NPIMap

Organization Active NPI

Diabetes Endocrinology & Metabolism Associates, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Mill, SC
National Provider Identifier
1710064233
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

115 Stone Village Dr
Fort Mill, SC 29708-6489

Mailing address

PO Box 471947
Charlotte, NC 28247-1947
Phone (704) 540-9181

Other practice location 1

10036 Park Cedar Dr
Suite A
Charlotte, NC 28210-8914
Phone (704) 540-9181

National Provider Directory

National Provider Directory

Locations

10036 Park Cedar Dr
Charlotte, NC 28210

1698 Highway 160 W
Ste 220
Fort Mill, SC 29708
Phone (803) 578-7600

744 Arden Ln
Ste 250
Rock Hill, SC 29732
Phone (803) 366-1984

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • 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.