CHIDEBE UDEOZO MD – NPI #1316112105
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CHIDEBE UDEOZO is a physician located in ELIZABETHTOWN, NC. NPPES has assigned the NPI number 1316112105 to CHIDEBE UDEOZO on April 23, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHIDEBE UDEOZO below.

NPI Profile for
CHIDEBE UDEOZO

NPI Number
1316112105
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHIDEBE UDEOZO
Credentials
MD
Primary location
300 E MCKAY ST
ELIZABETHTOWN, NC 28337-9037
Phone: (910) 862-5500 Fax: (910) 862-5501
2 Other location(s):
100 Airport Rd Fl 4
Kinston, NC 28501-1604
Phone: (252) 522-7197
Fax: (252) 522-7288
129 N Washington St
Sumter, SC 29150-4949
Phone: (803) 774-9680
Mailing address
601 RAMSEY ST
SUITE 200
FAYETTEVILLE, NC 28301-4952
Phone: (910) 723-7959 Fax: (910) 323-1282
Sole Proprietor
No
Updated
Certification Date
Mar 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHIDEBE UDEOZO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC5918919
medicaidSC386175
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 NC 2011-01366

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
100 AIRPORT RD FL 4,
KINSTON, NC 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHIDEBE UDEOZO is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL
      501 SOUTH POPLAR STREET
      ELIZABETHTOWN, NC 28337
    • HALIFAX REGIONAL MEDICAL CENTER INC
      250 SMITH CHURCH RD
      ROANOKE RAPIDS, NC 27870
    • UNC LENOIR HEALTH CARE
      100 AIRPORT RD
      KINSTON, NC 28501
    • VIDANT MEDICAL CENTER
      2100 STANTONSBURG RD
      GREENVILLE, NC 27834
    • VIDANT ROANOKE CHOWAN HOSPITAL
      500 S ACADEMY ST
      AHOSKIE, NC 27910

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.