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VICTORIA IFEDINMA UDOCHU PA-C
NPI 1437048162
Physician Assistant in Winston Salem, NC

Active since June 30, 2025PECOS Enrolled
4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 716-3926(336) 716-9258 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Victoria Ifedinma Udochu Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA IFEDINMA UDOCHU PA-C (NPI 1437048162) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-15606) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437048162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA IFEDINMA UDOCHUCredential: PA-C
Location Address4618 COUNTRY CLUB RDWinston Salem, NC 27104-3520
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-2255
Phone(336) 716-3926
Fax(336) 716-9258
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 30, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1437048162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-15606
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4618 COUNTRY CLUB RD, Winston Salem, NC 27104
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Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2255
Location 25826 Samet Dr Ste 103High Point, NC 27265-3661 · Phone (336) 905-6300 · Fax (336) 716-9258

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Ifedinma Udochu Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456832328
PECOS Enrollment IDI20260227003115
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DEBRA COPELAND SIZEMORE PAC
Physician Assistant (Medical)
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2255
JESSICA ALEXIS SAVAS M.D
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
PATRICE LASHAY SHAW PA
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
AMY JO MCMICHAEL MD
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2255
AMBER BREWER KELLER PA-C
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-1763
CHRISTEN MITCHELL MD
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
EMILY CHRISTINE MOYA PA-C
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
LUCY ROSE MD
Student in an Organized Health Care Education/Training Program
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926

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 Victoria Udochu's NPI number?

The NPI number for Victoria Udochu is 1437048162. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Victoria Udochu located?

Victoria Udochu practices at 4618 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 716-3926.

What is Victoria Udochu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Victoria Udochu enrolled in Medicare?

Yes. Victoria Udochu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Udochu was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.