Active NPI
Emmanuel Adjei Sowah, NP-C
- Family Nurse Practitioner
- Davidson, NC
National Provider Identifier
1376205682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F08210762
- Practice address
- 9942 Travertine TRL
Davidson, NC 28036-7654 - Phone
- (980) 319-7579
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08210762 | NC | Primary |
Addresses
Primary practice location
9942 Travertine TRL
Davidson, NC 28036-7654
Mailing address
9942 Travertine TRL
Davidson, NC 28036-7654
Phone (980) 319-7579
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2347 Simonton Rd
Statesville, NC 28625-8246
Phone (704) 873-4719
Hospital & facility affiliations
- Gentiva Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08210762 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Iredell County, Inc | Current | Accepting new patients |
Locations
2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Statesville, NC
- NPI 1336243997
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hickory, NC
- NPI 1316974272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1376205682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9942 TRAVERTINE TRL",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280367654",
"telephone_number": "980-319-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9942 TRAVERTINE TRL",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280367654",
"telephone_number": "980-319-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWAH",
"first_name": "EMMANUEL",
"middle_name": "ADJEI",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F08210762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
- Julia Sotile, LCSW
- Southeast Stone Center
- Southlake Center for Self Discovery
- Southlake Counseling & Consulting
- Southlake Psychiatry PC
- Jolene Cecelia Spina, DC
- Alexis McKenna Sprankle, PA-C
- Springhealth Behavioral Health and Integrated Care North Carolina, LLC
- Fallon Stapleton, LCSW
- William David Staton, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.