Ngozi Nnaji, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5008979 Issued in NC

Practice address

307 Wild Laurel CT
Waxhaw, NC 28173-6101

Phone

(704) 264-6208

NPI assigned

May 2, 2007

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Ngozi Nnaji Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nnnaji80184@direct.novanthealth.org

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.

• Mindhealth Behavioral PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1154035012
  Medicare reassignment Authorized official
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Intercare Home Health Service LLC

  • Home Health Agency
  • Charlotte, NC
  • NPI 1366628885
  NPD Authorized official
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Psychiatric Medicine

  • Psychiatry Physician
  • Salisbury, NC
  • NPI 1528372927
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1346461431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WILD LAUREL CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736101",
            "telephone_number": "704-264-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WILD LAUREL CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736101",
            "telephone_number": "704-264-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAJI",
        "first_name": "NGOZI",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "HC3461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601558",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINCENSE NUMBER",
            "identifier": "HC3461",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnnaji80184@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "307 Wild Laurel Ct",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NGOZI",
            "last_name": "NNAJI",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aikhanh Thuy Nguyen, PA-C
• Thao Phuong Nguyen, M.D.
• NHC Healthcare/Waxhaw, LLC
• Nicholas Niday, DC
• Daniela Nieves
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #05341)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy # 00162)
• North Carolina CVS Pharmacy LLC (CVS Pharmacy # 03440)
• North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy # 07943)
• Dana Marie Norton, BS.

• Family Nurse Practitioner in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.