| Inpatient Consultants Of North Carolina, Pc | |
|
2001 Vail Ave Fl 7 Charlotte NC 28207-1248 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Inpatient Consultants Of North Carolina, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Vail Ave Fl 7, Charlotte, North Carolina |
| Authorized Official Name and Position | Randal Dabbs (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Consultants Of North Carolina, Pc 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Inpatient Consultants Of North Carolina, Pc 2001 Vail Ave Fl 7 Charlotte NC 28207-1248 Ph: (314) 317-0600 |
| NPI Number | 1669422846 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Medicare PECOS PAC ID | 5991720591 |
|---|---|
| Medicare Enrollment ID | O20051012001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669422846 | NPI | - | NPPES |
| 5901761 | Medicaid | NC |
| Provider Name | Sharon M Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396795159 PECOS PAC ID: 1658267323 Enrollment ID: I20040227000678 |
| Provider Name | Carlos A Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983891 PECOS PAC ID: 3971596719 Enrollment ID: I20040406001751 |
| Provider Name | David Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033162227 PECOS PAC ID: 3375528722 Enrollment ID: I20040621001350 |
| Provider Name | Longinus Olewuike Agor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265494686 PECOS PAC ID: 9638141211 Enrollment ID: I20040812001071 |
| Provider Name | Cindy Lee Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518932599 PECOS PAC ID: 3870558893 Enrollment ID: I20041201000297 |
| Provider Name | Pamela D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861464901 PECOS PAC ID: 2466406590 Enrollment ID: I20050310000709 |
| Provider Name | Lisa M Caporossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407969694 PECOS PAC ID: 6709832280 Enrollment ID: I20050328000934 |
| Provider Name | John Steven Corder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154300820 PECOS PAC ID: 0941257984 Enrollment ID: I20050401000639 |
| Provider Name | Eileen Marie Caquias Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609862010 PECOS PAC ID: 4385680396 Enrollment ID: I20050629001216 |
| Provider Name | Jeffrey D Seder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023094653 PECOS PAC ID: 3678502317 Enrollment ID: I20050822000107 |
| Provider Name | Terry W Mccall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467412205 PECOS PAC ID: 3779514120 Enrollment ID: I20050825000170 |
| Provider Name | James E Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783092 PECOS PAC ID: 4385678952 Enrollment ID: I20050922000846 |
| Provider Name | John A Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164517819 PECOS PAC ID: 8325063548 Enrollment ID: I20051006000939 |
| Provider Name | Cynthia R Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063468601 PECOS PAC ID: 7517982168 Enrollment ID: I20051012000705 |
| Provider Name | Doris Carrizalez Purvis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184673014 PECOS PAC ID: 9234157397 Enrollment ID: I20051107000937 |
| Provider Name | Leslie W Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376735423 PECOS PAC ID: 9436166899 Enrollment ID: I20060310000080 |
| Provider Name | Janet Mcnamara Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902854912 PECOS PAC ID: 7416965322 Enrollment ID: I20060403000673 |
| Provider Name | Trina Prather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023048741 PECOS PAC ID: 2860416690 Enrollment ID: I20060413000401 |
| Provider Name | Jose E Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347627 PECOS PAC ID: 4981616042 Enrollment ID: I20060608000267 |
| Provider Name | Edward S Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777148 PECOS PAC ID: 9335157643 Enrollment ID: I20060808000065 |
| Provider Name | Lisa G Cozzarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235177593 PECOS PAC ID: 3577568096 Enrollment ID: I20060915000354 |
| Provider Name | Eric Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780626937 PECOS PAC ID: 0143288985 Enrollment ID: I20061213000480 |
| Provider Name | Margaret M Divish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982795787 PECOS PAC ID: 3971602194 Enrollment ID: I20070628000151 |
| Provider Name | Matthew Philip Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801897228 PECOS PAC ID: 6608967864 Enrollment ID: I20070802000463 |
| Provider Name | Larry D Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235261827 PECOS PAC ID: 7810088945 Enrollment ID: I20070803000428 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Kristin J Wiltrout |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306034921 PECOS PAC ID: 5496843427 Enrollment ID: I20071109000140 |
| Provider Name | Randall K Cope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215040613 PECOS PAC ID: 2365449758 Enrollment ID: I20080114000161 |
| Provider Name | David A Franks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437162732 PECOS PAC ID: 2567556145 Enrollment ID: I20081121000718 |
| Provider Name | Carol E Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972742914 PECOS PAC ID: 1951451509 Enrollment ID: I20090602000729 |
| Provider Name | Rabi D Kutob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306807672 PECOS PAC ID: 3173673480 Enrollment ID: I20090608000628 |
| Provider Name | Karen L Dedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023080454 PECOS PAC ID: 1658423173 Enrollment ID: I20090714000804 |
| Provider Name | Teresa B Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366517872 PECOS PAC ID: 2264585215 Enrollment ID: I20090808000090 |
| Provider Name | Philip Asenso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366673048 PECOS PAC ID: 5799839981 Enrollment ID: I20090822000204 |
| Provider Name | Blair L Holl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780630897 PECOS PAC ID: 3779624903 Enrollment ID: I20100109000042 |
| Provider Name | Cynthia Kay Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538281134 PECOS PAC ID: 5799811733 Enrollment ID: I20100330000418 |
| Provider Name | Richard M Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952463523 PECOS PAC ID: 1456254648 Enrollment ID: I20100708000285 |
| Provider Name | Edward Thurman Plyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988058 PECOS PAC ID: 9335193242 Enrollment ID: I20100722000585 |
| Provider Name | Christina Dolack |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154424661 PECOS PAC ID: 7214835115 Enrollment ID: I20100820000686 |
| Provider Name | Thanigaiarsu Thiyagarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043475049 PECOS PAC ID: 8123211034 Enrollment ID: I20101025000253 |
| Provider Name | Joanne M Latta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144426123 PECOS PAC ID: 3375736069 Enrollment ID: I20101026001343 |
| Provider Name | Deborah Lynn Story |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093909145 PECOS PAC ID: 6103015318 Enrollment ID: I20110104000598 |
| Provider Name | Kelly M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275838302 PECOS PAC ID: 7416139852 Enrollment ID: I20110307000774 |
| Provider Name | James N Horst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235154089 PECOS PAC ID: 8426031337 Enrollment ID: I20110324000400 |
| Provider Name | Patti Greening Sperling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639147812 PECOS PAC ID: 2062303001 Enrollment ID: I20110411000697 |
| Provider Name | Gajarah Bb Peterson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467626788 PECOS PAC ID: 2264601780 Enrollment ID: I20110817000568 |
| Provider Name | Elizabeth Leigh Neale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316184146 PECOS PAC ID: 6608043351 Enrollment ID: I20120119000930 |
| Provider Name | Helen Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457439036 PECOS PAC ID: 0840458469 Enrollment ID: I20120228000296 |
| Provider Name | Adam Oneal Padgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073771663 PECOS PAC ID: 6204015878 Enrollment ID: I20121013000034 |
| Provider Name | Linda Simpson Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598010803 PECOS PAC ID: 7911158795 Enrollment ID: I20121105000494 |
| Provider Name | Amy H Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821344060 PECOS PAC ID: 6901041086 Enrollment ID: I20130320000140 |
| Provider Name | Sunshine Marie Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046833 PECOS PAC ID: 0143466193 Enrollment ID: I20130417000193 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20130827000766 |
| Provider Name | Katherine Grimes Crum |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336374081 PECOS PAC ID: 3577797794 Enrollment ID: I20131001000443 |
| Provider Name | Lani N Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881911485 PECOS PAC ID: 9133354509 Enrollment ID: I20131021001817 |
| Provider Name | Rebecca Spring Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275968216 PECOS PAC ID: 7416182795 Enrollment ID: I20131022000507 |
| Provider Name | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20131111000866 |
| Provider Name | Kadye Barker Mccaslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634408 PECOS PAC ID: 1153557699 Enrollment ID: I20131112000312 |
| Provider Name | Alex K Chappelear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316170830 PECOS PAC ID: 6709054844 Enrollment ID: I20140605001587 |
| Provider Name | Wendy Brown Moose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386044501 PECOS PAC ID: 9335361146 Enrollment ID: I20141111002552 |
| Provider Name | Rachel B Smith-langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834998 PECOS PAC ID: 5799007779 Enrollment ID: I20141202000715 |
| Provider Name | Alexis D. Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417144635 PECOS PAC ID: 1456675487 Enrollment ID: I20150123000173 |
| Provider Name | Shauna Hudson Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982096988 PECOS PAC ID: 0244559466 Enrollment ID: I20150508001727 |
| Provider Name | Aubrey A Balmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336494186 PECOS PAC ID: 9335469006 Enrollment ID: I20150520000933 |
| Provider Name | Jeanette Evelyn Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508253360 PECOS PAC ID: 9739491481 Enrollment ID: I20150708003003 |
| Provider Name | Leanne Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375270 PECOS PAC ID: 6608177365 Enrollment ID: I20151222001834 |
| Provider Name | Cheryl Pomaville Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316083520 PECOS PAC ID: 9133421308 Enrollment ID: I20160105001148 |
| Provider Name | Brittany Lee Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598130346 PECOS PAC ID: 6709189053 Enrollment ID: I20160121000288 |
| Provider Name | Whitney T Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457785651 PECOS PAC ID: 0244534972 Enrollment ID: I20160201001534 |
| Provider Name | Emily Lucrezia Ventre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942667027 PECOS PAC ID: 2163727850 Enrollment ID: I20160217001185 |
| Provider Name | Daniel Prober |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659737377 PECOS PAC ID: 2365747599 Enrollment ID: I20160225000650 |
| Provider Name | Kimberly Grace Ruppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437516481 PECOS PAC ID: 1254637689 Enrollment ID: I20160311000439 |
| Provider Name | Kimberly Gayle Szafran Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662824 PECOS PAC ID: 0941507578 Enrollment ID: I20160328000717 |
| Provider Name | Theresa C Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528426855 PECOS PAC ID: 8628375755 Enrollment ID: I20160404002261 |
| Provider Name | Matthew K Storey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801195268 PECOS PAC ID: 8921224825 Enrollment ID: I20160615000403 |
| Provider Name | Richard F. Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376551036 PECOS PAC ID: 8325094857 Enrollment ID: I20160627000450 |
| Provider Name | Charles Malcolm Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881681617 PECOS PAC ID: 5496790545 Enrollment ID: I20160725001804 |
| Provider Name | Jennifer Lee Cunningham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770710154 PECOS PAC ID: 8426365743 Enrollment ID: I20160810000841 |
| Provider Name | Valerie Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932332376 PECOS PAC ID: 9830215102 Enrollment ID: I20161003002574 |
| Provider Name | Ronald Andrew Noe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710320122 PECOS PAC ID: 5991020265 Enrollment ID: I20161012000922 |
| Provider Name | Tracy E Ayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447203229 PECOS PAC ID: 6800888132 Enrollment ID: I20161107000002 |
| Provider Name | Thomas Langley Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750407078 PECOS PAC ID: 4587612817 Enrollment ID: I20161107000025 |
| Provider Name | Sofia Jeciel Umali-jhanji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396762837 PECOS PAC ID: 2264410950 Enrollment ID: I20161107001648 |
| Provider Name | Alisha Lea Lafontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538617394 PECOS PAC ID: 7214217884 Enrollment ID: I20161219000251 |
| Provider Name | Theresa Anne Shovlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154873164 PECOS PAC ID: 4385925973 Enrollment ID: I20161219001529 |
| Provider Name | Teresa R Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235679085 PECOS PAC ID: 0042597825 Enrollment ID: I20170503002723 |
| Provider Name | Kristan Leeann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083966113 PECOS PAC ID: 7113171521 Enrollment ID: I20170802001304 |
| Provider Name | Amanda Ruth Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836405 PECOS PAC ID: 5496028284 Enrollment ID: I20170830000012 |
| Provider Name | Rebecca A Kalinoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386166684 PECOS PAC ID: 6709159833 Enrollment ID: I20170912000255 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477781 PECOS PAC ID: 9133417983 Enrollment ID: I20170912001485 |
| Provider Name | Deidre Newkirk Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251973 PECOS PAC ID: 1456626340 Enrollment ID: I20171003004702 |
| Provider Name | Leann R Simpson Tarokh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285660753 PECOS PAC ID: 9537170071 Enrollment ID: I20171129001693 |
| Provider Name | Kristoffer T Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740220946 PECOS PAC ID: 3779612908 Enrollment ID: I20180129000688 |
| Provider Name | Keynadomnicia Chioma Udenze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923635 PECOS PAC ID: 2365595527 Enrollment ID: I20180205000040 |
| Provider Name | Sandra Hope Raymore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649771114 PECOS PAC ID: 0143584961 Enrollment ID: I20180503000253 |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164781936 PECOS PAC ID: 3072827393 Enrollment ID: I20180613001438 |
| Provider Name | Aida Garcia Camanguian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134616618 PECOS PAC ID: 7719232511 Enrollment ID: I20180619003291 |
| Provider Name | Mark Hollandsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992727 PECOS PAC ID: 3678828365 Enrollment ID: I20180620003382 |
| Provider Name | Ashlee Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334798 PECOS PAC ID: 2264787704 Enrollment ID: I20180625000639 |
| Provider Name | Tangela Dene Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538655048 PECOS PAC ID: 2466701040 Enrollment ID: I20180815000076 |
| Provider Name | Timothy John Mathews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134514607 PECOS PAC ID: 6800147513 Enrollment ID: I20180919002307 |
| Provider Name | Zhihua He |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668997 PECOS PAC ID: 4880981471 Enrollment ID: I20181115000203 |
| Provider Name | Dawn M Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20181129001902 |
| Provider Name | Lakasha Akisha Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386111722 PECOS PAC ID: 1850635830 Enrollment ID: I20181203000024 |
| Provider Name | Teresa M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803872 PECOS PAC ID: 9234382789 Enrollment ID: I20190404000366 |
| Provider Name | Tonya D Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194288241 PECOS PAC ID: 0648512046 Enrollment ID: I20190506001436 |
| Provider Name | Neenah Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639735277 PECOS PAC ID: 5991039695 Enrollment ID: I20190701000953 |
| Provider Name | Karen Claudia Kastler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053626192 PECOS PAC ID: 5597944652 Enrollment ID: I20190806000951 |
| Provider Name | Iqbal Bhuiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477052496 PECOS PAC ID: 0749542967 Enrollment ID: I20190821002540 |
| Provider Name | Kailynn Jo Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731407 PECOS PAC ID: 8022346402 Enrollment ID: I20190822003115 |
| Provider Name | Crystal S Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493111 PECOS PAC ID: 5890032254 Enrollment ID: I20190903002577 |
| Provider Name | Jennifer Lenore Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467011940 PECOS PAC ID: 6608105424 Enrollment ID: I20190904001292 |
| Provider Name | Stephanie C Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699333021 PECOS PAC ID: 3971832338 Enrollment ID: I20190910001955 |
| Provider Name | Michael Crooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114380490 PECOS PAC ID: 6406147115 Enrollment ID: I20190918003296 |
| Provider Name | Amber Kalynn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492426 PECOS PAC ID: 1951632884 Enrollment ID: I20191008001330 |
| Provider Name | Melissa Barlowe Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073172904 PECOS PAC ID: 5294066155 Enrollment ID: I20191008003049 |
| Provider Name | Elizabeth Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003374208 PECOS PAC ID: 2860723681 Enrollment ID: I20191009001763 |
| Provider Name | Joanna T Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893344 PECOS PAC ID: 1951633767 Enrollment ID: I20191029000263 |
| Provider Name | Brittany F Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427607530 PECOS PAC ID: 3476885708 Enrollment ID: I20191105002920 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20200114000032 |
| Provider Name | Elizabeth Leadbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063916385 PECOS PAC ID: 3577800549 Enrollment ID: I20200114003726 |
| Provider Name | Megan Marguerite Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289141 PECOS PAC ID: 6608006705 Enrollment ID: I20200225001880 |
| Provider Name | Mark Andrew Radigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871973784 PECOS PAC ID: 6406161660 Enrollment ID: I20200306001619 |
| Provider Name | Angela Bennett Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578828661 PECOS PAC ID: 9133371917 Enrollment ID: I20200331002864 |
| Provider Name | Meggan B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043133 PECOS PAC ID: 8729418744 Enrollment ID: I20200415000950 |
| Provider Name | Jamie Davis Freelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023308194 PECOS PAC ID: 2769647247 Enrollment ID: I20200415001572 |
| Provider Name | Oscar Njihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225458 PECOS PAC ID: 3274964614 Enrollment ID: I20200519000662 |
| Provider Name | Jordan P Cole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437680352 PECOS PAC ID: 9335498468 Enrollment ID: I20200713000204 |
| Provider Name | John Michael Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548523012 PECOS PAC ID: 4789840760 Enrollment ID: I20200917000278 |
| Provider Name | Marcy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003946724 PECOS PAC ID: 8426123951 Enrollment ID: I20201207001029 |
| Provider Name | Kristina Kinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932701695 PECOS PAC ID: 9032521042 Enrollment ID: I20201216001658 |
| Provider Name | Heather Nichole Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447850458 PECOS PAC ID: 1355758087 Enrollment ID: I20210325001164 |
| Provider Name | Denise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346820388 PECOS PAC ID: 0345659140 Enrollment ID: I20210507000407 |
| Provider Name | Jo Ellen Inman-puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260451 PECOS PAC ID: 3173923984 Enrollment ID: I20210616001849 |
| Provider Name | Gary Allen Summerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588967533 PECOS PAC ID: 8224399654 Enrollment ID: I20210708001385 |
| Provider Name | Thaisa Araujo Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215422951 PECOS PAC ID: 9133470271 Enrollment ID: I20210709000979 |
| Provider Name | Ashan Hatharasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972007581 PECOS PAC ID: 3870842974 Enrollment ID: I20210721002969 |
| Provider Name | Charles Maker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619950557 PECOS PAC ID: 8729177787 Enrollment ID: I20210806001797 |
| Provider Name | Alicia Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114419728 PECOS PAC ID: 4789934142 Enrollment ID: I20210823001818 |
| Provider Name | Amulya Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194211672 PECOS PAC ID: 4385041490 Enrollment ID: I20210916000312 |
| Provider Name | Sandra Baffour Kyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023786605 PECOS PAC ID: 0345647327 Enrollment ID: I20210916003468 |
| Provider Name | Maroun Eli Aboutayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447757992 PECOS PAC ID: 7810307402 Enrollment ID: I20210921000076 |
| Provider Name | Tammy Michelle Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794847 PECOS PAC ID: 4082011713 Enrollment ID: I20210923001234 |
| Provider Name | Jessica Ann Rahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073189916 PECOS PAC ID: 7911305750 Enrollment ID: I20211008002757 |
| Provider Name | Greg Scott Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932698800 PECOS PAC ID: 8820496326 Enrollment ID: I20211014000843 |
| Provider Name | Carmetrice Almore Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669146312 PECOS PAC ID: 6204234685 Enrollment ID: I20211015001011 |
| Provider Name | Uma Rani Kasireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326074964 PECOS PAC ID: 8224038849 Enrollment ID: I20211025001925 |
| Provider Name | Michael Warren Gower |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235563321 PECOS PAC ID: 4486924198 Enrollment ID: I20211028000459 |
| Provider Name | Michael W Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396233425 PECOS PAC ID: 8628309101 Enrollment ID: I20211104000717 |
| Provider Name | Ermarefe C Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265925598 PECOS PAC ID: 7517214802 Enrollment ID: I20211111000764 |
| Provider Name | Faisal Mohammad Fakih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114292653 PECOS PAC ID: 4385883883 Enrollment ID: I20211112002137 |
| Provider Name | Tayler Gabrielle Mebane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192597 PECOS PAC ID: 5092105585 Enrollment ID: I20211123002307 |
| Provider Name | Bevin Rae Mcgahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922688407 PECOS PAC ID: 8820488869 Enrollment ID: I20211206001122 |
| Provider Name | Raja Rajeswara Rao Paladugu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972570232 PECOS PAC ID: 3274570742 Enrollment ID: I20220104001888 |
| Provider Name | Susan Renee Ivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720509052 PECOS PAC ID: 0244506020 Enrollment ID: I20220111000370 |
| Provider Name | Karen Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093856767 PECOS PAC ID: 7416912431 Enrollment ID: I20220112002862 |
| Provider Name | Heather C Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770125163 PECOS PAC ID: 2769874049 Enrollment ID: I20220118002244 |
| Provider Name | Pamela Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192702 PECOS PAC ID: 5890187892 Enrollment ID: I20220125002949 |
| Provider Name | Suzanne Dawn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134376817 PECOS PAC ID: 1850558248 Enrollment ID: I20220204000434 |
| Provider Name | Miao Qin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477918498 PECOS PAC ID: 1658651914 Enrollment ID: I20220224000146 |
| Provider Name | Susan Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932116266 PECOS PAC ID: 1052395399 Enrollment ID: I20220316002820 |
| Provider Name | Jamie Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881057305 PECOS PAC ID: 0143519546 Enrollment ID: I20220404000230 |
| Provider Name | Christopher John Lashley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982017778 PECOS PAC ID: 8426327529 Enrollment ID: I20220411001409 |
| Provider Name | Sabrina Stiles Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346995206 PECOS PAC ID: 4183011174 Enrollment ID: I20220421000349 |
| Provider Name | Julie B Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942872940 PECOS PAC ID: 0446647366 Enrollment ID: I20220425000555 |
| Provider Name | Ashley Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052686 PECOS PAC ID: 6608154737 Enrollment ID: I20220429001205 |
| Provider Name | Melsah Riley-hazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316282494 PECOS PAC ID: 3779711577 Enrollment ID: I20220511002703 |
| Provider Name | Molly Grant Kallins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366948879 PECOS PAC ID: 2062741630 Enrollment ID: I20220526000425 |
| Provider Name | Lawrence J Kantrowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972548857 PECOS PAC ID: 1951491505 Enrollment ID: I20220614000520 |
| Provider Name | William Hayden Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649730060 PECOS PAC ID: 6204162480 Enrollment ID: I20220623001615 |
| Provider Name | Sophia Gavgani Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780334268 PECOS PAC ID: 4082095815 Enrollment ID: I20220725002712 |
| Provider Name | Winnie Momanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194471870 PECOS PAC ID: 6901288653 Enrollment ID: I20220728000599 |
| Provider Name | Cynthia Gail Shahed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023342284 PECOS PAC ID: 2062556400 Enrollment ID: I20220812000996 |
| Provider Name | Mary M Humphreys-sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730815259 PECOS PAC ID: 1951785161 Enrollment ID: I20220907000196 |
| Provider Name | Mark Rohrer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750434940 PECOS PAC ID: 4789613373 Enrollment ID: I20220907001388 |
| Provider Name | Arman Elkaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669933529 PECOS PAC ID: 7517292576 Enrollment ID: I20220912001868 |
| Provider Name | Brady Zetterman Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982165809 PECOS PAC ID: 7214352590 Enrollment ID: I20220915000322 |
| Provider Name | Timberly Esther Booker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487837027 PECOS PAC ID: 3678610946 Enrollment ID: I20220922000491 |
| Provider Name | Nina Kokayeff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053975318 PECOS PAC ID: 9830428226 Enrollment ID: I20220922001509 |
| Provider Name | Morgan Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487224051 PECOS PAC ID: 6800299314 Enrollment ID: I20221006000717 |
| Provider Name | Chrystel Marlene Calliste |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417500539 PECOS PAC ID: 2668858044 Enrollment ID: I20221009000034 |
| Provider Name | Michael B Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912469958 PECOS PAC ID: 1355735119 Enrollment ID: I20221121001443 |
| Provider Name | Lucy Dowdy Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790402428 PECOS PAC ID: 2769850437 Enrollment ID: I20221130002253 |
| Provider Name | Joseph Saturley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225068331 PECOS PAC ID: 4385951011 Enrollment ID: I20221205000849 |
| Provider Name | Briana Leigh Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164165866 PECOS PAC ID: 8820474547 Enrollment ID: I20221215001443 |
| Provider Name | Angel Catherine Rayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881260958 PECOS PAC ID: 0941606065 Enrollment ID: I20221219000643 |
| Provider Name | Caroline Holleck Kahle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407019987 PECOS PAC ID: 4587708425 Enrollment ID: I20230126000252 |
| Provider Name | Tyler C Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285054239 PECOS PAC ID: 7113258369 Enrollment ID: I20230203000731 |
| Provider Name | Jennifer Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548734338 PECOS PAC ID: 7315354255 Enrollment ID: I20230210001181 |
| Provider Name | Eric Lauren Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972000248 PECOS PAC ID: 9638424542 Enrollment ID: I20230306000870 |
| Provider Name | James Zachary Akins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912495516 PECOS PAC ID: 1951651306 Enrollment ID: I20230320000436 |
| Provider Name | Benjamin Christopher Andrews |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1154020899 PECOS PAC ID: 6406220631 Enrollment ID: I20230329002628 |
| Provider Name | Flor De Maria Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477267912 PECOS PAC ID: 3971968579 Enrollment ID: I20230504001019 |
| Provider Name | Elizabeth Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413861 PECOS PAC ID: 7012285844 Enrollment ID: I20230614000774 |
| Provider Name | Jacqueline Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821404070 PECOS PAC ID: 2163643222 Enrollment ID: I20230705002481 |
| Provider Name | Leah Newton Ashe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861176620 PECOS PAC ID: 9931568078 Enrollment ID: I20230706004213 |
| Provider Name | Sridhar Reddy Patlolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750903407 PECOS PAC ID: 4880004167 Enrollment ID: I20230717000607 |
| Provider Name | Rochard Benjamin Sauveur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013530781 PECOS PAC ID: 5193185213 Enrollment ID: I20230720001037 |
| Provider Name | Zachary Dillon Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023578176 PECOS PAC ID: 2668705559 Enrollment ID: I20230731003416 |
| Provider Name | Kurt Vincent Furno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760002638 PECOS PAC ID: 2466813761 Enrollment ID: I20230803000112 |
| Provider Name | Hanna Beth Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154880201 PECOS PAC ID: 6901135433 Enrollment ID: I20230905004182 |
| Provider Name | Gayatri Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497394373 PECOS PAC ID: 5395167316 Enrollment ID: I20230906002302 |
| Provider Name | Quinn Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801582960 PECOS PAC ID: 2668836826 Enrollment ID: I20230907000640 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230908002850 |
| Provider Name | Kaitlyn Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568143576 PECOS PAC ID: 5890159644 Enrollment ID: I20230912001751 |
| Provider Name | Stacey Marie Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396139119 PECOS PAC ID: 0941528459 Enrollment ID: I20231012000135 |
| Provider Name | Melinda Smith Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164108304 PECOS PAC ID: 1052768710 Enrollment ID: I20231117000772 |
| Provider Name | Lakayla Cummings Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922700723 PECOS PAC ID: 9830547512 Enrollment ID: I20231120001733 |
| Provider Name | Maria Skye Correia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144933458 PECOS PAC ID: 4688022510 Enrollment ID: I20231202000016 |
| Provider Name | Christina Boldosser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588292171 PECOS PAC ID: 2264850478 Enrollment ID: I20231206003874 |
| Provider Name | Jennie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730649484 PECOS PAC ID: 0446592471 Enrollment ID: I20231214001715 |
| Provider Name | Andrew Michael Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194504175 PECOS PAC ID: 5991155574 Enrollment ID: I20231221003644 |
| Provider Name | Stephen Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183129 PECOS PAC ID: 1759705247 Enrollment ID: I20240102003006 |
| Provider Name | Sarah Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285407809 PECOS PAC ID: 7214389832 Enrollment ID: I20240119000967 |
| Provider Name | Andrew John Streicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033426846 PECOS PAC ID: 9133363880 Enrollment ID: I20240125003115 |
| Provider Name | Virginia Mcquhae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124485883 PECOS PAC ID: 9638450653 Enrollment ID: I20240206003980 |
| Provider Name | Adam Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013463637 PECOS PAC ID: 0143558924 Enrollment ID: I20240223001202 |
| Provider Name | Natalie Shim Look-fong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235669789 PECOS PAC ID: 1759659295 Enrollment ID: I20240227004049 |
| Provider Name | Ashley Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153791 PECOS PAC ID: 6103231725 Enrollment ID: I20240305000421 |
| Provider Name | Akash K Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20240418003459 |
| Provider Name | Takesha Denise Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841067154 PECOS PAC ID: 2466893433 Enrollment ID: I20240509000106 |
| Provider Name | Emily Dilmon Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588031421 PECOS PAC ID: 5294045688 Enrollment ID: I20240523002181 |
| Provider Name | Ernesto Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649266461 PECOS PAC ID: 5395880306 Enrollment ID: I20240524003271 |
| Provider Name | Amanda Shepherd Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417708231 PECOS PAC ID: 6103268818 Enrollment ID: I20240528000701 |
| Provider Name | Marina Silva Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215558788 PECOS PAC ID: 8820530900 Enrollment ID: I20240604003044 |
| Provider Name | Katherine Mitzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089757 PECOS PAC ID: 3274961115 Enrollment ID: I20240613000993 |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
Carolina Care One, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Beaux St, Charlotte, NC 28208 Phone: 704-299-2616 | |
Myers Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Umar Ct, Charlotte, NC 28215 Phone: 704-566-0245 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Robinhood Cir, Charlotte, NC 28227 Phone: 704-563-8894 | |
Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
Carawell Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Springbank Ln Ste 302, Charlotte, NC 28226 Phone: 704-288-0314 Fax: 704-288-0310 | |
Healing Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 J N Pease Pl Ste 201, Charlotte, NC 28262 Phone: 980-237-2709 Fax: 704-817-9154 |