) 332-3358
NPI assigned
Jun 13, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22208 NC Primary
Obstetrics & Gynecology Physician 207V00000X 0101037694 VA
Obstetrics & Gynecology Physician 207V00000X 48288-020 WI
Obstetrics & Gynecology Physician 207V00000X 036-103874 IL
Obstetrics & Gynecology Physician 207V00000X 45318 MN
Obstetrics & Gynecology Physician 207V00000X 4301085899 MI

Addresses

Primary practice location

1928 Randolph Rd
Ste. 206
Charlotte, NC 28207-1105

Mailing address

PO Box 680447
Charlotte, NC 28216-0008
Phone (704) 332-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22208NCMDPharmacist
036-103874ILMDObstetrics & Gynecology Physician
45318MNMDObstetrics & Gynecology Physician
0101037694VAMDObstetrics & Gynecology Physician
48288-020WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Womens Pavilion Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1124061924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160008",
            "telephone_number": "704-332-3308",
            "fax_number": "704-332-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 RANDOLPH RD",
            "address_2": "STE. 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071105",
            "telephone_number": "704-332-3308",
            "fax_number": "704-332-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIKWUE",
        "first_name": "CHARLES",
        "middle_name": "CHIKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "22208",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101037694",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "48288-020",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-103874",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "45318",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301085899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.