Faith Primary Care Plus

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAITH PRIMARY CARE PLUS

Practice address

329 Sanford Dr Ste B
Morganton, NC 28655-2576

Phone

(828) 430-9120

Fax

(828) 430-9122

NPI assigned

Jun 11, 2021

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ngonda'Yebenit Nzelle Ngo MayebaNPI 1598020430

Title

Administrator

Phone

(828) 430-9120

Specialties & licenses 3

Addresses

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Faith Primary Care Plus

  dba Faith Primary Care Rural Health

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1942934856
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngonda'Yebenit Nzelle Ngo Mayeba, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Morganton, NC
  • NPI 1598020430
  Medicare reassignment NPD Authorized official
• Abm Enayet Ullah, M.D.

  • Internal Medicine Physician
  • Smithfield, NC
  • NPI 1295813400
  Medicare reassignment NPD
• Justin Crouse, PA-C

  • Physician Assistant
  • Maiden, NC
  • NPI 1134797780
  Medicare reassignment

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1194393769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SANFORD DR STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552576",
            "telephone_number": "828-430-9120",
            "fax_number": "828-430-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 SANFORD DR STE B",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552576",
            "telephone_number": "828-430-9120",
            "fax_number": "828-430-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PRIMARY CARE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "NGO MAYEBA",
        "authorized_official_first_name": "NGONDA'YEBENIT",
        "authorized_official_middle_name": "NZELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-430-9120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ethridge, RN
• Eugene K Olsen DDS II PA (Maple Springs Dental)
• Amy Hemstreet Evans, FNP,CNM
• S R Evans III, M.D.
• Evergreen ENT & Facial Plastic Surgery, PLLC
• Elie Fares, MD
• Savannah Ashley Fauber, OTR/L
• Amanda Ward Faulling
• Nicole Fernandez, PHARMD
• Massimiliano Ludovico Ferrari, DO

• Family Medicine Physician in Morganton, NC
• Providers in Morganton, 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 Sep 11, 2024; 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.