Ngwe Achirimofor Aycock, MD

Individual provider Active NPI Family Medicine Physician · Burlington, NC

NPI 1740507151 · NPPES record last updated Jul 16, 2013

Key facts

NPI
1740507151
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2013-00746 (NC)
Practice address
221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 570-3739
Fax
(336) 570-1215
NPI assigned
Apr 24, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 14

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Health Services Inc (38 clinicians)

Practice addresses (Care Compare)

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital · Burlington, NC · CCN 340070

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130930000143 NC Practitioner - Family Practice 7911131263 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013-00746NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Federally Qualified Health Center (FQHC) Current
since Aug 20, 2013
Accepting new patients
Piedmont Health Services, Inc. Federally Qualified Health Center (FQHC) Current
since Aug 20, 2013
Accepting new patients
Piedmont Health Services, Inc. Federally Qualified Health Center (FQHC) Current Accepting new patients

Locations

221 N Graham Hopedale Rd
Burlington, NC 27217
Phone (336) 532-0414

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2013-00746 NC
Family Medicine Physician 207Q00000X 2013-00746 NC Yes

Addresses

Primary practice location

221 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone (336) 570-3739

Other providers in Burlington, NC

All providers in Burlington, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.