Active NPI
Nnennaya O Agwu, APRN
- Family Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29072
- Practice address
- 220 N Main St Ste 500
Greenville, SC 29601-2129 - Phone
- (800) 275-3243
- NPI assigned
- Oct 2, 2023
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29072 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | GAA-NP002631 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 29072 | SC |
Addresses
Primary practice location
220 N Main St Ste 500
Greenville, SC 29601-2129
Mailing address
1601 Green Street Columbia
Columbia, SC 29208-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243
6711 La Roche Ave
Savannah, GA 31406-3101
Phone (248) 660-1220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP002631 | GA | MD | Family Nurse Practitioner |
| 29072 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Che Behavioral Health Services of South Carolina, P.C. | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients |
Locations
4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000
6711 La Roche Ave
Savannah, GA 31406
Phone (912) 354-8225
7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
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.
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- Clinical Psychologist
- Greenville, SC
- NPI 1568048833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1639959166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 GREEN STREET COLUMBIA",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292080001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N MAIN ST STE 500",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012129",
"telephone_number": "800-275-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGWU",
"first_name": "NNENNAYA",
"middle_name": "O",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29072",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP002631",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "29072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.