Individual provider Active NPI

Charlotte Nwogwugwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1982357034
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R197211 Issued in MD
Practice address
575 S Charles St Ste 140
Baltimore, MD 21201-2477
Phone
(443) 743-7184
NPI assigned
Jan 29, 2022
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R197211 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GAA-NP001750 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027372 PA

Addresses

Primary practice location

575 S Charles St Ste 140
Baltimore, MD 21201-2477

Mailing address

575 S Charles St Ste 140
Baltimore, MD 21201-2477
Phone (443) 743-7184

Other practice location 1

6128 Prestley Mill Rd Ste G
Douglasville, GA 30134-5622
Phone (443) 743-7184

Other practice location 2

42 E Front St
Media, PA 19063-2942
Phone (610) 400-4885

Other practice location 3

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230801002429 MD Practitioner - Nurse Practitioner 3274994611 Reassigns benefits to 2 organizations
Practice locations: Baltimore, MD
I20250416001680 DC Practitioner - Nurse Practitioner 3274994611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Practice addresses (Care Compare)

1117 E W Hwy
Silver Spring, MD 20910-4852
Phone (202) 360-4787

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP001750GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Healthcare Group Single Specialty CurrentSince Apr 14, 2025 Accepting new patients
Oakley Brown Corp Current Accepting new patients
Thrive Telepsychiatry CurrentSince Feb 3, 2026 Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

4709 Harford Rd
Ste A38
Baltimore, MD 21214
Phone (410) 387-8968

575 S Charles St
Ste 140
Baltimore, MD 21201
Phone (443) 743-7184

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (888) 543-5550

Interoperability endpoints

  • Direct secure messaging: charlotte.nwogwugwu.1@25761.direct.athenahealth.com
  • Direct secure messaging: charlotte.nwogwugwu.1@30113.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1982357034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S CHARLES ST STE 140",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012477",
            "telephone_number": "443-743-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S CHARLES ST STE 140",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012477",
            "telephone_number": "443-743-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6128 Prestley Mill Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345622",
            "country_code": "US",
            "telephone_number": "443-743-7184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 E Front St",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190632942",
            "country_code": "US",
            "telephone_number": "610-400-4885",
            "fax_number": "610-273-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOGWUGWU",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197211",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP001750",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.