Freedom Medical Clinic & Urgent Care PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FREEDOM MEDICAL CLINIC & URGENT CARE PA

Practice address

2905 Freedom Drive
Charlotte, NC 28208-3857

Phone

(704) 394-3033

Fax

(704) 394-3395

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ndofunsu Badika, MDNPI 1114915758

Title

Owner

Phone

(704) 394-3033

Specialties & licenses 1

Addresses

Other identifiers 2

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ndofunsu M Badika, M.D.

  • Hospitalist Physician
  • High Point, NC
  • NPI 1114915758
  Medicare reassignment NPD Authorized official
• Rita Nkem Agunobi, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1205374865
  NPD (past)
• Agnes Ewo Mihngha

  • Nurse Practitioner
  • Kings MTN, NC
  • NPI 1548775950
  NPD (past)
• Leslie Gibbs Morton, RN, FNP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1528790425
  NPD (past)
• Eomba Pungu, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1174047070
  NPD (past)
• Tsha Edith Pungu

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1831617455
  NPD (past)
• Charvel Stanejko, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1376316729
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1255450235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 FREEDOM DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083857",
            "telephone_number": "704-394-3033",
            "fax_number": "704-394-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 FREEDOM DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083857",
            "telephone_number": "704-394-3033",
            "fax_number": "704-394-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL CLINIC & URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "BADIKA",
        "authorized_official_first_name": "NDOFUNSU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-394-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PTAN",
            "identifier": "2346988",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Free Zone Home Care LLC
• Samantha Free
• Daniel B Freedman, LCSW
• Freedom Callers
• Freedom Care of North Carolina
• Freedom Now Healthcare Services
• Freedom Now Home Care-NC, LLC
• Freedom Now Services LLC
• Freedom Path Transitional Housing LLC
• Freedom Services, LLC

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.