Individual provider Active NPI

Ogbeyialu Inyang Nduka

  • Family Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1497450746
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017941 Issued in NC
Practice address
1202 N Brightleaf Blvd Ste C
Smithfield, NC 27577-4258
Phone
(919) 912-5006
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017941 NC Primary
Family Nurse Practitioner 363LF0000X 248495 NC

Addresses

Primary practice location

1202 N Brightleaf Blvd Ste C
Smithfield, NC 27577-4258

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

Other practice location 1

831 W Morgan St
Raleigh, NC 27603-1613
Phone (919) 608-5337

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421000010 NC Practitioner - Nurse Practitioner 8123483492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainstreet and Kidsstreet of North Carolina PLLCGroup PAC ID 6901290238, 76 clinicians

Practice addresses (Care Compare)

130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
248495NCMDFamily Nurse Practitioner
5017941NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Apr 8, 2023 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Apr 8, 2023 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Apr 9, 2023 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

1202 N Brightleaf Blvd
Ste C
Smithfield, NC 27577
Phone (912) 255-4057

Organizations & group practices 4

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1497450746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N BRIGHTLEAF BLVD STE C",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774258",
            "telephone_number": "919-912-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 W Morgan St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276031613",
            "country_code": "US",
            "telephone_number": "919-608-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "OGBEYIALU",
        "middle_name": "INYANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017941",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "248495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.