Individual provider Active NPI

Ureh Nnenna Lekwauwa, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Thomasville, NC
National Provider Identifier
1154366375
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
38530 Issued in NC
Practice address
207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone
(336) 475-8121
Fax
(336) 475-5377
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 38530 NC Primary

Addresses

Primary practice location

207 Old Lexington Rd
Thomasville, NC 27360-3428

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 475-8121

Other identifiers 2

IdentifierTypeStateIssuer
135JCOtherNCBLUE CROSS BLUE SHIELD
8911131MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ulekwauwa163506@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116001037 NC Practitioner - Psychiatry 2567363054 Reassigns benefits to 4 organizations
Practice locations: Winston Salem, NC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

175 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6951
Phone (336) 718-3550

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 475-8121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38530NCMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 27, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Sep 15, 2020 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Mar 27, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 15, 2020 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477

Interoperability endpoints

  • Direct secure messaging: ulekwauwa163506@direct.novanthealth.org

Organizations & group practices 9

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1154366375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-475-8121",
            "fax_number": "336-475-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OLD LEXINGTON RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603428",
            "telephone_number": "336-475-8121",
            "fax_number": "336-475-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKWAUWA",
        "first_name": "UREH",
        "middle_name": "NNENNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "38530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "135JC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911131",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ulekwauwa163506@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "207 Old Lexington Rd",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273603428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.