Elizabeth Ayodele Agiri, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5008425 Issued in NC

Practice address

9404 Perimeter Station Dr
Apt. 108
Charlotte, NC 28216

Phone

(757) 717-8922

NPI assigned

Feb 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CA, AZ3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Perry Medical Group of Florida PAGroup PAC ID 8729481197, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.agiri.1@29290.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry Medical Group of Florida PA

  • General Practice Physician
  • New York, NY
  • NPI 1194394833

  NC

  Medicare reassignment Care Compare group NPD
• Access Primary Care Physicians, Inc.

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510
  Medicare reassignment NPD
• Adobe PH Ca Medical Group, P.C.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1427889195
  Medicare reassignment NPD
• Pophealthcare Medical Services of Az, PC

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1760884175
  Medicare reassignment NPD
• Wholistic Advantage

  • Acute Care Nurse Practitioner
  • Fort Mill, SC
  • NPI 1053995506
  NPD Authorized official
• Pelna LLC

  • In Home Supportive Care Agency
  • Fort Mill, SC
  • NPI 1447845102
  NPD
• Pophealthcare Medical Services of Az, PC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1417652454
  NPD
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1346600699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 PERIMETER STATION DR",
            "address_2": "APT. 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28216",
            "telephone_number": "757-717-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9404 Perimeter Station Dr",
            "address_2": "apt. 108",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28216",
            "country_code": "US",
            "telephone_number": "757-717-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGIRI",
        "first_name": "ELIZABETH",
        "middle_name": "AYODELE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5008425",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001225266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agenda Counseling and Wellness PLLC
• Ages & Stages Pediatrics, PLLC
• Puneet Kumar Aggarwal, MD
• Maher Salah Agha, M.D.
• Akash Mohanlal Aghera, DMD
• Deborah G. Agisim, M.D.
• David Marshal Agner, MD
• Crystal L Agnew, LPC, LCMHC, LCPC
• Michael A Agnone, PT
• Sungeeta Agrawal, MD

• Acute Care Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Acute Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.