Individual provider Active NPI

Ndi Johnnie Maduako

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1396985644
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015-00820 Issued in NC
Practice address
1000 Blythe Blvd
CMC Annex 1St Floor
Charlotte, NC 28203-5812
Phone
(704) 355-0720
NPI assigned
Feb 26, 2009
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015-00820 NC Primary
Hospitalist Physician 208M00000X 2015-00820 NC

Addresses

Primary practice location

1000 Blythe Blvd
CMC Annex 1St Floor
Charlotte, NC 28203-5812

Mailing address

8201 Arrowridge Blvd
Ste 106
Charlotte, NC 28273-5865
Phone (704) 885-1702

Other practice location 1

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 736-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121031000369 WV Practitioner - Family PracticePractitioner - Hospitalist 4688824584 Reassigns benefits to 2 organizations
I20160112001273 NC Practitioner - Family PracticePractitioner - Hospitalist 4688824584 Reassigns benefits to 8 organizations
I20160520001402 SC Practitioner - Family PracticePractitioner - Hospitalist 4688824584 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
McLeod Health CherawGroup PAC ID 7911228259, 35 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 537-7881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00820NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw Family Medicine CurrentSince Oct 15, 2024 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Carolinas Physicians Network Inc Hospitalist CurrentSince Apr 25, 2016 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine CurrentSince Nov 30, 2025 Accepting new patients
Musc Community Physicians CurrentSince Apr 1, 2024 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Dec 12, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Dec 1, 2022 Accepting new patients
McLeod Health Cheraw CurrentSince Oct 15, 2024 Accepting new patients
Moses Cone Physician Services Inc Hospitalist CurrentSince Nov 30, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 25, 2016 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC CurrentSince Feb 26, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Columbus Regional Health Network Hospitalist Current Accepting new patients
McLeod Health Clarendon CurrentSince Oct 1, 2024 Accepting new patients
Cogent Healthcare of North Carolina, PC Family Medicine CurrentSince Feb 18, 2024 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 1, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Apogee Medical Group South Carolina CurrentSince Oct 1, 2016 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Dec 1, 2022 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 1, 2019 Accepting new patients
Columbus Regional Health Network CurrentSince Apr 25, 2016 Accepting new patients
Musc Community Physicians Current Accepting new patients
Columbus Regional Health Network Family Medicine CurrentSince Apr 25, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Apr 25, 2016 Accepting new patients
Scotland Regional Health Network Hospitalist CurrentSince Apr 25, 2016 Accepting new patients
Musc Community Physicians Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Clinical Colleagues LLC Hospitalist CurrentSince Nov 14, 2012 Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations (25 of 28)

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1000 Blythe Blvd
Fl 1
Charlotte, NC 28203
Phone (704) 355-0720

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

101 Hospital Dr
Columbus, NC 28722
Phone (828) 894-3311

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

2 Office Park Ct
Columbia, SC 29223

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: nmaduako37526@direct.anmedhealth.net
  • Direct secure messaging: nmaduako499692@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: nmaduako79022@directmcleodehealth.org

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1396985644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD",
            "address_2": "STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735865",
            "telephone_number": "704-885-1702",
            "fax_number": "704-900-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "CMC ANNEX 1ST FLOOR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349494",
            "country_code": "US",
            "telephone_number": "919-736-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUAKO",
        "first_name": "NDI",
        "middle_name": "JOHNNIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-00820",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2015-00820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.