Individual provider Active NPI

Ugwuala Nwauche, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1922053248
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME140368 Issued in FL
Practice address
6608 E WT Harris Blvd
Charlotte, NC 28215-5101
Phone
(704) 900-7761
NPI assigned
May 24, 2006
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 46482 KY
Emergency Medicine Physician 207P00000X 0101223755 VA
Emergency Medicine Physician 207P00000X 2004-01105 NC
Internal Medicine Physician 207R00000X 2004-01105 NC
Internal Medicine Physician 207R00000X 0101223755 VA
Internal Medicine Physician 207R00000X 46482 KY
General Practice Physician 208D00000X 2004-01105 NC
Internal Medicine Physician 207R00000X ME140368 FL Primary

Addresses

Primary practice location

6608 E WT Harris Blvd
Charlotte, NC 28215-5101

Mailing address

6608 E W T Harris Blvd
Ste a
Charlotte, NC 28215-5128
Phone (704) 900-7761

Other practice location 1

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 2

476 Liberty Rd
West Liberty, KY 41472-2049
Phone (606) 743-3186

Other identifiers 1

IdentifierTypeStateIssuer
5906725MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, KY, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20031203000573 VA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7517862535 Reassigns benefits to 1 organization
I20070928000328 NC Practitioner - Emergency MedicinePractitioner - Internal Medicine 7517862535 Reassigns benefits to 3 organizations
I20131127000802 KY Practitioner - Internal MedicinePractitioner - Emergency Medicine 7517862535 Reassigns benefits to 4 organizations
I20211021003256 FL Practitioner - Internal Medicine 7517862535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101223755VAMDEmergency Medicine Physician
ME140368FLMDInternal Medicine Physician
2004-01105NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc General Practice CurrentSince Feb 22, 2022 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jul 15, 2022 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
MD Now Medical Centers Inc General Practice CurrentSince Feb 22, 2022 Accepting new patients
Mt Zion Medical and Nursing Services, PA CurrentSince Aug 13, 2007 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 16, 2013 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 28, 2019 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Alleghany Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 15, 2013 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jan 13, 2020 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Sep 19, 2021 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Jul 15, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Community Physicians Services Corporation Past Accepting new patients
Main Line Emergency Med Associates LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Vance Emergency Physicians Emergency Medicine Past Accepting new patients
Sparta Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Guedon Medical Clinic Past Accepting new patients
Norton Community Physician Services LLC Internal Medicine Past Accepting new patients
Emcare Physician Providers Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations (25 of 29)

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

3110 Fruitville Commons Blvd
Sarasota, FL 34240
Phone (941) 218-1040

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

6010 E Wt Harris Blvd
Ste A
Charlotte, NC 28215

6608 E Wt Harris Blvd
Charlotte, NC 28215
Phone (704) 900-7761

6608 E Wt Harris Blvd
Ste A
Charlotte, NC 28215
Phone (704) 900-7761

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

500 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-5131

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ugwuala.nwauche.1@25903.direct.athenahealth.com

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1922053248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 E W T HARRIS BLVD",
            "address_2": "STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155128",
            "telephone_number": "704-900-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155101",
            "telephone_number": "704-900-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "fax_number": "276-926-6940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "476 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414722049",
            "country_code": "US",
            "telephone_number": "606-743-3186",
            "fax_number": "606-743-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAUCHE",
        "first_name": "UGWUALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "46482",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101223755",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2004-01105",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2004-01105",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101223755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "46482",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2004-01105",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME140368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906725",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.