Active NPI
Joel A Onafowokan, MD
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200401292
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1406K | Other | NC | BCBS |
| 5902366 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051114000377 | NC | Practitioner - Internal 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 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
- Well Care Home Health of the Southern Triangle, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27357 | SC | MD | Internal Medicine Physician |
| 200401292 | NC | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| 61-2351 | NC | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Fitness and Wellness Center PLLC | Multi-Specialty | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Faith Medical Center P.C. | Multi-Specialty | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Multi-Specialty | Current | Accepting new patients |
| Hope Mills Urgent Care & Medical Clinic, PLLC | Multi-Specialty | Current | 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
- 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.
-
- Internal Medicine Physician
- Hope Mills, NC
- NPI 1114134293
Multi-Specialty, NC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Multi-Specialty, SC
-
- Community/Behavioral Health Agency
- Hope Mills, NC
- NPI 1295538379
Multi-Specialty
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Internal Medicine Physician
- Albemarle, NC
- NPI 1942266721
Multi-Specialty
-
- Internal Medicine Physician
- Salisbury, NC
- NPI 1588680540
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Goldsboro, NC
- NPI 1558396622
Home health agency
-
- Home Health Agency
- Goldsboro, NC
- NPI 1750337366
-
- Home Health Agency
- Holly Springs, NC
- NPI 1508418005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.