Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adeima Ubokudom Ibanga

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013598390

Adeima Ubokudom Ibanga is a Family Practice in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charlotte, NC
Fax: (704) 384-1720

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 2100 Wescott Dr, Flemington, NJ 08822-4604 — (908) 788-6100

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024-02770 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013598390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2021
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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