Individual provider Active NPI

Sylvia Ifeyinwa Okoye, M.D

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1285883884
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010-01533 Issued in NC
Practice address
1220 Eastway Dr
Charlotte, NC 28205-2202
Phone
(704) 360-8893
Fax
(704) 626-6515
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 002503 GA
Internal Medicine Physician 207R00000X 2010-01533 NC Primary

Addresses

Primary practice location

1220 Eastway Dr
Charlotte, NC 28205-2202

Mailing address

1220 Eastway Dr
Charlotte, NC 28205-2202
Phone (704) 360-8893

Other identifiers 3

IdentifierTypeStateIssuer
1285883884MedicaidNC
5916336MedicaidNC
330635MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000573 NC Practitioner - Internal Medicine 3173719234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastway Medical Center and Urgent Care PLLCGroup PAC ID 4981971348, 2 clinicians

Practice addresses (Care Compare)

1220 Eastway Dr
Charlotte, NC 28205-2202
Phone (704) 360-8898

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-01533NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastway Medical Clinic & Urgent Care, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Charlotte Weight Loss and Wellness Clinic Internal Medicine CurrentSince Jun 29, 2025 Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sylvia.okoye.1@26979.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1285883884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "SYLVIA",
        "middle_name": "IFEYINWA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "002503",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-01533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285883884",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916336",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330635",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.