Chidebe Udeozo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2011-01366 Issued in NC

Practice address

300 E McKay St
Elizabethtown, NC 28337-9037

Phone

(910) 862-5500

Fax

(910) 862-5501

NPI assigned

Apr 23, 2008

Last updated

Mar 5, 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 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315
• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304
• Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151
• Cape Fear Valley-Bladen County Hospital Nursing home, CCN 34Z315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cudeozo10215@capefearvalley.direct-ci.com
• Direct secure messaging: cudeozo208084@direct.unc.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.

• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Cfvhs Ed Physicians

  • Emergency Medicine Physician
  • Fayetteville, NC
  • NPI 1215931589
  Medicare reassignment NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• Bladen Healthcare LLC

  dba Cape Fear Valley BMA Clarkton

  • Rural Health Clinic/Center
  • Clarkton, NC
  • NPI 1043759335
  NPD
• Cfvhs Ed Physicians

  dba CFVHS ED Physicians Hoke

  • Emergency Medicine Physician
  • Raeford, NC
  • NPI 1790183184
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830

  Family Medicine

  NPD
• Unc Physicians Network LLC

  dba UNC Internal Medicine at Weaver Crossing

  • Internal Medicine Physician
  • Chapel Hill, NC
  • NPI 1679996292
  NPD
• Bladen Healthcare, LLC

  dba Cape Fear Valley Bladen Women's Health Specialists

  • Obstetrics & Gynecology Physician
  • Elizabethtown, NC
  • NPI 1477729952
  NPD (past)
• Carolina Kidney Care, PA

  • Nephrology Physician
  • Fayetteville, NC
  • NPI 1831198761
  NPD (past)
• Palmetto Health

  dba Palliative Care

  • Palliative/Hospice Certified Respiratory Therapist
  • Columbia, SC
  • NPI 1891983128
  NPD (past)

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

• Bladen Healthcare LLC

  dba CFV Bladen County Hospital-Swing Bed Unit

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1548436272

  Nursing home

  Care Compare affiliation
• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation
• East Carolina Health

  dba ECU Health Roanoke-Chowan Hospital

  • General Acute Care Hospital
  • Ahoskie, NC
  • NPI 1467441394
  Care Compare affiliation
• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health-Bertie

  dba ECU Health Bertie Hospital

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation
• Halifax Regional Medical Center Inc

  dba ECU Health North Hospital

  • General Acute Care Hospital
  • Roanoke Rapids, NC
  • NPI 1346273943
  Care Compare affiliation

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1316112105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RAMSEY ST",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014952",
            "telephone_number": "910-723-7959",
            "fax_number": "910-323-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Airport Rd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011604",
            "country_code": "US",
            "telephone_number": "252-522-7197",
            "fax_number": "252-522-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDEOZO",
        "first_name": "CHIDEBE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386175",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918919",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cudeozo208084@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Airport Rd Fl 4",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Quinn Thomas
• Rogenia Rae Toro, COTA/L
• Total Renal Care of North Carolina LLC (Southeastern Dialysis Center Elizabethtown)
• Tracie L. Vestal DDS PA
• Nancy West Tyndall, FNP-C
• Jose Gerardo Vergara, M.D.
• Tracie Leigh Vestal, DDS
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1166)
• Walgreen Co (Walgreens #15273)
• Elaine Walker, MSW, ACSW, LCSW

• Family Medicine Physician in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.