Chigozirim Okey Agoh, PA-C
Physician Assistant in Clayton, NC. Individual provider (NPI-1).
NPI number1104501972
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1104501972
- Entity type
- Individual (NPI-1)
- Name
- Chigozirim Okey Agoh
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2023
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
122 N Great White WayClayton, NC 27527-6709
Phone 919-327-0450
Mailing address
122 N Great White WayClayton, NC 27527-6709
Phone 919-327-0450
Other practice locations
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Goldsboro, NC 27534-9494
Phone 919-587-4394
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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