NPIMap

Individual provider Active NPI

Ijeoma Acholonu Ejeh, M.D.

  • Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1740389188
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2007-00415 Issued in NC
Practice address
4140 Ferncreek Dr Ste 601
Fayetteville, NC 28314-2569
Phone
(910) 485-3880
Fax
(910) 615-9618
NPI assigned
Sep 22, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 051877 GA
Surgery Physician 208600000X 2007-00415 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr Ste 601
Fayetteville, NC 28314-2569

Mailing address

4140 Ferncreek Drive
Suite 601
Fayetteville, NC 28314-2569
Phone (910) 485-3880

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-1826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000510 NC Practitioner - General Surgery 0941258255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

4140 Ferncreek Dr
Fayetteville, NC 28314-2563
Phone (910) 485-3880

4140 Ferncreek Dr
Suite 601
Fayetteville, NC 28314-2569
Phone (910) 485-3880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051877GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Surgery CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Specialist CurrentSince Sep 1, 2014 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 1, 2014 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients

Locations

101 Robeson St
Ste 200
Fayetteville, NC 28301
Phone (910) 323-2696

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ferncreek Dr
Fayetteville, NC 28314
Phone (910) 484-2171

4140 Ferncreek Dr
Ste 601
Fayetteville, NC 28314
Phone (910) 485-3880

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • Direct secure messaging: iejeh10314@capefearvalley.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1740389188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DRIVE",
            "address_2": "SUITE 601",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142569",
            "telephone_number": "910-485-3880",
            "fax_number": "910-485-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 601",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142569",
            "telephone_number": "910-485-3880",
            "fax_number": "910-615-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-1826",
            "fax_number": "910-321-6293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EJEH",
        "first_name": "IJEOMA",
        "middle_name": "ACHOLONU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "051877",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2007-00415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.