Graceful Aging,pc
NPI 1316259013ActiveOrganization· Family Medicine, Geriatric Medicine· Fayetteville, NC
Family Medicine, Geriatric Medicine in Fayetteville, North Carolina, registered in NPPES in July 2010. The authorized official on file is Susannah Ogunwo, M.D., President.
Overview
| NPI | 1316259013 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2010 |
| Last updated in NPPES | Jul 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 200601059 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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