Charles Olufemi Folashade, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9700953 Issued in NC

Practice address

104 Rhodes Ave
Windsor, NC 27983-9656

Phone

(252) 794-3042

Fax

(252) 794-2911

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1992764559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MILTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152437",
            "telephone_number": "704-535-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RHODES AVE",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839656",
            "telephone_number": "252-794-3042",
            "fax_number": "252-794-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLASHADE",
        "first_name": "CHARLES",
        "middle_name": "OLUFEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M000959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Carolina Health-Bertie
• East Carolina Health-Bertie
• East Carolina Health-Bertie
• Eastern Home Health Care, Inc.
• Faithful House
• Erica Michelle Ford, PA C
• Gladys Cherry
• Graceful Hands Home Care, Inc.
• Latasha Renea Green, LCAS LPC CCS
• Guiding Light Home Health, Inc

• All providers in Windsor, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.