Individual provider Active NPI

Ama Birago Adusei

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1245773498
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07741 Issued in NC
Practice address
1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone
(704) 446-1900
NPI assigned
Nov 21, 2016
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07741 NC Primary

Addresses

Primary practice location

1010 Edgehill Rd N
Charlotte, NC 28207-1885

Mailing address

1010 Edgehill Rd N
Charlotte, NC 28207-1885

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910000463 NC Practitioner - Physician Assistant 5294085452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

200 Godwin Ave
Suite C
Lumberton, NC 28358-3150
Phone (910) 674-4814

201 W Marion St
Suite 100
Shelby, NC 28150-5094
Phone (704) 476-4027

2505 Court Dr
Gastonia, NC 28054-2140
Phone (704) 842-6475

3057 Freedom Dr
Charlotte, NC 28208-3859
Phone (704) 525-3255

319 Chapanoke Rd
Raleigh, NC 27603-3433

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1522

4140 Cherry St
Winston Salem, NC 27105-2536
Phone (336) 306-9630

809 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 442-0333

820 Grimes Blvd
Lexington, NC 27292-7640
Phone (336) 224-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sna Psychiatry Current Accepting new patients
Monarch CurrentSince May 27, 2023 Accepting new patients
Optimed Hospitalists CurrentSince Jan 1, 2020 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 15, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 15, 2018 Accepting new patients
Monarch CurrentSince May 27, 2023 Accepting new patients
Monarch Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

193 Lowes Dr
Ste 101102
Pittsboro, NC 27312

1001 Navaho Dr
Ste 100
Raleigh, NC 27609
Phone (919) 856-4703

319 Chapanoke Rd
Ste 119
Raleigh, NC 27603

809 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 442-0333

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1245773498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-446-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSEI",
        "first_name": "AMA",
        "middle_name": "BIRAGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.