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

Individual provider Internal Medicine Physician · NPI 1558948778

Obiora Ezeudemba, MD is an Internal Medicine in Shelby, North Carolina. Qualified in 2016, 10 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
10
Licensed in
NC, SC
In the registry since
2021
Specialties on file
2
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

201 E Grover St
Shelby, NC 28150-3917
Phone: (800) 821-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Spring St, Greenwood, SC 29646-3860 — (864) 725-4272

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 202401697 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 92025 (SC)

Record details

NPI number1558948778
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address2800 Main St Dept Of, Bridgeport, CT 06606-4201

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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