Martha Lumngwegang Eseh, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5017881 Issued in NC

Practice address

2554 Lewisville Clemmons Rd Ste 305K
Clemmons, NC 27012-8110

Phone

(336) 283-7140

Fax

(866) 543-9146

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Martha Gibbs Former name

Medicare fee-for-service enrollment

Enrolled in NC, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Headspace & Wellness Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clemmons, NC
  • NPI 1811680390

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Second Chance Behavioral Health

  • Mental Health Counselor
  • New Bern, NC
  • NPI 1205341112

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1194427872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 ARNOLD PALMER DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD STE 305K",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "336-283-7140",
            "fax_number": "866-543-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEH",
        "first_name": "MARTHA",
        "middle_name": "LUMNGWEGANG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "ESEH-Q3N09",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "GIBBS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Charles Embroz
• Janie Emory, MS. CCC-SLP
• Uzma Enayatulla-Nasir, M.D.
• Parks Engstrom
• Envision Behavioral Health PLLC
• Myshalae Jamerson Euring, PHD, LCMHC, CRC, NCC
• Robert S Evans, M.S., CCC-SLP
• Esther Fakayode, NURSE PRACTIONER
• Lauren Elizabeth Fennell, CNM
• Charntera Georijeana Ferguson

• All providers in Clemmons, NC
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.

Verify at the official NPI Registry.