| Carter Clinic, P A | |
|
4009 Barrett Dr Raleigh NC 27609-6616 | |
| (919) 848-0132 | |
| (919) 848-0277 |
| Full Name | Carter Clinic, P A |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4009 Barrett Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Myleme Ojinga Harrison (PRESIDENT/OWNER) |
| Authorized Official Contact | 9198480132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carter Clinic, P A 6026 Six Forks Rd Raleigh NC 27609-3899 Ph: (919) 848-0132 | Carter Clinic, P A 4009 Barrett Dr Raleigh NC 27609-6616 Ph: (919) 848-0132 |
| NPI Number | 1912959834 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Medicare PECOS PAC ID | 1254429921 |
|---|---|
| Medicare Enrollment ID | O20091216000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912959834 | NPI | - | NPPES |
| 017T9 | Other | NC | BCBS |
| 890764Y | Medicaid | NC |
| Provider Name | Myleme O Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164477691 PECOS PAC ID: 6800977653 Enrollment ID: I20080117000473 |
| Provider Name | Dionne Dillon Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755922 PECOS PAC ID: 7113002593 Enrollment ID: I20080310000327 |
| Provider Name | Russell H Gerry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811992340 PECOS PAC ID: 2163449455 Enrollment ID: I20101008000150 |
| Provider Name | Kim W Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811223464 PECOS PAC ID: 4183862519 Enrollment ID: I20130524000355 |
| Provider Name | India F Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922114628 PECOS PAC ID: 8022255215 Enrollment ID: I20131101001046 |
| Provider Name | Daria Delores Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316373475 PECOS PAC ID: 4385870856 Enrollment ID: I20131112001286 |
| Provider Name | Melissa H Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023355195 PECOS PAC ID: 1759519317 Enrollment ID: I20140109001703 |
| Provider Name | Candra K Wooten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588866628 PECOS PAC ID: 6103019468 Enrollment ID: I20141215000255 |
| Provider Name | Shalom A Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174998686 PECOS PAC ID: 1951690080 Enrollment ID: I20160512002187 |
| Provider Name | Vickie A Monsell-gorbas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073953980 PECOS PAC ID: 0345525762 Enrollment ID: I20170328000876 |
| Provider Name | Nicole Mishonda Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285148312 PECOS PAC ID: 4880931013 Enrollment ID: I20190125003020 |
| Provider Name | Nicole N Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720509037 PECOS PAC ID: 8224361068 Enrollment ID: I20190610001455 |
| Provider Name | Kenya Windley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821483876 PECOS PAC ID: 3476963356 Enrollment ID: I20201104000719 |
| Provider Name | Roquelle Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134527518 PECOS PAC ID: 6103293956 Enrollment ID: I20221108000372 |
| Provider Name | Julia Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114612348 PECOS PAC ID: 5395190870 Enrollment ID: I20231018003904 |
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