Individual provider Active NPI

Wycliffe Okumu, MD

  • Hospitalist Physician
  • Monroe, NC
National Provider Identifier
1689832354
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
53462-20 Issued in WI
Practice address
600 Hospital Dr
Monroe, NC 28112-6000
Phone
(704) 993-2240
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2011-01354 NC
Hospitalist Physician 208M00000X 53462-20 WI Primary

Addresses

Primary practice location

600 Hospital Dr
Monroe, NC 28112-6000

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120109000527 NC Practitioner - HospitalistPractitioner - Internal Medicine 9335295310 Reassigns benefits to 4 organizations
I20210310002522 SC Practitioner - Internal Medicine 9335295310 Reassigns benefits to 5 organizations
I20211018000571 GA Practitioner - Internal MedicinePractitioner - Hospitalist 9335295310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (803) 329-1234

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waccamaw Community Hospital CurrentSince Mar 1, 2021 Accepting new patients
Carolinas Physicians Network Inc Hospitalist CurrentSince Jul 30, 2012 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Oct 15, 2011 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Feb 1, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Georgetown Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 30, 2012 Accepting new patients
Select Specialty Hospital - Durham Inc. Hospitalist CurrentSince Aug 22, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Southeastern Hospitalist Services PC Hospitalist CurrentSince Jan 1, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 14, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 14, 2019 Accepting new patients
Phoebe Neurology CurrentSince Sep 15, 2022 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

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

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

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

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

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

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

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: wokumu733301@direct.emplifyhealth.org

Organizations & group practices 22

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.

View all 22

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1689832354",
    "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": "600 HOSPITAL DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126000",
            "telephone_number": "704-993-2240"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "OKUMU",
        "first_name": "WYCLIFFE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2011-01354",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "53462-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.