DR. OMICI UWAGBAI COLQUITT (M.D., M.P.H.) – Geriatric Medicine (Family Medicine) Physician, NPI 1043622343
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. OMICI UWAGBAI COLQUITT (M.D., M.P.H.)
9600 VETERANS DR SW
A182-GEC
TACOMA, WA 984930003
Phone: (253) 583-1249
Fax: (253) 589-4028
Type: Mailing
2817 ROCK MERRITT
FORT BRAGG, NC 283100001
Phone: (910) 907-8282
Type: Mailing
2817 ROCK MERRITT AVE
FORT BRAGG, NC 283100003
Phone: (910) 907-8282
Fax: (910) 907-7296
Type: Location
2817 Rock Merritt Ave
Fort Bragg, NC 283100003
Phone: (910) 907-8282
Fax: (910) 907-7296
Type: Location
PO BOX 746724
ATLANTA, GA 303746724
Phone: (312) 733-9730
Type: Mailing
906 BINGHAM DR
FAYETTEVILLE, NC 283042842
Phone: (910) 213-3547
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260209001542 | I | Family Practice | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98493)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Family Practice | IL | |
| Family Practice | TN | |
| Internal Medicine | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine, Geriatric Medicine | TN | |
| Nurse Practitioner | NC |
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