Individual provider Active NPI

Surafeal Ghedamu Abraha, MD

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1306930631
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-00035 Issued in NC
Practice address
500 Jefferson St
Whiteville, NC 28472-3634
Phone
(910) 642-1776
Fax
(910) 642-9305
NPI assigned
Oct 3, 2006
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-00035 NC Primary

Addresses

Primary practice location

500 Jefferson St
Whiteville, NC 28472-3634

Mailing address

PO Box 602530
Charlotte, NC 28260-2530
Phone (910) 642-1776

Other practice location 1

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Other identifiers 2

IdentifierTypeStateIssuer
1306930631MedicaidNC
NC2273MedicaidSC

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
I20071210000564 NC Practitioner - Internal Medicine 6103848874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00035NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Jun 3, 2021 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Dec 21, 2019 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Mar 10, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount Internal Medicine CurrentSince Sep 23, 2018 Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince Jun 3, 2021 Accepting new patients
NC Comprehensive Hospitalists PLLC Past Accepting new patients
Lenoir HM Services LLC Past Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
North Carolina Group Services, PLLC PastSince Feb 9, 2020 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1385 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 537-9176

210 Smith Church Rd
Ste B
Roanoke Rapids, NC 27870
Phone (252) 535-8870

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: sabraha350926@directhisp.wakemed.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1306930631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602530",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602530",
            "telephone_number": "910-642-1776",
            "fax_number": "910-642-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-642-1776",
            "fax_number": "910-642-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHA",
        "first_name": "SURAFEAL",
        "middle_name": "GHEDAMU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-00035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306930631",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.