Vincent Amaechi Izediuno, MD, MRCPSYCH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2016-02179 Issued in NC

Practice address

600 Green Valley Rd Ste 208
Greensboro, NC 27408-7722

Phone

(336) 549-8334

Fax

(336) 860-1981

NPI assigned

Sep 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vizediuno262956@direct.unc.nchie.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Izzy Health, PLLC

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1699270256
  Medicare reassignment Authorized official
• Alamance Regional Medical Center, Inc

  • Pharmacy
  • Burlington, NC
  • NPI 1851681993
  NPD
• Alamance Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Burlington, NC
  • NPI 1326010273
  NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Durham, NC
  • NPI 1215022926

  Psychiatry

  NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1689029605

  Psychiatry

  NPD
• Holly Hill Hospital LLC

  • Psychiatric Hospital
  • Raleigh, NC
  • NPI 1518037233

  Psychiatry

  NPD
• LLD Laboratories, LLC

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1295196780
  NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1013265909
  NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Psychiatric Hospital Unit
  • Greensboro, NC
  • NPI 1295848562
  NPD (past)

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1396078549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GREEN VALLEY RD STE 208",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087722",
            "telephone_number": "336-549-8334",
            "fax_number": "336-860-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GREEN VALLEY RD STE 208",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087722",
            "telephone_number": "336-549-8334",
            "fax_number": "336-860-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEDIUNO",
        "first_name": "VINCENT",
        "middle_name": "AMAECHI",
        "name_prefix": "Dr.",
        "credential": "MD, MRCPSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-04",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "57015893",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "67303",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2016-02179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vizediuno400678@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3333 Silas Creek Pkwy",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Issues of Life Professional Counseling Services
• Monique Ivanov, MSW
• Victoria Ivantchev, MD
• Jonishawa Jontay Danielle Ivory
• Nora Iwunze
• Mya Izzard
• Sardie Rochelle Izzard, LCAS-A, LCSW-A
• Izzy Health, PLLC
• J Dale Curtis, DDS
• J David Civils & Janna C Civils DDS PA

• Psychiatry Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.