Nneoma Ogonnaya Aham-Iroetugo, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Greensboro, NC
NPI 1285320697 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1285320697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5018579 (NC)
- Practice address
- 3801 W Market St
Greensboro, NC 27407-1301 - Phone
- (336) 883-0029
- Fax
- (336) 883-0867
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Transitions Therapeutic Care LLC
Capeside Psychiatry PLLC
Practice addresses (Care Compare)
114 S Westgate Dr
Suite E
Greensboro, NC 27407-1686
Phone (336) 907-7308
311 Judges Rd
Suite 4E
Wilmington, NC 28405-3655
Phone (910) 791-6767
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824002503 | NC | Practitioner - Nurse Practitioner | 1658734520 | Reassigns benefits to 3 organizations |
| I20250404000716 | VA | Practitioner - Nurse Practitioner | 1658734520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288588 | NC | MD | Psychiatric/Mental Health Registered Nurse |
| 5018579 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret Bowen MD PLLC | Current |
Accepting new patients | |
| Transitions Therapeutic Care LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Capeside Psychiatry, PLLC | Current |
Accepting new patients | |
| Bethany Medical Center | Past | Accepting new patients | |
| Bethany Medical Center | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
300 S Westgate Dr
Ste A
Greensboro, NC 27407
Phone (336) 907-7308
114 S Westgate Dr
Ste E
Greensboro, NC 27407
Phone (336) 907-7308
102 Elizabeth St
Ste D
Jacksonville, NC 28540
1449 Freeway Dr
Ste F
Reidsville, NC 27320
Phone (336) 280-0595
311 Judges Rd
Ste 4E
Wilmington, NC 28405
Phone 910791676724
255 Riverside Dr
Bassett, VA 24055
Phone (276) 296-0030
Interoperability endpoints
- nneoma.ahamiroetugo.p1@direct.daymarkrecovery.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5018579 | NC | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 288588 | NC |
Addresses
Primary practice location
3801 W Market St
Greensboro, NC 27407-1301
Mailing address
645 N Main St
High Point, NC 27260-5017
Other practice location 1
507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029
Other practice location 2
3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 883-0029
Other practice location 3
975 Nc Highway 66 S
Kernersville, NC 27284-3132
Phone (336) 883-0029
Other providers in Greensboro, NC
- Eneida Agolli
- Daniela Aguilar Abisad
- Andreeck Ariel Aguilar
- Stanley O Agwanihu
- Harriet Agyepong
- Lindsi Ahearn
- Antonia B Ahern
- Elizabeth Ahern
- Benjamin William Ahlers
- Aya Ahmed
All providers in Greensboro, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.