| Onsite Care Pllc | |
|
10130 Perimeter Pkwy Suite 200 Charlotte NC 28216-2447 | |
| (888) 849-7379 | |
| Not Available |
| Full Name | Onsite Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10130 Perimeter Pkwy, Charlotte, North Carolina |
| Authorized Official Name and Position | William Sampson (MANAGING PARTNER) |
| Authorized Official Contact | 9196305171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onsite Care Pllc 10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 Ph: (888) 849-7379 | Onsite Care Pllc 10130 Perimeter Pkwy Suite 200 Charlotte NC 28216-2447 Ph: (888) 849-7379 |
| NPI Number | 1912338328 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 7012149222 |
|---|---|
| Medicare Enrollment ID | O20140422000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912338328 | NPI | - | NPPES |
| Provider Name | Charles W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306929674 PECOS PAC ID: 0446243893 Enrollment ID: I20040403000192 |
| Provider Name | Susan Lill Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003079450 PECOS PAC ID: 5294716395 Enrollment ID: I20040525001532 |
| Provider Name | Hollie L Bahen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619263621 PECOS PAC ID: 8820071475 Enrollment ID: I20040612000466 |
| Provider Name | Rhonda Sanderson Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215936026 PECOS PAC ID: 3870578925 Enrollment ID: I20040622001221 |
| Provider Name | Akiko Omura |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437108610 PECOS PAC ID: 4688644040 Enrollment ID: I20040731000055 |
| Provider Name | Christopher J Runge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881640852 PECOS PAC ID: 8022085117 Enrollment ID: I20040916001143 |
| Provider Name | John E Fesperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013096981 PECOS PAC ID: 3678532702 Enrollment ID: I20041005000939 |
| Provider Name | Tim M Beittel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669464111 PECOS PAC ID: 4981686581 Enrollment ID: I20050125000159 |
| Provider Name | Amy M Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924085 PECOS PAC ID: 1951326396 Enrollment ID: I20051013001035 |
| Provider Name | Danford E Raynor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891857397 PECOS PAC ID: 3476538224 Enrollment ID: I20051206000469 |
| Provider Name | George D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518149277 PECOS PAC ID: 4486668282 Enrollment ID: I20060201000098 |
| Provider Name | Temple B Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013020882 PECOS PAC ID: 9830291822 Enrollment ID: I20070221000588 |
| Provider Name | R Steven Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740277243 PECOS PAC ID: 6608776281 Enrollment ID: I20070607000333 |
| Provider Name | Colleen Carol Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629109152 PECOS PAC ID: 2961502885 Enrollment ID: I20070706000530 |
| Provider Name | Laura A. Hardcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609858745 PECOS PAC ID: 3072591395 Enrollment ID: I20070719000426 |
| Provider Name | Suzanne Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598801664 PECOS PAC ID: 0840383824 Enrollment ID: I20070906000820 |
| Provider Name | Katherine A Zbodula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891832853 PECOS PAC ID: 6103911219 Enrollment ID: I20071004000550 |
| Provider Name | Jeanne S Haynie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821237348 PECOS PAC ID: 4880741156 Enrollment ID: I20090402000684 |
| Provider Name | Cynthia L Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457505570 PECOS PAC ID: 6406907716 Enrollment ID: I20090626000312 |
| Provider Name | Michael E Norins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699739557 PECOS PAC ID: 3870626534 Enrollment ID: I20100802000200 |
| Provider Name | Latrice Avery Polite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922328160 PECOS PAC ID: 6709901077 Enrollment ID: I20100910000477 |
| Provider Name | Lauren N Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912203522 PECOS PAC ID: 1658551437 Enrollment ID: I20110210001047 |
| Provider Name | Carol A Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659675544 PECOS PAC ID: 3971785056 Enrollment ID: I20110310000559 |
| Provider Name | Damaris Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699007625 PECOS PAC ID: 0143281626 Enrollment ID: I20110322000691 |
| Provider Name | Syna Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932366077 PECOS PAC ID: 7214105154 Enrollment ID: I20110721000047 |
| Provider Name | Bryan T Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316939788 PECOS PAC ID: 0648444281 Enrollment ID: I20111117000340 |
| Provider Name | Ethan R Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538300025 PECOS PAC ID: 3274708722 Enrollment ID: I20111212000189 |
| Provider Name | Jennifer Marie Rucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598811127 PECOS PAC ID: 2062589682 Enrollment ID: I20120125000589 |
| Provider Name | Carol Minnette Gibbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174606917 PECOS PAC ID: 9739346867 Enrollment ID: I20120201000591 |
| Provider Name | Stacia Crick Brommel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023216157 PECOS PAC ID: 6608037866 Enrollment ID: I20120416000054 |
| Provider Name | Valerie Chess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255493847 PECOS PAC ID: 4183715907 Enrollment ID: I20120907000352 |
| Provider Name | Tara Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336423458 PECOS PAC ID: 1355590712 Enrollment ID: I20121001000255 |
| Provider Name | William S Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629025655 PECOS PAC ID: 2668623810 Enrollment ID: I20121115000485 |
| Provider Name | Redella Baxley Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467705467 PECOS PAC ID: 7416109285 Enrollment ID: I20121203000027 |
| Provider Name | Courtney Elizabeth Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295072759 PECOS PAC ID: 9739334921 Enrollment ID: I20130219000002 |
| Provider Name | Ibis D. Nunez-santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871614420 PECOS PAC ID: 7113165606 Enrollment ID: I20130522000387 |
| Provider Name | Peter B King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497970735 PECOS PAC ID: 4385743699 Enrollment ID: I20130618000861 |
| Provider Name | Bernard H Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326282633 PECOS PAC ID: 8527201755 Enrollment ID: I20130906000642 |
| Provider Name | Jack Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356632582 PECOS PAC ID: 5890929004 Enrollment ID: I20131002000235 |
| Provider Name | Jane W Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316386725 PECOS PAC ID: 5597992230 Enrollment ID: I20131230000628 |
| Provider Name | Holly Smith Hatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588094726 PECOS PAC ID: 7214166511 Enrollment ID: I20140207001272 |
| Provider Name | Tamiqua Shaunte Jackson Luckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750717179 PECOS PAC ID: 3577792886 Enrollment ID: I20140207001668 |
| Provider Name | Steven J Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548566805 PECOS PAC ID: 1759512155 Enrollment ID: I20140328000429 |
| Provider Name | Maria S Priest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508990383 PECOS PAC ID: 5991938359 Enrollment ID: I20140509000676 |
| Provider Name | Lindsey C Schulten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316371073 PECOS PAC ID: 7719101914 Enrollment ID: I20140609001956 |
| Provider Name | Peter Fowle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780874032 PECOS PAC ID: 4284709148 Enrollment ID: I20140711002037 |
| Provider Name | Dorit Morecraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093121998 PECOS PAC ID: 8426277211 Enrollment ID: I20140909001872 |
| Provider Name | Cheryl A Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649555756 PECOS PAC ID: 1153541594 Enrollment ID: I20141006002397 |
| Provider Name | Kathleen J Craver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396059747 PECOS PAC ID: 3577785906 Enrollment ID: I20141119000887 |
| Provider Name | Brittany Mohammed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457774069 PECOS PAC ID: 3274855671 Enrollment ID: I20141212001505 |
| Provider Name | Lisa E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356617211 PECOS PAC ID: 1951623313 Enrollment ID: I20141215000557 |
| Provider Name | Philip Ralph Gould |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821030792 PECOS PAC ID: 9638327778 Enrollment ID: I20150115001527 |
| Provider Name | Monta Hunter Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186328 PECOS PAC ID: 9931426079 Enrollment ID: I20150330000244 |
| Provider Name | Ruth Armstrong Pulley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457760589 PECOS PAC ID: 9537486642 Enrollment ID: I20150331000984 |
| Provider Name | Jatel Shukla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854224 PECOS PAC ID: 6204154628 Enrollment ID: I20150415002118 |
| Provider Name | Hong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831453620 PECOS PAC ID: 7113246869 Enrollment ID: I20150501000900 |
| Provider Name | Olga Slepchenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558960 PECOS PAC ID: 9032421888 Enrollment ID: I20150707003313 |
| Provider Name | Tracy M Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861524449 PECOS PAC ID: 4284950254 Enrollment ID: I20150804006223 |
| Provider Name | Jennifer S Martyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302817 PECOS PAC ID: 3476860818 Enrollment ID: I20150916002841 |
| Provider Name | Michelle Deaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396115424 PECOS PAC ID: 9133420110 Enrollment ID: I20151216001345 |
| Provider Name | Tammy Marietta Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992171227 PECOS PAC ID: 8820393556 Enrollment ID: I20160218000007 |
| Provider Name | Tumesha L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497120414 PECOS PAC ID: 7810290517 Enrollment ID: I20160302002508 |
| Provider Name | Regina Fredua-agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114392495 PECOS PAC ID: 9335445477 Enrollment ID: I20160315002665 |
| Provider Name | Emily J Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194109538 PECOS PAC ID: 1951609528 Enrollment ID: I20160414001459 |
| Provider Name | Robin Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013364447 PECOS PAC ID: 5991096893 Enrollment ID: I20160623002498 |
| Provider Name | Adeleh Kooshki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124332770 PECOS PAC ID: 1850683228 Enrollment ID: I20160705000846 |
| Provider Name | David Edward Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831547603 PECOS PAC ID: 9739472200 Enrollment ID: I20160720002306 |
| Provider Name | Katie Pardee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588947394 PECOS PAC ID: 4587837679 Enrollment ID: I20160830000227 |
| Provider Name | Margo Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871726711 PECOS PAC ID: 8921146002 Enrollment ID: I20160907001656 |
| Provider Name | Sandeep B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184631533 PECOS PAC ID: 2668476961 Enrollment ID: I20160907002628 |
| Provider Name | Barbara Worley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295124774 PECOS PAC ID: 4981508322 Enrollment ID: I20161005001382 |
| Provider Name | Sherry F Yudell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871527382 PECOS PAC ID: 2769440213 Enrollment ID: I20161014000275 |
| Provider Name | Cynthia B Riedinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845937 PECOS PAC ID: 0244519379 Enrollment ID: I20161114001499 |
| Provider Name | Kanisha Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386052298 PECOS PAC ID: 8123308822 Enrollment ID: I20161215002140 |
| Provider Name | Darlene Ethel Chee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578700720 PECOS PAC ID: 6305025826 Enrollment ID: I20170119002310 |
| Provider Name | Tasheka Shanelle Travers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396015129 PECOS PAC ID: 9638451081 Enrollment ID: I20170120000883 |
| Provider Name | Julie E Archibald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972046712 PECOS PAC ID: 7517249378 Enrollment ID: I20170131002277 |
| Provider Name | Kaneka Dell Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013258656 PECOS PAC ID: 2961786207 Enrollment ID: I20170303001746 |
| Provider Name | Victoria Linda Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417491960 PECOS PAC ID: 6901180215 Enrollment ID: I20170306002173 |
| Provider Name | Elizabeth Ann Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583246 PECOS PAC ID: 2961787205 Enrollment ID: I20170328002344 |
| Provider Name | Kimberly Z Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710212816 PECOS PAC ID: 8426206327 Enrollment ID: I20170501000151 |
| Provider Name | Eileen C Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063674034 PECOS PAC ID: 6305853458 Enrollment ID: I20170607001743 |
| Provider Name | Janelle Hoover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538539903 PECOS PAC ID: 3678841954 Enrollment ID: I20170608002125 |
| Provider Name | Sarah M Gonzalez Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942609300 PECOS PAC ID: 8224309901 Enrollment ID: I20170731001816 |
| Provider Name | Shantai Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093112898 PECOS PAC ID: 6507169984 Enrollment ID: I20170915002128 |
| Provider Name | Kris Anthony Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508246539 PECOS PAC ID: 5395019087 Enrollment ID: I20170920000230 |
| Provider Name | Toshia N Chipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164947305 PECOS PAC ID: 0840556403 Enrollment ID: I20171114003337 |
| Provider Name | Lakiesha Johnson Squirewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447774823 PECOS PAC ID: 3375800634 Enrollment ID: I20171122001330 |
| Provider Name | Amber Medlin Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003292814 PECOS PAC ID: 8921365784 Enrollment ID: I20171202000171 |
| Provider Name | Tamara Litquinnie Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094179 PECOS PAC ID: 7618234493 Enrollment ID: I20171204000946 |
| Provider Name | Michelle L Chachkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750574844 PECOS PAC ID: 4385902196 Enrollment ID: I20171228001926 |
| Provider Name | Kimberly Jane Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183826 PECOS PAC ID: 3971862459 Enrollment ID: I20180108001478 |
| Provider Name | Shanika Bostic Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529464 PECOS PAC ID: 1951660133 Enrollment ID: I20180116000732 |
| Provider Name | Vincentia Hildeberta Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427563279 PECOS PAC ID: 2567721418 Enrollment ID: I20180122002416 |
| Provider Name | Dana Lee Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396250254 PECOS PAC ID: 3577823756 Enrollment ID: I20180208000094 |
| Provider Name | Elizabeth Ann Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371386 PECOS PAC ID: 0244590461 Enrollment ID: I20180208001887 |
| Provider Name | Funmilola Olukemi Akingbala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679085872 PECOS PAC ID: 6709148240 Enrollment ID: I20180322000429 |
| Provider Name | Joan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525454 PECOS PAC ID: 1254696024 Enrollment ID: I20180525001549 |
| Provider Name | Leslie Potter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154605897 PECOS PAC ID: 9133410756 Enrollment ID: I20180529002779 |
| Provider Name | Maricelina D Caro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457335630 PECOS PAC ID: 2860453040 Enrollment ID: I20180710001772 |
| Provider Name | Tiaira Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639626047 PECOS PAC ID: 2769739309 Enrollment ID: I20180727001155 |
| Provider Name | Kelly Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154432003 PECOS PAC ID: 6901898063 Enrollment ID: I20180810002280 |
| Provider Name | Janice M Brovet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225168107 PECOS PAC ID: 5496715807 Enrollment ID: I20180811000257 |
| Provider Name | Sharon Aden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205934486 PECOS PAC ID: 9830287358 Enrollment ID: I20180820002065 |
| Provider Name | Carl Dowdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831557016 PECOS PAC ID: 0042560070 Enrollment ID: I20180912001297 |
| Provider Name | Angela Smith Caines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697038 PECOS PAC ID: 2264783885 Enrollment ID: I20180920002821 |
| Provider Name | Khamphou Manivanh Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093205049 PECOS PAC ID: 2668723842 Enrollment ID: I20180927000872 |
| Provider Name | Emily Denise Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131702 PECOS PAC ID: 3173875028 Enrollment ID: I20181004001405 |
| Provider Name | Edna Obehi Idehen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780170571 PECOS PAC ID: 7416200779 Enrollment ID: I20181102001627 |
| Provider Name | Kami A Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114479839 PECOS PAC ID: 0547504631 Enrollment ID: I20181129003177 |
| Provider Name | Madison Rachel Zwiebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629521026 PECOS PAC ID: 0446594295 Enrollment ID: I20181204003872 |
| Provider Name | Michael Joseph Geoffrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627320 PECOS PAC ID: 5092051821 Enrollment ID: I20190115001819 |
| Provider Name | Shadara King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093286015 PECOS PAC ID: 8022355023 Enrollment ID: I20190129003346 |
| Provider Name | Kimberly Leigh Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338542 PECOS PAC ID: 6406195817 Enrollment ID: I20190301001598 |
| Provider Name | Holly Elizabeth Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962557918 PECOS PAC ID: 6103166673 Enrollment ID: I20190320000176 |
| Provider Name | Gail Angela Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154887321 PECOS PAC ID: 0143562132 Enrollment ID: I20190423000620 |
| Provider Name | Caroline Christina Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584610 PECOS PAC ID: 7315289139 Enrollment ID: I20190426001826 |
| Provider Name | Jenna Sasser Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528593126 PECOS PAC ID: 8325391261 Enrollment ID: I20190515002151 |
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 |