Prime Health Medical Clinic, PA
NPI 1063781094 · Nephrology Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Health Medical Clinic, PA is a Nephrology Physician organization in Charlotte, NC (NPI 1063781094).
Provider details
- NPI number
- 1063781094
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sylvester Ogbata, Owner(203) 545-9119
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-20
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Frequently asked questions
- What is Prime Health Medical Clinic, PA's NPI number?
- Prime Health Medical Clinic, PA's National Provider Identifier (NPI) is 1063781094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Health Medical Clinic, PA?
- Prime Health Medical Clinic, PA is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Health Medical Clinic, PA located?
- Prime Health Medical Clinic, PA's practice location on file with NPPES is 1400 Medford Dr, Charlotte, NC 28205-5624.
- What is Prime Health Medical Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Prime Health Medical Clinic, PA is (704) 940-5588.
- Does Prime Health Medical Clinic, PA accept Medicare?
- Prime Health Medical Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Health Medical Clinic, PA?
- The authorized official listed on Prime Health Medical Clinic, PA's NPPES record is Sylvester Ogbata, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Health Medical Clinic, PA's NPI active?
- Yes — Prime Health Medical Clinic, PA's NPI (1063781094) is active in the NPPES registry as of the last update on 2021-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.