Theophania Ofori Buah, AGPCNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

363LG0600X Issued in NC

Practice address

557 Brookdale Dr
Statesville, NC 28677-4107

Phone

(704) 769-0823

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CT, NY, VA, DC, TN6 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 6

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

South Charlotte General and Vascular Surgery PLLCGroup PAC ID 9830371095, 5 clinicians

Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theophania.ofori.buah.1@28386.direct.athenahealth.com

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.

• South Charlotte General and Vascular Surgery PLLC

  • Surgery Physician
  • Charlotte, NC
  • NPI 1144524190
  Medicare reassignment Care Compare group NPD
• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  CT, DC, NC, NY, TN, VA

  Medicare reassignment Care Compare group NPD
• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389

  NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1992549430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POMPTON RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-769-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI BUAH",
        "first_name": "THEOPHANIA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "363LG0600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O. Jerry Hill, Jr. DDS, PA
• William J O'Neill
• Karen Ockenholt, NPP
• Mary Kay Oconner
• Christiana Obiamaka Oduah-Thomas, RN
• Vida Nyarkoah Ohene-Agyeman
• Adanma Mbadinuju Okwara, M.D.
• Michaela Olin
• Buckley Olsen
• Eugene K Olsen, DDS

• Gerontology Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.