Diabetes Endocrinology & Metabolism Associates, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA

Practice address

115 Stone Village Dr
Fort Mill, SC 29708-6489

Phone

(704) 540-9181

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Godwin Obinna Uzomba, M.D.

Title

President

Phone

(704) 540-9181

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Newsome, MD

  • Urology Physician
  • Rock Hill, SC
  • NPI 1033614110
  NPD (past)
• Sabrina Gail O'Brien, M.D.

  • Internal Medicine Physician
  • Manning, SC
  • NPI 1699875013
  NPD (past)
• Ashima Singal, MD

  • Urology Physician
  • Rock Hill, SC
  • NPI 1194117226
  NPD (past)
• Christopher K. Blicharski, M.D.

  • Internal Medicine Physician
  • Lone Tree, CO
  • NPI 1548276975
  NPD (past)
• Jarrod D Day, MD

  • Vascular Surgery Physician
  • Cary, NC
  • NPI 1013126341
  NPD (past)
• John Bond Murphy Jr., MD

  • Pain Medicine Physician
  • High Point, NC
  • NPI 1972565646

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710064233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471947",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282471947",
            "telephone_number": "704-540-9181",
            "fax_number": "704-540-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "704-540-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10036 Park Cedar Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108914",
            "country_code": "US",
            "telephone_number": "704-540-9181",
            "fax_number": "704-540-9182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "UZOMBA",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "OBINNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-540-9181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3653",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1763",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NORTH CAROLINA",
            "identifier": "014KK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891277F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014KK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1710064233",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1710064233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of SC, PC
• Dental Wellness Center Eb5 Investment VI LLC
• Dental Wellness Center of Fort Mill, LLC
• Vanessa Derado, BT
• Brandes Dey, DPT
• Bennie Gloria Diamond, MD
• Diane O'Neill Lisw LLC
• Jennifer C Dickens, MD
• Donna Gail Diedrich, PHYSICAL THERAPIST
• Marika Dillard

• Endocrinology, Diabetes & Metabolism Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Endocrinology, Diabetes & Metabolism Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.