| Julian T Pierce Health Center | |
|
307 E Wardell Dr Pembroke NC 28372 | |
| (910) 521-2816 | |
| (910) 521-3583 |
| Full Name | Julian T Pierce Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 E Wardell Dr, Pembroke, North Carolina |
| Authorized Official Name and Position | George Timothy Hall (PRESIDENT/CEO) |
| Authorized Official Contact | 9105212900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julian T Pierce Health Center 60 Commerce Plz Pembroke NC 28372-7386 Ph: (910) 521-2900 | Julian T Pierce Health Center 307 E Wardell Dr Pembroke NC 28372 Ph: (910) 521-2816 |
| NPI Number | 1750348538 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 1850290693 |
|---|---|
| Medicare Enrollment ID | O20031231000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750348538 | NPI | - | NPPES |
| 6005794 | Medicaid | NC | |
| 344568 A/C | Medicaid | NC |
| Provider Name | Robin Yolanda Peace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437158201 PECOS PAC ID: 4082683784 Enrollment ID: I20040929000793 |
| Provider Name | Robin K Emanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952300980 PECOS PAC ID: 5597726646 Enrollment ID: I20041021000729 |
| Provider Name | Eugene Nor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164469920 PECOS PAC ID: 4082757539 Enrollment ID: I20110718000325 |
| Provider Name | Roselyne Bonareri Onkundi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013422344 PECOS PAC ID: 5799047544 Enrollment ID: I20180315001074 |
| Provider Name | Krystal L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487120556 PECOS PAC ID: 2062750359 Enrollment ID: I20190212001625 |
| Provider Name | Donna Sue Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396206900 PECOS PAC ID: 6406198753 Enrollment ID: I20190507001146 |
| Provider Name | Donald Dwayne Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639734197 PECOS PAC ID: 6103159454 Enrollment ID: I20190531001518 |
| Provider Name | Nikia Delores Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114485505 PECOS PAC ID: 9234462714 Enrollment ID: I20190617000221 |
| Provider Name | Selena Hammonds Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548828106 PECOS PAC ID: 5890029771 Enrollment ID: I20190626002567 |
| Provider Name | Brandy Nichole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689226920 PECOS PAC ID: 9032447156 Enrollment ID: I20190827001761 |
| Provider Name | Santana Nicole Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696261 PECOS PAC ID: 1254661572 Enrollment ID: I20190927002999 |
| Provider Name | David Kiminda Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114938 PECOS PAC ID: 4486089083 Enrollment ID: I20200108001311 |
| Provider Name | Jeanne Doris Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205466620 PECOS PAC ID: 1254769649 Enrollment ID: I20200318001269 |
| Provider Name | Rachel Elizabeth Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144820986 PECOS PAC ID: 4981017506 Enrollment ID: I20201228002028 |
| Provider Name | Tammy Renea Chavis-watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558030684 PECOS PAC ID: 1153711288 Enrollment ID: I20211206000055 |
| Provider Name | Brittany Quamel York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548927841 PECOS PAC ID: 6507259017 Enrollment ID: I20220204002116 |
| Provider Name | Breeonna Leigh Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871233957 PECOS PAC ID: 5496142788 Enrollment ID: I20220505001660 |
| Provider Name | Heather Epps Oxendine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179234 PECOS PAC ID: 6507222791 Enrollment ID: I20230512001734 |
| Provider Name | April Knopp Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669719886 PECOS PAC ID: 5092072132 Enrollment ID: I20240404000950 |
| Provider Name | Cynthia Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659848158 PECOS PAC ID: 5496094724 Enrollment ID: I20240411001117 |
| Provider Name | Shakelah Beth Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962259010 PECOS PAC ID: 8820430317 Enrollment ID: I20240529003815 |
Crossroads Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Blaine St, Pembroke, NC 28372 Phone: 910-521-8903 Fax: 910-521-2141 | |
Southeastern United Care,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Drakes Branch Drive, Pembroke, NC 28372 Phone: 910-521-9557 Fax: 910-521-0077 | |
Angelo's Care Home, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Union Chapel Rd, Pembroke, NC 28372 Phone: 910-521-1895 Fax: 910-521-7220 | |
Our House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 East Wardell Drive, Suite A, Pembroke, NC 28372 Phone: 910-521-1464 Fax: 910-521-1852 | |
Take Flight Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Main Street, Pembroke, NC 28372 Phone: 919-798-0967 | |
Positive Progress Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E 3rd St, Suite #5, Pembroke, NC 28372 Phone: 910-521-7461 Fax: 910-521-7463 | |
Crossroads Associates Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Prospect Road, Pembroke, NC 28372 Phone: 910-522-2158 Fax: 910-522-2141 |