| Waynesboro Family Clinic | |
|
1706 Wayne Memorial Dr Goldsboro NC 27534-2240 | |
| (919) 734-6676 | |
| (919) 734-9050 |
| Full Name | Waynesboro Family Clinic |
|---|---|
| Speciality | Counselor |
| Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
| Authorized Official Name and Position | Nita Vannoske (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9197346676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waynesboro Family Clinic 1706 Wayne Memorial Dr Goldsboro NC 27534-2240 Ph: (919) 734-6676 | Waynesboro Family Clinic 1706 Wayne Memorial Dr Goldsboro NC 27534-2240 Ph: (919) 734-6676 |
| NPI Number | 1760417570 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 3274445903 |
|---|---|
| Medicare Enrollment ID | O20031103000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760417570 | NPI | - | NPPES |
| 89015MK | Medicaid | NC | |
| 8300477 | Medicaid | NC | |
| 8300477B | Medicaid | NC | |
| 6005103 | Medicaid | NC | |
| 3410001 | Medicaid | NC | |
| 8300477G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 34D2077478 (North Carolina) | Secondary |
| Provider Name | James G Mcallister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326044082 PECOS PAC ID: 3173436813 Enrollment ID: I20031110000321 |
| Provider Name | Mark B Odaniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164529640 PECOS PAC ID: 4486552205 Enrollment ID: I20031230000546 |
| Provider Name | Ramaswamy R Sriraman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134230857 PECOS PAC ID: 2062400302 Enrollment ID: I20040504001584 |
| Provider Name | Ralph R Berg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154335511 PECOS PAC ID: 6103800644 Enrollment ID: I20040614001259 |
| Provider Name | Alok Uppal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861407306 PECOS PAC ID: 0446234900 Enrollment ID: I20040614001444 |
| Provider Name | Zahid Rauf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013948587 PECOS PAC ID: 7113986662 Enrollment ID: I20041008000913 |
| Provider Name | Jerome L Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023008638 PECOS PAC ID: 5698735751 Enrollment ID: I20041013000459 |
| Provider Name | Teresa A Poole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790757698 PECOS PAC ID: 2567367238 Enrollment ID: I20050603000367 |
| Provider Name | Kuliakanda M Chengappa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376558825 PECOS PAC ID: 7214957588 Enrollment ID: I20051201000230 |
| Provider Name | Bryan M Horne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487698650 PECOS PAC ID: 9133132889 Enrollment ID: I20060724000247 |
| Provider Name | James T Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316988959 PECOS PAC ID: 4284734484 Enrollment ID: I20070717000053 |
| Provider Name | Dawn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144451568 PECOS PAC ID: 4981731742 Enrollment ID: I20100427000620 |
| Provider Name | Karen W Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164650420 PECOS PAC ID: 6103979232 Enrollment ID: I20130129000147 |
| Provider Name | Tracy Blackmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942515846 PECOS PAC ID: 4385899293 Enrollment ID: I20130226000442 |
| Provider Name | Samantha T Hardison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922490788 PECOS PAC ID: 3072870815 Enrollment ID: I20171201002334 |
| Provider Name | Donald C Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831130053 PECOS PAC ID: 1052330222 Enrollment ID: I20180716000059 |
| Provider Name | Cheyenne Brooke Utt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880339 PECOS PAC ID: 7719373281 Enrollment ID: I20220408002240 |
| Provider Name | Allison J Paugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629648068 PECOS PAC ID: 3678946340 Enrollment ID: I20230228000221 |
| Provider Name | Morgan L Sanderford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255936092 PECOS PAC ID: 1557735669 Enrollment ID: I20230313000527 |
Howell Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Landmark Dr, Goldsboro, NC 27534 Phone: 919-778-1506 Fax: 919-778-1535 | |
Carolina Outreach, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 N Center St, Goldsboro, NC 27530 Phone: 919-734-4440 | |
Wellsprings Center Of Goldsboro,p.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Graves Dr, Suite 7, Goldsboro, NC 27534 Phone: 919-583-8448 Fax: 919-583-8449 | |
Thera-peds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Parkway Drive, Goldsboro, NC 27534 Phone: 919-739-0047 Fax: 919-739-0041 | |
Progressive Healthcare & Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 N George St, Goldsboro, NC 27530 Phone: 919-735-2211 Fax: 919-735-2277 | |
Life Solutions Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Patetown Rd, Suite 17, Goldsboro, NC 27530 Phone: 919-922-0887 Fax: 919-751-9170 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St, Suite 300, Goldsboro, NC 27530 Phone: 800-866-0860 |