| Southern Regional Area Health Education Center | |
|
1601 Owen Dr Fayetteville NC 28304-3425 | |
| (910) 678-0100 | |
| (910) 678-0115 |
| Full Name | Southern Regional Area Health Education Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 Owen Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Sushma Surrinder Kapoor (PRESIDENT & CEO) |
| Authorized Official Contact | 9106787230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Regional Area Health Education Center 1601 Owen Dr Fayetteville NC 28304-3425 Ph: (910) 678-0100 | Southern Regional Area Health Education Center 1601 Owen Dr Fayetteville NC 28304-3425 Ph: (910) 678-0100 |
| NPI Number | 1811072812 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 9830188770 |
|---|---|
| Medicare Enrollment ID | O20040507000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811072812 | NPI | - | NPPES |
| 8903078 | Medicaid | NC |
| Provider Name | David R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376547356 PECOS PAC ID: 7416920111 Enrollment ID: I20040819000213 |
| Provider Name | Nirmish R Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033113899 PECOS PAC ID: 3779535372 Enrollment ID: I20050211000227 |
| Provider Name | James Arthur Mergy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023116142 PECOS PAC ID: 0648269589 Enrollment ID: I20050803000842 |
| Provider Name | Nathan Maclyn Thielman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710040597 PECOS PAC ID: 7517991276 Enrollment ID: I20050921001134 |
| Provider Name | Rajesh K Khurana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114917770 PECOS PAC ID: 3577592781 Enrollment ID: I20060130000532 |
| Provider Name | William Grant Gardner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588722730 PECOS PAC ID: 6709894512 Enrollment ID: I20060404000787 |
| Provider Name | Athar Tehsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477658250 PECOS PAC ID: 8729973433 Enrollment ID: I20070214000302 |
| Provider Name | Michelle Andrea Floris Moore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770673675 PECOS PAC ID: 7416040282 Enrollment ID: I20080115000697 |
| Provider Name | Vicki Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053534669 PECOS PAC ID: 4284708587 Enrollment ID: I20080805000389 |
| Provider Name | Kelly A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992994164 PECOS PAC ID: 7618035478 Enrollment ID: I20081022000641 |
| Provider Name | Jamie P Dickerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386970572 PECOS PAC ID: 6002954161 Enrollment ID: I20091110000363 |
| Provider Name | Lenard D Salzberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285732446 PECOS PAC ID: 5799825501 Enrollment ID: I20091229000275 |
| Provider Name | John Lawrence Cotton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760593388 PECOS PAC ID: 0840335980 Enrollment ID: I20100301000785 |
| Provider Name | Marilyn Wilson Wilson-sherwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760484166 PECOS PAC ID: 2466589114 Enrollment ID: I20100428000809 |
| Provider Name | Elman Grady Frantz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245320019 PECOS PAC ID: 7719016088 Enrollment ID: I20100525000366 |
| Provider Name | Nwora L Okeke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205003316 PECOS PAC ID: 5294866109 Enrollment ID: I20100621000792 |
| Provider Name | Khalid Aziz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134143530 PECOS PAC ID: 5597818419 Enrollment ID: I20101007000077 |
| Provider Name | Sushma S Kapoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497804421 PECOS PAC ID: 4587681168 Enrollment ID: I20110322000889 |
| Provider Name | Danielle M Thomas Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982643284 PECOS PAC ID: 3971586728 Enrollment ID: I20120727000275 |
| Provider Name | Edwin L Houng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256748 PECOS PAC ID: 1355597964 Enrollment ID: I20120815000327 |
| Provider Name | Jennifer D Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164748638 PECOS PAC ID: 7113179698 Enrollment ID: I20121207000314 |
| Provider Name | Eugene E Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528197555 PECOS PAC ID: 7517193584 Enrollment ID: I20131121000756 |
| Provider Name | Rebekah L Hughey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821250051 PECOS PAC ID: 4880820851 Enrollment ID: I20131121000774 |
| Provider Name | Taiwona L Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730358805 PECOS PAC ID: 0941440861 Enrollment ID: I20140828001125 |
| Provider Name | Kristen V Dicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235372822 PECOS PAC ID: 7315265584 Enrollment ID: I20150420001100 |
| Provider Name | Shelia M Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467830687 PECOS PAC ID: 8022325331 Enrollment ID: I20150918002498 |
| Provider Name | James Scott Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043573322 PECOS PAC ID: 0042448508 Enrollment ID: I20151016000498 |
| Provider Name | Surinder Singh Bahia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716530 PECOS PAC ID: 8426286808 Enrollment ID: I20151214000593 |
| Provider Name | Marc A Sciarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760894083 PECOS PAC ID: 8224254321 Enrollment ID: I20170821000385 |
| Provider Name | Michael B Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962483206 PECOS PAC ID: 6002173069 Enrollment ID: I20171129001070 |
| Provider Name | Herman A Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578070843 PECOS PAC ID: 9133150253 Enrollment ID: I20180416002375 |
| Provider Name | Mary M Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861473100 PECOS PAC ID: 6800150665 Enrollment ID: I20180502000164 |
| Provider Name | Sterling M Riddley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902288111 PECOS PAC ID: 3375834716 Enrollment ID: I20181001000097 |
| Provider Name | Kelsey Elizabeth Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831545383 PECOS PAC ID: 6709179203 Enrollment ID: I20190812001434 |
| Provider Name | Nicholas A Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619243037 PECOS PAC ID: 4082917794 Enrollment ID: I20190813002422 |
| Provider Name | Wesley A Hilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942285416 PECOS PAC ID: 3476453317 Enrollment ID: I20190910003795 |
| Provider Name | Jessica L Seidelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699018747 PECOS PAC ID: 5597095349 Enrollment ID: I20190923000638 |
| Provider Name | Renee Beringer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467411595 PECOS PAC ID: 1456784016 Enrollment ID: I20191212001074 |
| Provider Name | Angel D Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619567666 PECOS PAC ID: 4587079967 Enrollment ID: I20210217000715 |
| Provider Name | Elizabeth Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043701220 PECOS PAC ID: 6507112158 Enrollment ID: I20210831003747 |
| Provider Name | Shareeka L Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438309 PECOS PAC ID: 2769872324 Enrollment ID: I20211214001649 |
| Provider Name | Bonney L Wheelden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720267925 PECOS PAC ID: 0143465674 Enrollment ID: I20220310002974 |
| Provider Name | Sisi Liang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407334220 PECOS PAC ID: 0547647919 Enrollment ID: I20220525000038 |
| Provider Name | Charles Mcgonegle Burns |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811315336 PECOS PAC ID: 9638435928 Enrollment ID: I20220706001118 |
| Provider Name | Demetria G Ward-richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013661420 PECOS PAC ID: 4688058100 Enrollment ID: I20220901002285 |
| Provider Name | Rebecca Serra |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437861101 PECOS PAC ID: 8022489814 Enrollment ID: I20230112002944 |
| Provider Name | Cynthia Ann Darby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447221601 PECOS PAC ID: 8729431044 Enrollment ID: I20240201004109 |
| Provider Name | Romanda Michelle Grice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205244381 PECOS PAC ID: 4385088335 Enrollment ID: I20240216004005 |
Securehands Behavioral Health Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Arlington Ave, Fayetteville, NC 28303 Phone: 910-987-9430 Fax: 910-868-6181 | |
Mid-south Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Hope Mills Rd, Fayetteville, NC 28304 Phone: 757-541-4816 | |
A Work In Progress Therapies, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Bingham Dr, Fayetteville, NC 28304 Phone: 910-483-8713 Fax: 910-483-0962 | |
Nc Therapy And Counseling Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Arsenal Ave Ste B, Fayetteville, NC 28305 Phone: 910-263-5475 | |
Johari Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Whitfield St, Fayetteville, NC 28306 Phone: 910-897-3000 | |
Catholic Charities Of The Diocese Of Raleigh, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Fort Bragg Rd, Fayetteville, NC 28303 Phone: 910-424-2020 | |
Carolina Children Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7712 N Ancon Dr, Fayetteville, NC 28304 Phone: 910-778-8125 |