Ama Dufie Agyekum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024191438 Issued in VA

Practice address

4720 Puddledock Rd
Prince George, VA 23875-1275

Phone

(804) 452-4546

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro Care of Virginia PCGroup PAC ID 5991801987, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4844/brand/1/csg/1/fhir/r4
• Direct secure messaging: ama.agyekum.1@4844.direct.athenahealth.com

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.

• Neuro Care of Virginia PC

  • Neurology Physician
  • Prince George, VA
  • NPI 1124087812

  VA

  Medicare reassignment Care Compare group NPD

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

• Advanced Technologies in Home Care, Inc.

  • Home Health Agency
  • Richmond, VA
  • NPI 1376509430
  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853

  Hospital

  Care Compare affiliation
• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513

  Hospital

  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1548082068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 LYNN CREEK DR",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238607018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PUDDLEDOCK RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751275",
            "telephone_number": "804-452-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEKUM",
        "first_name": "AMA",
        "middle_name": "DUFIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annam Abbasi, M.D.
• All Around Achievers, LLC
• Always Bringing U Safely Van Services, LLC
• Assisted Resources for Children, Inc.
• Justin Autry, O.D.
• Carlissa Avery

• All providers in Prince George, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.

Verify at the official NPI Registry.