Individual provider Active NPI

Adanma Mbadinuju Okwara, M.D.

  • Family Medicine Physician
  • Statesville, NC
National Provider Identifier
1447295159
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200501741 Issued in NC
Practice address
700 Sullivan Rd
Statesville, NC 28677-3440
Phone
(704) 924-9111
Fax
(704) 883-0452
NPI assigned
Jun 17, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200501741 NC Primary

Addresses

Primary practice location

700 Sullivan Rd
Statesville, NC 28677-3440

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other practice location 1

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

Other practice location 2

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267

Other identifiers 3

IdentifierTypeStateIssuer
165FVOtherNCBCBS NC
5902920MedicaidNC
283874MedicaidSC

Other names 1

  • Adanma Ijeoma Mbadinuju Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060404000790 SC Practitioner - Family Practice 0345258158 Reassigns benefits to 2 organizations
I20060428000355 NC Practitioner - Family Practice 0345258158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians
Charleston Carenow Urgent Care LLCGroup PAC ID 3274893359, 72 clinicians
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians
Piedmont Healthcare PAGroup PAC ID 9638070683, shared by 9 NPIs, 226 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

1316 3Rd Ave
Conway, SC 29526-5002
Phone (843) 488-7283

5156 US 29 Business
Reidsville, NC 27320-7998
Phone (910) 828-1131

700 Sullivan Rd
Statesville, NC 28677-3440
Phone (704) 924-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200501741NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Carenow Urgent Care, LLC CurrentSince Nov 18, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 20, 2025 Accepting new patients
First Care Medical Clinic CurrentSince Jun 28, 2011 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Jun 15, 2011 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Sep 30, 2021 Accepting new patients
First Care Medical Clinic, PA Family Medicine Current Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 20, 2025 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Jun 15, 2011 Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

404 S Sutherland Ave
Monroe, NC 28112

1530 S Providence Rd
Waxhaw, NC 28173
Phone (704) 627-8365

50 Miller St
Ste C
Winston Salem, NC 27104
Phone (336) 310-5535

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

1316 3rd Ave
Conway, SC 29526
Phone (636) 497-5214

515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925

1462 Constitution Blvd
Rock Hill, SC 29732
Phone (803) 909-4040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1447295159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SULLIVAN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773440",
            "telephone_number": "704-924-9111",
            "fax_number": "704-883-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 S Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281738313",
            "country_code": "US",
            "telephone_number": "704-627-8365",
            "fax_number": "704-627-8366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 S Sutherland Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125060",
            "country_code": "US",
            "telephone_number": "704-291-9267",
            "fax_number": "704-776-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKWARA",
        "first_name": "ADANMA",
        "middle_name": "MBADINUJU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200501741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "165FV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902920",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADANMA",
            "last_name": "MBADINUJU",
            "middle_name": "IJEOMA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.