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EASTOWNE FAMILY PHYSICIANS, P.A
NPI 1154518678
Family Medicine in Charlotte, NC

Active since September 28, 2007CLIA 34D1075088 · Waiver
4115 THE PLZ, CHARLOTTE, NC 28205(704) 532-4567(704) 532-4580 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154518678
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTOWNE FAMILY PHYSICIANS, P.A
Location Address4115 THE PLZCharlotte, NC 28205-1356
Mailing AddressPo Box 1280Matthews, NC 28106-1280 · (704) 532-4567 · Fax (704) 532-4580
Phone(704) 532-4567
Fax(704) 532-4580
Organization SubpartNo
Authorized OfficialTagbo EkwonuMedical Director · (704) 532-4567
Enumeration DateSeptember 28, 2007
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1154518678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
4115 THE PLZ, Charlotte, NC 28205
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, NC
Active · expires Oct 11, 2027
CLIA Number34D1075088
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorTagbo J. Ekwonu
Laboratory Phone(704) 532-4567
Laboratory LocationEastowne Family Physicians4115 The Plaza, Charlotte, NC 28205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA GREGORY FNP
Nurse Practitioner (Family)
4115 THE PLZ
CHARLOTTE, NC 28205
Mecklenburg County (704) 532-4567
DR. TAGBO JOHN EKWONU M.D.
Family Medicine
4115 THE PLZ, EASTOWNE FAMILY PHYSICIANS, P.A,
CHARLOTTE, NC 28205
Mecklenburg County (704) 532-4567
CHARLOTTE HEALTH INITIATIVE, INC.
Case Management
4115 THE PLZ
CHARLOTTE, NC 28205
Mecklenburg County (704) 493-9626

Frequently 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.

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.