| Apogee Behavioral Medicine Pc | |
|
445 Dolley Madison Rd Ste 100 Greensboro NC 27410-5166 | |
| (336) 967-6596 | |
| Not Available |
| Full Name | Apogee Behavioral Medicine Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 445 Dolley Madison Rd Ste 100, Greensboro, North Carolina |
| Authorized Official Name and Position | George Rohlinger (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3108909886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apogee Behavioral Medicine Pc 15059 N Scottsdale Rd Ste 600 Scottsdale AZ 85254-2685 Ph: () - | Apogee Behavioral Medicine Pc 445 Dolley Madison Rd Ste 100 Greensboro NC 27410-5166 Ph: (336) 967-6596 |
| NPI Number | 1134868300 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 6204218357 |
|---|---|
| Medicare Enrollment ID | O20220805001089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134868300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica A Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205011087 PECOS PAC ID: 8729219738 Enrollment ID: I20140314001004 |
| Provider Name | Miranda R Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679735328 PECOS PAC ID: 2466696596 Enrollment ID: I20151023001478 |
| Provider Name | Teah Ns Doles-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062758 PECOS PAC ID: 6507165503 Enrollment ID: I20160426000651 |
| Provider Name | Lane Purser Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598208050 PECOS PAC ID: 6305123191 Enrollment ID: I20170504000288 |
| Provider Name | Derek Cheston Ayers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912340324 PECOS PAC ID: 6204148059 Enrollment ID: I20170626000129 |
| Provider Name | Davette L Patterson Yount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639629504 PECOS PAC ID: 2264710078 Enrollment ID: I20181210000719 |
| Provider Name | Tonya D Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194288241 PECOS PAC ID: 0648512046 Enrollment ID: I20190506001436 |
| Provider Name | Kendra L Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659962397 PECOS PAC ID: 4688066772 Enrollment ID: I20220124000181 |
| Provider Name | Barbara Klein Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205546900 PECOS PAC ID: 2062883192 Enrollment ID: I20230126003461 |
| Provider Name | Kashea D Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751561 PECOS PAC ID: 9739554973 Enrollment ID: I20230331001145 |
| Provider Name | Gina M Varalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306552401 PECOS PAC ID: 9931574878 Enrollment ID: I20230407000350 |
| Provider Name | Jennifer Carner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780310458 PECOS PAC ID: 6507231305 Enrollment ID: I20230410001269 |
| Provider Name | Lynnessa Robyn Widelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225704711 PECOS PAC ID: 8820494644 Enrollment ID: I20230420003037 |
| Provider Name | Renee D Heagney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508059726 PECOS PAC ID: 2668821471 Enrollment ID: I20231205003090 |
| Provider Name | Rachel L Sprague |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265041438 PECOS PAC ID: 0648629469 Enrollment ID: I20231205003218 |
| Provider Name | Brittney Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528402047 PECOS PAC ID: 9537518808 Enrollment ID: I20231212001719 |
| Provider Name | Heather Replogle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518309137 PECOS PAC ID: 3274983093 Enrollment ID: I20231220000804 |
| Provider Name | Ami Jacquelyn Silva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154809382 PECOS PAC ID: 6204289093 Enrollment ID: I20240129001094 |
| Provider Name | Erin Tagge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023433125 PECOS PAC ID: 4688018591 Enrollment ID: I20240220000440 |
| Provider Name | Brittainy Adkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588309975 PECOS PAC ID: 1153769062 Enrollment ID: I20240410002283 |
| Provider Name | Cristian Skinner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538620422 PECOS PAC ID: 8426490541 Enrollment ID: I20240521002865 |
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