NPIMap

Individual provider Active NPI

Okechukwu Dimkpa, MD

  • Internal Medicine Physician
  • Mullins, SC
National Provider Identifier
1205894243
Registry record updated Sep 5, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jul 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200501338 Issued in NC
Practice address
2829 E Highway 76
Mullins, SC 29574-6035
Phone
(843) 431-2000
NPI assigned
May 1, 2006
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200501338 NC Primary

Addresses

Primary practice location

2829 E Highway 76
Mullins, SC 29574-6035

Mailing address

2829 E Highway 76
Mullins, SC 29574-6035

Other identifiers 3

IdentifierTypeStateIssuer
Q0133FMedicaidSC
5902542MedicaidNC
NC6196COtherNCMEDICARE PTAN INDIVIDUAL, WILKES PHYS NWK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina Past Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Lenoir HM Services LLC Past Accepting new patients
Comprehensive Hospitalist Services of North Carolina LLC Past Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine Past Accepting new patients
Sterling Hospitalist Services of North Carolina Inc. Internal Medicine Past Accepting new patients
Care Plus Urgent Care & Medical Services PastSince Nov 1, 2012 Accepting new patients
Sampson Regional Hospitalists, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1205894243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746035",
            "telephone_number": "843-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMKPA",
        "first_name": "OKECHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200501338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0133F",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902542",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL, WILKES PHYS NWK",
            "identifier": "NC6196C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.