Individual provider Active NPI

Vida Kena-Dankwah Gyamfi, MSN, FNP-C

  • Family Nurse Practitioner
  • Clinton, NC
National Provider Identifier
1124808894
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GYAM-BX7OM Issued in NC
Practice address
906 N US 421 Hwy
Clinton, NC 28328-0410
Phone
(910) 592-1462
Fax
(910) 808-1040
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 294130 NC
Family Nurse Practitioner 363LF0000X GYAM-BX7OM NC Primary

Addresses

Primary practice location

906 N US 421 Hwy
Clinton, NC 28328-0410

Mailing address

PO Box 187
Faison, NC 28341-0187
Phone (910) 935-1195

Other names 1

  • Vida Kena Dankwah Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000505 NC Practitioner - Nurse Practitioner 0042662199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

906 N US Hwy 421
Clinton, NC 28328-0410
Phone (910) 592-1462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
294130NCMDRegistered Nurse
GYAM-BX7OMNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 8, 2024 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jan 8, 2024 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

906 N US Highway 421
Clinton, NC 28328
Phone (910) 592-1462

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

911 Hay St
Fayetteville, NC 28305
Phone (910) 438-0939

Interoperability endpoints

  • Direct secure messaging: vgyamfi@goshenmedical.cloudcraftdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1124808894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187",
            "telephone_number": "910-935-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N US 421 HWY",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283280410",
            "telephone_number": "910-592-1462",
            "fax_number": "910-808-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAMFI",
        "first_name": "VIDA",
        "middle_name": "KENA-DANKWAH",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "294130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "GYAM-BX7OM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIDA",
            "last_name": "DANKWAH",
            "middle_name": "KENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.