Active NPI
Abla Djigbodi Afatsawo, APRN
- Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1295226199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5010554
- Practice address
- 112 N Benbow Rd
Greensboro, NC 27411-0001 - Phone
- (336) 334-7880
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5010554 | NC | Primary |
Addresses
Primary practice location
112 N Benbow Rd
Greensboro, NC 27411-0001
Mailing address
112 N Benbow Rd
Greensboro, NC 27411-9084
Phone (336) 334-7880
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190506001130 | NC | Order and Referring Only - Nurse Practitioner | 2062754450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1295226199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N BENBOW RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274119084",
"telephone_number": "336-334-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N BENBOW RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274110001",
"telephone_number": "336-334-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFATSAWO",
"first_name": "ABLA",
"middle_name": "DJIGBODI",
"name_prefix": "Dr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5010554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.