Individual provider Active NPI

Efemwonkiekie Iyamu, MD

  • Hospitalist Physician
  • Shelby, NC
National Provider Identifier
1649409301
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2016-01529 Issued in NC
Practice address
201 E Grover St
Shelby, NC 28150-3917
Phone
(980) 487-3678
NPI assigned
Jul 2, 2009
Last updated
May 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2016-01529 NC Primary

Addresses

Primary practice location

201 E Grover St
Shelby, NC 28150-3917

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070

Other practice location 2

1000 Blythe Blvd
CMC Annex 1st Floor
Charlotte, NC 28203-5812
Phone (704) 355-0720

Other practice location 3

2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070

Other practice location 4

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6241

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
I20170313000576 NC Practitioner - HospitalistPractitioner - Internal Medicine 9830345248 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3719 Latrobe Dr
Suite 840
Charlotte, NC 28211-5121
Phone (980) 888-8011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Sep 23, 2018 Accepting new patients
Carolinas Physicians Network Inc Hospitalist CurrentSince Dec 31, 2016 Accepting new patients
Deark Medical Center PLLC CurrentSince Nov 8, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 31, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Cogent Healthcare of North Carolina, PC Hospitalist CurrentSince Jul 3, 2018 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Southeastern Physician Services PC Hospitalist Past Accepting new patients
Carolinas Physicians Network Inc Hospitalist Past Accepting new patients
Baptist Health Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1000 Blythe Blvd
Fl 1
Charlotte, NC 28203
Phone (704) 355-0720

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

3719 Latrobe Dr
Ste 840
Charlotte, NC 28211
Phone (913) 302-1470

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1649409301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503917",
            "telephone_number": "980-487-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10628 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108407",
            "country_code": "US",
            "telephone_number": "704-667-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Blythe Blvd",
            "address_2": "CMC Annex 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Vail Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071248",
            "country_code": "US",
            "telephone_number": "704-304-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623300",
            "country_code": "US",
            "telephone_number": "704-863-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYAMU",
        "first_name": "EFEMWONKIEKIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2016-01529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.