DR. JENNIFER UYEMENAM UDOM MD
NPI 1942790373
Internal Medicine in Charlotte, NC

Q: What is Jennifer Udom's NPI number?

The NPI number for Jennifer Udom is 1942790373. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Q: What is Jennifer Udom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Udom was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

5740 N GRAHAM ST, CHARLOTTE, NC 28269(704) 251-8340(980) 549-3832 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Jan 3, 2023, Jul 26, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Jennifer Uyemenam Udom Md NPPES

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

DR. JENNIFER UYEMENAM UDOM MD (NPI 1942790373) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2021-00687) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1942790373

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JENNIFER UYEMENAM UDOMCredential: MD

Location Address5740 N GRAHAM STCharlotte, NC 28269-4839

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151

Phone(704) 251-8340

Fax(980) 549-3832

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2018

Enumeration DateMay 10, 2018

Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1942790373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NC · 2021-00687✔ Licensed in VA · 0101272815

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5740 N GRAHAM ST, Charlotte, NC 28269

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1378 Harden StBurlington, NC 27215-7516 · Phone (336) 698-3500 · Fax (336) 698-3814

Location 22100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (919) 961-5164

Location 31814 Westchester Dr Ste 301High Point, NC 27262-7369 · Phone (336) 802-2025 · Fax (336) 802-2026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Uyemenam Udom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800147232

PECOS Enrollment IDI20220603000349

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Udom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Archwell Health Professional Services Of North Carolina, P.C.

5.3 mi

Internal Medicine

3022 EASTWAY DR STE 1-3
Charlotte, NC 28205

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Archwell Health Professional Services Of North Carolina PC
25 clinicians in this Medicare group

NPI 1881278299 (704) 251-8228

Pmr Virginia Holding, LLC

646 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Virginia enrollment
100 clinicians in this Medicare group

NPI 1083167001 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

286 services166 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services58 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

66 services66 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

34 services34 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 7

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

DR. BONNIE FRANCES NICHOLSON PHARMD

Pharmacist