Individual provider Active NPI

Sadou Ibrahim

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1538445556
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005382 Issued in NC
Practice address
2216 W Meadowview Rd Ste 211
Greensboro, NC 27407-3401
Phone
(336) 310-4833
Fax
(336) 464-7172
NPI assigned
Oct 24, 2011
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005382 NC Primary

Addresses

Primary practice location

2216 W Meadowview Rd Ste 211
Greensboro, NC 27407-3401

Mailing address

10320 Lafoy Dr
Huntersville, NC 28078-4661
Phone (336) 508-7148

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
I20130129000117 NC Practitioner - Nurse Practitioner 3779737796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Geriatrics LLCGroup PAC ID 4385860402, 4 clinicians

Practice addresses (Care Compare)

1902 Ora Dr
Statesville, NC 28625-6343
Phone (704) 878-0879

2300 W Meadowview Rd
Suite 119
Greensboro, NC 27407-3711
Phone (336) 508-7148

2809 Old Concord Rd
Salisbury, NC 28146-1339
Phone (704) 680-2248

3301 Gar PL
Greensboro, NC 27406-5625
Phone (336) 852-5810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005382NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Clinic PLLC Family CurrentSince Dec 27, 2014 Accepting new patients
Palmetto Geriatrics, LLC CurrentSince Apr 1, 2024 Accepting new patients
Advance Rehabilitation and Nursing PastSince Oct 15, 2011 Accepting new patients

Locations

2216 W Meadowview Rd
Ste 211
Greensboro, NC 27407
Phone (336) 676-4147

2300 W Meadowview Rd
Ste 119
Greensboro, NC 27407
Phone (336) 310-4833

950 Graves St
Ste B
Kernersville, NC 27284

1902 Ora Dr
Statesville, NC 28625
Phone (704) 878-6376

156 Milestone Way
Ste 7
Greenville, SC 29615

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1538445556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 LAFOY DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784661",
            "telephone_number": "336-508-7148",
            "fax_number": "336-464-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W MEADOWVIEW RD STE 211",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073401",
            "telephone_number": "336-310-4833",
            "fax_number": "336-464-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SADOU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.