Jojo Kienga Paka, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5018253 Issued in NC

Practice address

1449 Freeway Dr Ste F
Reidsville, NC 27320-7122

Phone

(336) 280-0595

NPI assigned

Jun 14, 2023

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jojo Paka Other name

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Margaret Bowen MD, PLLCGroup PAC ID 0547529620, 5 clinicians

Southlight HealthcareGroup PAC ID 6901947613, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jojo.paka@direct.slhc.nchie.net

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.

• Margaret Bowen MD PLLC

  • General Practice Physician
  • Reidsville, NC
  • NPI 1265949788
  Medicare reassignment Care Compare group NPD
• Southlight Healthcare

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1316268345
  Medicare reassignment Care Compare group NPD
• Southlight Healthcare

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1932300019
  NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1265116750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEMORIAL CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204222",
            "telephone_number": "919-670-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 FREEWAY DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207122",
            "telephone_number": "336-280-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272622650",
            "country_code": "US",
            "telephone_number": "336-280-0595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKA",
        "first_name": "JOJO",
        "middle_name": "KIENGA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187580",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOJO",
            "last_name": "PAKA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Rose O'Boyle, LCSW
• Cheryl O'Mara, PT
• Oakwood Family Care Home (Melvin L. Blackwell)
• Occupational Wisdom, PLLC
• Savannah Marie Ornt, LCMHCA
• Catherine Anne Pappayliou, D.O.
• Heather Carter Parrish, NP
• James B Parsons, M.D.
• Folashade Ruth Paseda, FNP
• Rutwik Kiritbhai Patel, MD

• Psychiatric/Mental Health Nurse Practitioner in Reidsville, NC
• Providers in Reidsville, NC by specialty
• 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 Feb 29, 2024; 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.