Individual provider Active NPI

Chioma Blessing Ejiogu, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1780211342
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP003261 Issued in GA
Practice address
2409 Murchison Rd
Fayetteville, NC 28301-3519
Phone
(727) 641-9107
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27305 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP003261 GA Primary
Family Nurse Practitioner 363LF0000X 5013224 NC

Addresses

Primary practice location

2409 Murchison Rd
Fayetteville, NC 28301-3519

Mailing address

3500 Stonehaven Dr
Charlotte, NC 28215-3232
Phone (727) 641-9107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, CO, GA, IA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20201023003061 NC Practitioner - Nurse Practitioner 4385064773 Reassigns benefits to 4 organizations
I20201109000258 TN Practitioner - Nurse Practitioner 4385064773 Reassigns benefits to 1 organization
I20250517000018 CO Practitioner - Nurse Practitioner 4385064773 Reassigns benefits to 1 organization
I20250523000132 GA Practitioner - Nurse Practitioner 4385064773 Reassigns benefits to 2 organizations
I20250524000059 IA Practitioner - Nurse Practitioner 4385064773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
FL 3
Durham, NC 27713-5272
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP003261GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 16, 2025 Accepting new patients
Sondermind PC Psychiatric/Mental Health CurrentSince Jun 17, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Anora Health CurrentSince Apr 8, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21808/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1780211342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 STONEHAVEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153232",
            "telephone_number": "727-641-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MURCHISON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013519",
            "telephone_number": "727-641-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIOGU",
        "first_name": "CHIOMA",
        "middle_name": "BLESSING",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27305",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "NP003261",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.