Agnes Ewo Mihngha

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5010069 Issued in NC

Practice address

407 W King St
Kings MTN, NC 28086

Phone

(704) 730-8461

Fax

(704) 730-8349

NPI assigned

Dec 7, 2017

Last updated

Jun 16, 2018By the provider in NPPES

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

Other identifiers 3

Other names 1

• Ms. Agnes Ewo Mihngha Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Freedom Medical Clinic & Urgent Care PA

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1255450235
  NPD (past)
• Gaurang Palikh, MD, PC

  • Neurology Physician
  • Kings Mountain, NC
  • NPI 1811345259
  NPD (past)
• Graces Community Healthcare Inc

  • Community Health Clinic/Center
  • Charlotte, NC
  • NPI 1497399802
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1548775950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 SUDBURY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282054316",
            "telephone_number": "704-890-7799",
            "fax_number": "704-394-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W KING ST",
            "city": "KINGS MTN",
            "state": "NC",
            "postal_code": "28086",
            "telephone_number": "704-730-8461",
            "fax_number": "704-730-8349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Freedom Medical clinic 2905 freedom Drive",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28208",
            "country_code": "US",
            "telephone_number": "704-394-3033",
            "fax_number": "704-394-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHNGHA",
        "first_name": "AGNES",
        "middle_name": "EWO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "211009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2017028672",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5010069",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "MIHNGHA",
            "middle_name": "EWO",
            "prefix": "MS.",
            "credential": "KEDZE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolina Medical Supply LLC
• David R McDaniel OD PA
• Focus Point Inc
• Kmeg Resource Corp PA
• Dewey Truman Matherly, LCSW
• Poole Eyecare PA
• Stephanie Jones Ramsey, FNP-C
• Self-Determination LLC

• Nurse Practitioner in Kings MTN, NC
• Providers in Kings MTN, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.