Individual provider Active NPI

Uchenna Edwin Nwoko, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1811662281
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11141 Issued in NC
Practice address
931 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 890-2700
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11141 NC Primary

Addresses

Primary practice location

931 3Rd St
Greensboro, NC 27405-6967

Mailing address

1413 Elm St
Burlington, NC 27217-1241
Phone (336) 269-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210910001725 NC Practitioner - Physician Assistant 7113323437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 610-3720

931 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11141NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc CurrentSince Oct 17, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Feb 3, 2025 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

931 3rd St
Greensboro, NC 27405
Phone (336) 890-2700

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1811662281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 ELM ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171241",
            "telephone_number": "336-269-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKO",
        "first_name": "UCHENNA",
        "middle_name": "EDWIN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.