EASTOWNE FAMILY PHYSICIANS, P.A
NPI 1154518678
Family Medicine in Charlotte, NC
About Eastowne Family Physicians, P.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTOWNE FAMILY PHYSICIANS, P.A (NPI 1154518678) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Tagbo Ekwonu, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastowne Family Physicians, P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eastowne Family Physicians, P.A, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Charlotte, NC 28205
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D1075088
Eastowne Family Physicians · Charlotte, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastowne Family Physicians, P.A's NPI number?
The NPI number for Eastowne Family Physicians, P.A is 1154518678. It was assigned to this organization in the NPPES registry on September 28, 2007.
Where is Eastowne Family Physicians, P.A located?
Eastowne Family Physicians, P.A is located at 4115 The Plz, Charlotte, NC 28205. The listed phone number is (704) 532-4567.
What is Eastowne Family Physicians, P.A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Eastowne Family Physicians, P.A enrolled in Medicare?
Yes. Eastowne Family Physicians, P.A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastowne Family Physicians, P.A?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eastowne Family Physicians, P.A, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eastowne Family Physicians, P.A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D1075088) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eastowne Family Physicians, P.A was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastowne Family Physicians, P.a · NPI 1154518678
Family Medicine organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since September 28, 2007.
## Identity
- **NPI:** 1154518678 (Entity type: Organization)
- **Enumerated:** September 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tagbo Ekwonu, MEDICAL DIRECTOR
## Practice location
- **Address:** 4115 THE PLZ, Charlotte, NC 28205-1356
- **Phone:** (704) 532-4567 · **Fax:** (704) 532-4580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154518678) · Data from the CMS NPPES public registry.