Individual provider Active NPI

Kwadwo Agyei-Gyamfi, M.D.

  • Gastroenterology Physician
  • Lumberton, NC
National Provider Identifier
1568414720
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2011-00720 Issued in NC
Practice address
4348 Fayetteville Rd
Lumberton, NC 28358-2677
Phone
(910) 739-5197
Fax
(910) 739-5294
NPI assigned
May 16, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2011-00720 NC Primary

Addresses

Primary practice location

4348 Fayetteville Rd
Lumberton, NC 28358-2677

Mailing address

2914 N Elm St
PMB 130
Lumberton, NC 28358-2981
Phone (910) 739-5197

Other identifiers 5

IdentifierTypeStateIssuer
P00158641OtherRR MEDICARE
2516218OtherOHMOLINA MEDICAID
5918266MedicaidNC
000000185265OtherOHUNISON MEDICAID
310917085141OtherOHCARESOURCE MEDICAID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000062 NC Practitioner - Gastroenterology 3779547013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acme Medical Specialties, PLLCGroup PAC ID 0345413092, 2 clinicians

Practice addresses (Care Compare)

4348 Fayetteville Rd
Lumberton, NC 28358-2677
Phone (910) 739-5197

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
79.68
Improvement activities
40
Cost
97.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00720NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Medical Specialties, PLLC Gastroenterology CurrentSince Sep 1, 2011 Accepting new patients

Locations

2914 N Elm St
Lumberton, NC 28358

4348 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 739-2519

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJEBA

Organizations & group practices 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1568414720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 N ELM ST",
            "address_2": "PMB 130",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582981",
            "telephone_number": "910-739-5197",
            "fax_number": "910-739-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582677",
            "telephone_number": "910-739-5197",
            "fax_number": "910-739-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEI-GYAMFI",
        "first_name": "KWADWO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2011-00720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00158641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MEDICAID",
            "identifier": "2516218",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918266",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MEDICAID",
            "identifier": "000000185265",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID",
            "identifier": "310917085141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.