Individual provider Active NPI

Joel A Onafowokan, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1790745495
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200401292 Issued in NC
Practice address
3626 Latrobe Dr
Charlotte, NC 28211-1388
Phone
(704) 366-7182
Fax
(704) 366-7184
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X 200401292 NC
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 61-2351 NC
Internal Medicine Physician 207R00000X 27357 SC
Internal Medicine Physician 207R00000X 200401292 NC Primary

Addresses

Primary practice location

3626 Latrobe Dr
Charlotte, NC 28211-1388

Mailing address

3626 Latrobe Dr
Charlotte, NC 28211-1388
Phone (704) 366-7182

Other practice location 1

170 Medical Park Rd Ste 303
Mooresville, NC 28117-8541
Phone (704) 677-7547

Other identifiers 2

IdentifierTypeStateIssuer
1406KOtherNCBCBS
5902366MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051114000377 NC Practitioner - Internal MedicinePractitioner - Addiction Medicine 2769401389 Reassigns benefits to 2 organizations
I20060208000344 SC Practitioner - Internal Medicine 2769401389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3626 Latrobe Dr
Charlotte, NC 28211-1388
Phone (704) 366-7182

3758 S Main St
Hope Mills, NC 28348-1959
Phone (910) 429-0647

Hospital & facility affiliations

  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Well Care Home Health of the Southern Triangle, Inc. Home health agency, Holly Springs, NC, CCN 347336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27357SCMDInternal Medicine Physician
200401292NCMDAddiction Medicine (Psychiatry & Neurology) Physician
61-2351NCMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Fitness and Wellness Center PLLC Multi-Specialty CurrentSince May 2, 2026 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 27, 2018 Accepting new patients
Faith Medical Center P.C. Multi-Specialty CurrentSince Apr 1, 2009 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Multi-Specialty CurrentSince Jan 27, 2018 Accepting new patients
Hope Mills Urgent Care & Medical Clinic, PLLC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Primedoc of Stanly County PA Multi-Specialty Past Accepting new patients
Inland Sea Inpatient Services Multi-Specialty Past Accepting new patients
Sterling Hospitalist Services of North Carolina Inc. Multi-Specialty Past Accepting new patients
24 7 MD PLLC Multi-Specialty Past Accepting new patients
York Physician Services PC Multi-Specialty Past Accepting new patients
Inpatient Care Multi-Specialty Past Accepting new patients

Locations

3626 Latrobe Dr
Ste 300
Charlotte, NC 28211
Phone (704) 993-7388

3626 Latrobe Dr
Charlotte, NC 28211
Phone (704) 364-0057

2216 W Meadowview Rd
Greensboro, NC 27407
Phone (336) 554-5897

3758 S Main St
Hope Mills, NC 28348
Phone (910) 429-0647

170 Medical Park Rd
Ste 303
Mooresville, NC 28117
Phone (704) 677-7547

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • Direct secure messaging: joelonafowokan@faith.allscriptsdirect.net

Organizations & group practices 12

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1790745495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111388",
            "telephone_number": "704-366-7182",
            "fax_number": "704-366-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111388",
            "telephone_number": "704-366-7182",
            "fax_number": "704-366-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Medical Park Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178541",
            "country_code": "US",
            "telephone_number": "704-677-7547",
            "fax_number": "980-444-0863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONAFOWOKAN",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "200401292",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "61-2351",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "27357",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200401292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1406K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.