Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ogechi Grace Ejigiri, PA-C

Individual provider Physician Assistant · NPI 1689070013

Ogechi Grace Ejigiri, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2014, 12 years ago. Practices with Carolina Kidney Associates PA, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 New St
Greensboro, NC 27405-3654
Phone: (336) 379-9708
Fax: (336) 379-8714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689070013
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2014
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carolina Kidney Associates Pa — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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