NPIMap

Organization Active NPI

Diabetes Endocrinology & Metabolism Associates, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
National Provider Identifier
1962841460
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA
Practice address
4456 Central Ave
Charlotte, NC 28205-5702
Phone
(980) 299-0023
Fax
(980) 299-1002
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Dr. Godwin Obinna Uzomba, MDNPI 1659376051
Title
President
Phone
(980) 299-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary
Preferred Provider Organization 305R00000X 23415 SC

Addresses

Primary practice location

4456 Central Ave
Charlotte, NC 28205-5702

Mailing address

PO Box 471947
Charlotte, NC 28247-1947
Phone (980) 299-0023

National Provider Directory

National Provider Directory

Locations

4456 Central Ave
Charlotte, NC 28205
Phone (980) 299-0023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1962841460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471947",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282471947",
            "telephone_number": "980-299-0023",
            "fax_number": "980-299-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055702",
            "telephone_number": "980-299-0023",
            "fax_number": "980-299-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ENDOCRINOLOGY & METABOLISM ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "UZOMBA",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "OBINNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-299-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "23415",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.