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

Mariah Owusu-Agyei, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770108193

Mariah Owusu-Agyei, MD is a Dermatology in Fayetteville, North Carolina. Qualified in 2020, 6 years ago. Practices with Richard Lee Averitte Jr PLLC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and North Carolina.

Years since qualifying
6
Licensed in
AZ, NC
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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.

Fayetteville, NC
Fax: (910) 615-9671

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-4000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2026-01913 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dermatology Physician Taxonomy 207N00000X · Licence 71856 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 71856 (AZ)

Record details

NPI number1770108193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2020
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Richard Lee Averitte Jr Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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