Individual provider Active NPI

Nene Nwaobiara Nicole Okereke, M.D.

  • Internal Medicine Physician
  • Sumter, SC
National Provider Identifier
1386778512
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL 27318 Issued in SC
Practice address
325 W Liberty St
Cedars Medical Clinic
Sumter, SC 29150-5139
Phone
(803) 774-7000
Fax
(803) 434-4419
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL 27318 SC Primary

Addresses

Primary practice location

325 W Liberty St
Cedars Medical Clinic
Sumter, SC 29150-5139

Mailing address

PO Box 519
Cedars Medical Clinic
Sumter, SC 29151-0519
Phone (803) 774-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20070611000077 SC Practitioner - Internal Medicine 3375505381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL 27318SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars Medical Clinic PA CurrentSince Jun 23, 2003 Accepting new patients

Locations

325 W Liberty St
Sumter, SC 29150
Phone (803) 774-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1386778512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "address_2": "CEDARS MEDICAL CLINIC",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510519",
            "telephone_number": "803-774-7000",
            "fax_number": "803-434-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W LIBERTY ST",
            "address_2": "CEDARS MEDICAL CLINIC",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291505139",
            "telephone_number": "803-774-7000",
            "fax_number": "803-434-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "NENE",
        "middle_name": "NWAOBIARA NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL 27318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.