Active NPI
Ndi Johnnie Maduako
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2015-00820
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-00820 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Family Medicine | Current | Accepting new patients |
| McLeod Health Clarendon | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Hospitalist | Current | Accepting new patients |
| Moses Cone Physician Services, Inc. | Family Medicine | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Hospitalist | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Hospitalist | Current | Accepting new patients |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Cogent Healthcare of North Carolina, PC | Family Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Columbus Regional Health Network | Family Medicine | Current | Accepting new patients |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Scotland Regional Health Network | Hospitalist | Current | Accepting new patients |
| Musc Community Physicians | Family Medicine | Current | Accepting new patients |
| Clinical Colleagues LLC | Hospitalist | Current | 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
- nmaduako37526@direct.anmedhealth.net
- nmaduako499692@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
Family Medicine
-
dba McLeod Health Cheraw Physicians
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC, SC
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Family Medicine
-
dba Advanced Family Care
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
dba Carolinas Hospitalist Group - Scotland
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
-
- Hospitalist Physician
- Anderson, SC
- NPI 1588613343
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Haywood Regional Medical Center
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
-
dba Rutherford Regional Health System
- General Acute Care Hospital
- Rutherfordton, NC
- NPI 1245321181
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.