Active NPI
Vida Kena-Dankwah Gyamfi, MSN, FNP-C
- Family Nurse Practitioner
- Clinton, NC
National Provider Identifier
1124808894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GYAM-BX7OM
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 294130 | NC | MD | Registered Nurse |
| GYAM-BX7OM | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Clinton, NC
- NPI 1073638557
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
- Federally Qualified Health Center (FQHC)
- Mount Olive, NC
- NPI 1700901287
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.