Individual provider Active NPI

Kelechi C Uwakwe, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Garner, NC
National Provider Identifier
1336654623
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010689 Issued in NC
Practice address
405 Aversboro Rd Ste 400
Garner, NC 27529-3869
Phone
(919) 986-7787
Fax
(919) 944-7329
NPI assigned
Dec 8, 2017
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010689 NC Primary
Family Nurse Practitioner 363LF0000X 222304 NC

Addresses

Primary practice location

405 Aversboro Rd Ste 400
Garner, NC 27529-3869

Mailing address

405 Aversboro Rd Ste 400
Garner, NC 27529-3869
Phone (919) 264-9769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906002212 NC Practitioner - Nurse Practitioner 7113277468 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222304NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lans Angels Inc Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Lans Angels Inc Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince Aug 19, 2018 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wake Specialty Physicians CurrentSince Aug 19, 2018 Accepting new patients
County of Franklin CurrentSince Jan 9, 2023 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wake Specialty Physicians, LLC Nurse Practitioner Current Accepting new patients

Locations

405 Aversboro Rd
Ste 400
Garner, NC 27529
Phone (919) 264-9769

107 Industrial Dr
Ste C
Louisburg, NC 27549
Phone (919) 496-2533

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

123 Sunnybrook Rd
Ste 140
Raleigh, NC 27610
Phone (919) 250-0580

150 E Davie St
Raleigh, NC 27601
Phone (919) 834-5299

2406 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 539-3796

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

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1336654623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVERSBORO RD STE 400",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293869",
            "telephone_number": "919-264-9769",
            "fax_number": "919-944-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVERSBORO RD STE 400",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293869",
            "telephone_number": "919-986-7787",
            "fax_number": "919-944-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWAKWE",
        "first_name": "KELECHI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010689",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "222304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.