Individual provider Active NPI

Ginikanwa Nkwonta, PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1992428924
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010019 Issued in MD
Practice address
32 W Washington St
Hagerstown, MD 21740-4884
Phone
(240) 527-2060
NPI assigned
Sep 23, 2022
Reactivated
Aug 6, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 C0010019 MD Primary

Addresses

Primary practice location

32 W Washington St
Hagerstown, MD 21740-4884

Mailing address

14550 York Rd
Sparks, MD 21152-9307
Phone (443) 330-7900

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
I20251016004689 MD Practitioner - Physician Assistant 5698262145 Reassigns benefits to 1 organization
I20251016004789 DC Practitioner - Physician Assistant 5698262145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

2114 Generals Hwy
Annapolis, MD 21401-7488
Phone (410) 224-6905

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253

7825 York Rd
Towson, MD 21204-7445
Phone (443) 332-4353

8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0010019MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Oct 5, 2025 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Oct 5, 2025 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1992428924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 YORK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529307",
            "telephone_number": "443-330-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W WASHINGTON ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404884",
            "telephone_number": "240-527-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWONTA",
        "first_name": "GINIKANWA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "deactivation_date": "2024-04-23",
        "reactivation_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.