| Your Health Organization | |
|
111 Doctor Cir Columbia SC 29203-6502 | |
| (800) 491-0909 | |
| (803) 404-6000 |
| Full Name | Your Health Organization |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Doctor Cir, Columbia, South Carolina |
| Authorized Official Name and Position | Mackenzie Helms (VP OF PROVIDER AND PAYER RELATIONS) |
| Authorized Official Contact | 8036651882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Health Organization 111 Doctor Cir Columbia SC 29203-6502 Ph: (800) 491-0909 | Your Health Organization 111 Doctor Cir Columbia SC 29203-6502 Ph: (800) 491-0909 |
| NPI Number | 1518048859 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 6800994807 |
|---|---|
| Medicare Enrollment ID | O20070613000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518048859 | NPI | - | NPPES |
| GP4551 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rhonda G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730176504 PECOS PAC ID: 2567376650 Enrollment ID: I20031113000416 |
| Provider Name | Yohannes Negash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296433 PECOS PAC ID: 5991698045 Enrollment ID: I20040204000094 |
| Provider Name | Mulugeta Tarekegne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336105535 PECOS PAC ID: 7618860768 Enrollment ID: I20040204000103 |
| Provider Name | Melissa T Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699771972 PECOS PAC ID: 6507751062 Enrollment ID: I20040216000504 |
| Provider Name | Patrick K Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336324169 PECOS PAC ID: 4587555461 Enrollment ID: I20040322000599 |
| Provider Name | Carlos Alberto Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350530 PECOS PAC ID: 4284525122 Enrollment ID: I20040322000992 |
| Provider Name | Pansy J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215046339 PECOS PAC ID: 1254326242 Enrollment ID: I20040419000925 |
| Provider Name | Conigliaro Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811967458 PECOS PAC ID: 4789672528 Enrollment ID: I20040503000345 |
| Provider Name | Sophie M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962441519 PECOS PAC ID: 4688663347 Enrollment ID: I20040507001104 |
| Provider Name | Kenneth H Becker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992812507 PECOS PAC ID: 4981500477 Enrollment ID: I20040519000379 |
| Provider Name | Alfred R Ebert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336231851 PECOS PAC ID: 2567444953 Enrollment ID: I20040601000793 |
| Provider Name | Barto Paul Kellett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316058837 PECOS PAC ID: 6103800545 Enrollment ID: I20040615000349 |
| Provider Name | Stephanie S Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477592178 PECOS PAC ID: 3476537234 Enrollment ID: I20040617000986 |
| Provider Name | Moses E Udoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770539389 PECOS PAC ID: 7618928177 Enrollment ID: I20050202000646 |
| Provider Name | Anoma S Gamage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326141938 PECOS PAC ID: 4183678949 Enrollment ID: I20050304000549 |
| Provider Name | Charlotte L Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023006863 PECOS PAC ID: 8224068473 Enrollment ID: I20050818000039 |
| Provider Name | Jeffrey D Hook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409189 PECOS PAC ID: 9335179449 Enrollment ID: I20050818000372 |
| Provider Name | William Marion Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942296181 PECOS PAC ID: 1658392188 Enrollment ID: I20051214000056 |
| Provider Name | Charles H White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215900220 PECOS PAC ID: 6002821766 Enrollment ID: I20060216000241 |
| Provider Name | Jennifer K Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770509572 PECOS PAC ID: 7012926462 Enrollment ID: I20060412000307 |
| Provider Name | Loretta J Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033163456 PECOS PAC ID: 9234142134 Enrollment ID: I20060719000049 |
| Provider Name | Charles Busse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477590594 PECOS PAC ID: 7719980440 Enrollment ID: I20060817000383 |
| Provider Name | Lawrence K Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477569986 PECOS PAC ID: 4981609849 Enrollment ID: I20060927000321 |
| Provider Name | William Green Sandifer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457311730 PECOS PAC ID: 5294733838 Enrollment ID: I20061115000277 |
| Provider Name | Andrew R Donato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225064140 PECOS PAC ID: 3870543929 Enrollment ID: I20070212000385 |
| Provider Name | Niccole A Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427073758 PECOS PAC ID: 4587769179 Enrollment ID: I20070410000155 |
| Provider Name | Francis Marion Thorpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770657025 PECOS PAC ID: 1557466430 Enrollment ID: I20070423000002 |
| Provider Name | Fredric Carroll Woriax |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326127523 PECOS PAC ID: 1850486945 Enrollment ID: I20071004000318 |
| Provider Name | Laurie A Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831384932 PECOS PAC ID: 3173605565 Enrollment ID: I20080123000917 |
| Provider Name | Otis D Speight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629151550 PECOS PAC ID: 5597653352 Enrollment ID: I20080329000047 |
| Provider Name | Robert L Elder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154353787 PECOS PAC ID: 0143390435 Enrollment ID: I20080529000204 |
| Provider Name | James L Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336317593 PECOS PAC ID: 3476623661 Enrollment ID: I20080530000217 |
| Provider Name | Christine M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316991235 PECOS PAC ID: 1456421502 Enrollment ID: I20080602000819 |
| Provider Name | Michael A Faircloth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326007097 PECOS PAC ID: 0648344606 Enrollment ID: I20080808000514 |
| Provider Name | Racheal A Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710136528 PECOS PAC ID: 2961579578 Enrollment ID: I20080924000195 |
| Provider Name | Joel Stephen Waldrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336128016 PECOS PAC ID: 8527135003 Enrollment ID: I20080925000167 |
| Provider Name | Susan D Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225060833 PECOS PAC ID: 5991872350 Enrollment ID: I20080926000253 |
| Provider Name | Mary Ellen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861676942 PECOS PAC ID: 3779651781 Enrollment ID: I20081003000578 |
| Provider Name | Catherine P Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821145392 PECOS PAC ID: 6608934518 Enrollment ID: I20081022000157 |
| Provider Name | William A Davis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194757567 PECOS PAC ID: 5991863573 Enrollment ID: I20081027000277 |
| Provider Name | Michael Eugene Harless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972535342 PECOS PAC ID: 1759449358 Enrollment ID: I20081027000442 |
| Provider Name | Katherine Kolat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205083045 PECOS PAC ID: 8527127240 Enrollment ID: I20081110000214 |
| Provider Name | James Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114923950 PECOS PAC ID: 4486713120 Enrollment ID: I20081110000463 |
| Provider Name | Adediji Osinloye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316993462 PECOS PAC ID: 9335137207 Enrollment ID: I20081112000450 |
| Provider Name | Anthony C Zamcho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477673465 PECOS PAC ID: 7517027006 Enrollment ID: I20081113000219 |
| Provider Name | Casey M Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861526790 PECOS PAC ID: 5698838738 Enrollment ID: I20090115000192 |
| Provider Name | Elizabeth F Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023146412 PECOS PAC ID: 0042375073 Enrollment ID: I20090209000036 |
| Provider Name | Tiffany G Mckeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780828293 PECOS PAC ID: 8123178944 Enrollment ID: I20090616000558 |
| Provider Name | Robert Jason Kellett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134159171 PECOS PAC ID: 3476595323 Enrollment ID: I20090811000098 |
| Provider Name | Holly M Gwaltney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871526335 PECOS PAC ID: 4385780014 Enrollment ID: I20091009000043 |
| Provider Name | Jennifer A Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891937926 PECOS PAC ID: 4789721580 Enrollment ID: I20091028000062 |
| Provider Name | Kathleen E Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700083334 PECOS PAC ID: 4688713175 Enrollment ID: I20091123000027 |
| Provider Name | Gregory Alan Compton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093881294 PECOS PAC ID: 7214011311 Enrollment ID: I20100105000220 |
| Provider Name | Edward M Dubose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538145438 PECOS PAC ID: 6305988957 Enrollment ID: I20100121000059 |
| Provider Name | Melissa Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336210798 PECOS PAC ID: 4587604244 Enrollment ID: I20100201000138 |
| Provider Name | David B Blalock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477591865 PECOS PAC ID: 1658408042 Enrollment ID: I20100415000786 |
| Provider Name | Angela P Diemont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063693950 PECOS PAC ID: 6406928571 Enrollment ID: I20100419000029 |
| Provider Name | Melissa E Rickenbaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457688186 PECOS PAC ID: 2365579620 Enrollment ID: I20100420000127 |
| Provider Name | Jennifer K Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669400032 PECOS PAC ID: 4082669171 Enrollment ID: I20100602000665 |
| Provider Name | Tom A Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164429825 PECOS PAC ID: 1759277908 Enrollment ID: I20100630000819 |
| Provider Name | Leonard W Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508835737 PECOS PAC ID: 6709918980 Enrollment ID: I20100723000497 |
| Provider Name | Kimberly Ann Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255656070 PECOS PAC ID: 7416080486 Enrollment ID: I20100728000911 |
| Provider Name | Valerie A Sinkler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508029885 PECOS PAC ID: 2769516632 Enrollment ID: I20100813000409 |
| Provider Name | Stephen D Grubb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689672784 PECOS PAC ID: 0749219350 Enrollment ID: I20101014001005 |
| Provider Name | Regina F Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124347604 PECOS PAC ID: 8628263126 Enrollment ID: I20101110000439 |
| Provider Name | Latoya Denise Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954079 PECOS PAC ID: 5799964649 Enrollment ID: I20110124001017 |
| Provider Name | Patrick Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518104223 PECOS PAC ID: 6406038256 Enrollment ID: I20110315000826 |
| Provider Name | Stephanie Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629375092 PECOS PAC ID: 1355525080 Enrollment ID: I20110405000277 |
| Provider Name | Damien L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518087 PECOS PAC ID: 0840475711 Enrollment ID: I20110420000144 |
| Provider Name | Mary Jane Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548596042 PECOS PAC ID: 8820136393 Enrollment ID: I20110809000008 |
| Provider Name | Holly L Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226792 PECOS PAC ID: 4688843485 Enrollment ID: I20110812000089 |
| Provider Name | Henriette Mason Dedmondt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639239288 PECOS PAC ID: 1557457868 Enrollment ID: I20110824000822 |
| Provider Name | Ralph N Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861472490 PECOS PAC ID: 1850353749 Enrollment ID: I20111111000006 |
| Provider Name | James Adam Stocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528339702 PECOS PAC ID: 0446417125 Enrollment ID: I20120208000320 |
| Provider Name | Amber S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205987047 PECOS PAC ID: 2062675812 Enrollment ID: I20120515000585 |
| Provider Name | Jennifer Darden Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437411097 PECOS PAC ID: 5698921062 Enrollment ID: I20120820000205 |
| Provider Name | Jessica R Thasitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356601272 PECOS PAC ID: 2062669781 Enrollment ID: I20120830000478 |
| Provider Name | Scottie M Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948911 PECOS PAC ID: 9739342494 Enrollment ID: I20120917000010 |
| Provider Name | Brandi Holmes Barnhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932455482 PECOS PAC ID: 3678722568 Enrollment ID: I20121010000012 |
| Provider Name | Dawn M Pasquarello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538497946 PECOS PAC ID: 9335390418 Enrollment ID: I20121120000086 |
| Provider Name | Sandra Knight Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649262288 PECOS PAC ID: 0244274512 Enrollment ID: I20121130000571 |
| Provider Name | Julia S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479108 PECOS PAC ID: 5597918953 Enrollment ID: I20130115000125 |
| Provider Name | Kelly Arashin Bouthillet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881939031 PECOS PAC ID: 5799939666 Enrollment ID: I20130129000679 |
| Provider Name | Deborah J Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558365049 PECOS PAC ID: 1355240094 Enrollment ID: I20130206000174 |
| Provider Name | Kelley N Davis Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841421211 PECOS PAC ID: 4981859980 Enrollment ID: I20130222000497 |
| Provider Name | Leon E Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609075746 PECOS PAC ID: 2062659428 Enrollment ID: I20130503000002 |
| Provider Name | Derek R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871605048 PECOS PAC ID: 3870561574 Enrollment ID: I20130515000308 |
| Provider Name | Crystal Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831431931 PECOS PAC ID: 8921248659 Enrollment ID: I20130701000378 |
| Provider Name | Rosalyn Steckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861698417 PECOS PAC ID: 4486720182 Enrollment ID: I20130723000128 |
| Provider Name | Luz Yolanda Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609197623 PECOS PAC ID: 0840432183 Enrollment ID: I20130815000493 |
| Provider Name | Denise K Hosenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861753204 PECOS PAC ID: 7618119827 Enrollment ID: I20130816000354 |
| Provider Name | Jaclyn B Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548500036 PECOS PAC ID: 8820233786 Enrollment ID: I20130828001048 |
| Provider Name | Christopher Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114230323 PECOS PAC ID: 0941444798 Enrollment ID: I20130917000206 |
| Provider Name | Holly Carlson Edmunds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596634 PECOS PAC ID: 2961646286 Enrollment ID: I20130926000157 |
| Provider Name | Kristi D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881029734 PECOS PAC ID: 8426283565 Enrollment ID: I20131028000706 |
| Provider Name | John Paul Short |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235176520 PECOS PAC ID: 6002891124 Enrollment ID: I20131112001462 |
| Provider Name | Susan Walker Wayt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952428237 PECOS PAC ID: 7315184124 Enrollment ID: I20131115000978 |
| Provider Name | Terri L Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477832475 PECOS PAC ID: 7911178793 Enrollment ID: I20140113000259 |
| Provider Name | Maria Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821257122 PECOS PAC ID: 3779711981 Enrollment ID: I20140115001508 |
| Provider Name | Michele D Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134244304 PECOS PAC ID: 3577693274 Enrollment ID: I20140121000522 |
| Provider Name | Donna S Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255432514 PECOS PAC ID: 7911001516 Enrollment ID: I20140203001099 |
| Provider Name | Lindsey M Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437498144 PECOS PAC ID: 6204072879 Enrollment ID: I20140214000288 |
| Provider Name | Sandra A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558792689 PECOS PAC ID: 4688804412 Enrollment ID: I20140224000521 |
| Provider Name | Karen L Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841435252 PECOS PAC ID: 7517020662 Enrollment ID: I20140502000571 |
| Provider Name | Megan N Zaepfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932524477 PECOS PAC ID: 4284857335 Enrollment ID: I20140519001737 |
| Provider Name | Ellen Mabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659785954 PECOS PAC ID: 9133345804 Enrollment ID: I20140801001480 |
| Provider Name | Michael B Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942301213 PECOS PAC ID: 9537263140 Enrollment ID: I20140819000821 |
| Provider Name | Ijan House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629317920 PECOS PAC ID: 3476773516 Enrollment ID: I20141013001074 |
| Provider Name | Tammy E Hiott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811471 PECOS PAC ID: 7911128004 Enrollment ID: I20141014001018 |
| Provider Name | Megan Stokes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720489917 PECOS PAC ID: 5799907390 Enrollment ID: I20141115000376 |
| Provider Name | Anna Blair Henderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104227594 PECOS PAC ID: 4880816495 Enrollment ID: I20141116000028 |
| Provider Name | Deborah D Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740598432 PECOS PAC ID: 3173706835 Enrollment ID: I20141120002306 |
| Provider Name | Elizabeth A Boessneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255738878 PECOS PAC ID: 7113242538 Enrollment ID: I20150205002509 |
| Provider Name | Kristin Bevilacqua |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992000293 PECOS PAC ID: 4284817784 Enrollment ID: I20150220000864 |
| Provider Name | Solomon A Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457538316 PECOS PAC ID: 0547344087 Enrollment ID: I20150428001984 |
| Provider Name | Laketa D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003208729 PECOS PAC ID: 9234458555 Enrollment ID: I20150507000749 |
| Provider Name | Rafael D Sanchez-yriarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073722377 PECOS PAC ID: 9335318435 Enrollment ID: I20150618002044 |
| Provider Name | Sheryl Durant Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104211234 PECOS PAC ID: 9133431513 Enrollment ID: I20150629001578 |
| Provider Name | Jordan Rhodes Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932599206 PECOS PAC ID: 9133432594 Enrollment ID: I20150715000199 |
| Provider Name | Melissa Sue Cimineri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760862767 PECOS PAC ID: 4587977517 Enrollment ID: I20150721000638 |
| Provider Name | Brodrick D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154716769 PECOS PAC ID: 3173837770 Enrollment ID: I20150727001177 |
| Provider Name | Mary L Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639557531 PECOS PAC ID: 3971819608 Enrollment ID: I20150826001232 |
| Provider Name | Margaret Sorkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811389612 PECOS PAC ID: 9234445776 Enrollment ID: I20150831000045 |
| Provider Name | Tyah Jo Haro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245610526 PECOS PAC ID: 8325357270 Enrollment ID: I20151016000335 |
| Provider Name | Kendra M Fling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427435940 PECOS PAC ID: 5890004741 Enrollment ID: I20151016000717 |
| Provider Name | Anna Richey Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063897502 PECOS PAC ID: 7012226871 Enrollment ID: I20151016001468 |
| Provider Name | Candace Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417352915 PECOS PAC ID: 3971803222 Enrollment ID: I20151118002413 |
| Provider Name | Sherry Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255700175 PECOS PAC ID: 0547561417 Enrollment ID: I20151217002087 |
| Provider Name | Abbie S Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902355 PECOS PAC ID: 1153622857 Enrollment ID: I20151222002840 |
| Provider Name | Jennifer L Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407229230 PECOS PAC ID: 3274835988 Enrollment ID: I20160112000948 |
| Provider Name | Vicky F Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326453622 PECOS PAC ID: 6800199282 Enrollment ID: I20160119000676 |
| Provider Name | Lisa Gail Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375759 PECOS PAC ID: 3779886593 Enrollment ID: I20160127002585 |
| Provider Name | Kelley N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235477894 PECOS PAC ID: 9830334218 Enrollment ID: I20160216001879 |
| Provider Name | Erin L Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372390 PECOS PAC ID: 8921303488 Enrollment ID: I20160219002113 |
| Provider Name | Walter Blun Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336466366 PECOS PAC ID: 1456595651 Enrollment ID: I20160224001778 |
| Provider Name | Brittany Rachel Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417321597 PECOS PAC ID: 3173820875 Enrollment ID: I20160323002145 |
| Provider Name | Sherika Tarshall Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437531993 PECOS PAC ID: 6608183900 Enrollment ID: I20160401001629 |
| Provider Name | Brittany M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558735241 PECOS PAC ID: 7315245131 Enrollment ID: I20160412001176 |
| Provider Name | Hillery L Dolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104283548 PECOS PAC ID: 7214236835 Enrollment ID: I20160504000416 |
| Provider Name | Jillian O Eaddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417354473 PECOS PAC ID: 7214236512 Enrollment ID: I20160506001731 |
| Provider Name | Joy L Gerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346608940 PECOS PAC ID: 8820387004 Enrollment ID: I20160511000535 |
| Provider Name | Kiana S Heron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287366 PECOS PAC ID: 6002105434 Enrollment ID: I20160525000393 |
| Provider Name | Lisa Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750774642 PECOS PAC ID: 9133419278 Enrollment ID: I20160602001002 |
| Provider Name | Amanda L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558722355 PECOS PAC ID: 1052602711 Enrollment ID: I20160628000724 |
| Provider Name | Jasmine S Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164800470 PECOS PAC ID: 2466744099 Enrollment ID: I20160630000286 |
| Provider Name | Alisha N Orage Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891193371 PECOS PAC ID: 0840583563 Enrollment ID: I20160719000014 |
| Provider Name | Melissa Gambrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821492869 PECOS PAC ID: 3274853072 Enrollment ID: I20160810001717 |
| Provider Name | Susan G Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420286 PECOS PAC ID: 6608161377 Enrollment ID: I20160818002721 |
| Provider Name | Verlisha D Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104288844 PECOS PAC ID: 7315232089 Enrollment ID: I20160818002762 |
| Provider Name | Kelsey Rae Gerughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912380296 PECOS PAC ID: 9830404466 Enrollment ID: I20160830003233 |
| Provider Name | Keyonta M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871975805 PECOS PAC ID: 0941517767 Enrollment ID: I20160909001154 |
| Provider Name | Brandi J Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480397 PECOS PAC ID: 7416244108 Enrollment ID: I20160923000616 |
| Provider Name | Natalie R Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551322 PECOS PAC ID: 7719275544 Enrollment ID: I20161011003215 |
| Provider Name | Doris Antawanna Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376099887 PECOS PAC ID: 3678861150 Enrollment ID: I20161017001084 |
| Provider Name | Christina Maria Satterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915296 PECOS PAC ID: 2163700170 Enrollment ID: I20161026001509 |
| Provider Name | Samuel E Wachter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801078662 PECOS PAC ID: 5597044578 Enrollment ID: I20161115001094 |
| Provider Name | Dana L Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940231 PECOS PAC ID: 4587943568 Enrollment ID: I20161115001163 |
| Provider Name | Sonya Renee Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982091831 PECOS PAC ID: 9537488713 Enrollment ID: I20161115002475 |
| Provider Name | Karen J Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003363078 PECOS PAC ID: 8628357225 Enrollment ID: I20161123001329 |
| Provider Name | Brittany Joye Hudson Winestock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437505047 PECOS PAC ID: 7911287867 Enrollment ID: I20161209001803 |
| Provider Name | Jessica R Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968055 PECOS PAC ID: 6901186568 Enrollment ID: I20161219000028 |
| Provider Name | Quiana T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639520307 PECOS PAC ID: 4284915836 Enrollment ID: I20161220000734 |
| Provider Name | Katherine R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257703 PECOS PAC ID: 4486935236 Enrollment ID: I20170110001134 |
| Provider Name | Charita M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942752076 PECOS PAC ID: 1052693280 Enrollment ID: I20170124002197 |
| Provider Name | Aundrea N Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134666787 PECOS PAC ID: 5092091272 Enrollment ID: I20170425001056 |
| Provider Name | William J Boice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770029571 PECOS PAC ID: 3971880758 Enrollment ID: I20170503002583 |
| Provider Name | Anna Maria Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264465 PECOS PAC ID: 9335416122 Enrollment ID: I20170526001419 |
| Provider Name | Chasity Logan Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091221 PECOS PAC ID: 0648547273 Enrollment ID: I20170601001661 |
| Provider Name | Ginger M. Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669911020 PECOS PAC ID: 8123395738 Enrollment ID: I20170602001691 |
| Provider Name | Diane N Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801334412 PECOS PAC ID: 8921376377 Enrollment ID: I20170608000311 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578911889 PECOS PAC ID: 6901174762 Enrollment ID: I20170620000752 |
| Provider Name | Latonya Evette Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356882278 PECOS PAC ID: 0446528921 Enrollment ID: I20170626001716 |
| Provider Name | Heather Michelle Lawter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861926685 PECOS PAC ID: 3072883610 Enrollment ID: I20170714001064 |
| Provider Name | Katherine B Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770019531 PECOS PAC ID: 4981974367 Enrollment ID: I20170718000388 |
| Provider Name | Lindsey Brooke Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306382304 PECOS PAC ID: 3577830793 Enrollment ID: I20170731002803 |
| Provider Name | Andrew B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265968770 PECOS PAC ID: 8123399482 Enrollment ID: I20170803003830 |
| Provider Name | Ashley Boulware Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609301530 PECOS PAC ID: 0840563961 Enrollment ID: I20170912000009 |
| Provider Name | Lisa R Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417485129 PECOS PAC ID: 0143593129 Enrollment ID: I20170913003456 |
| Provider Name | Kristy Lagina Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124568514 PECOS PAC ID: 3577837376 Enrollment ID: I20170918001834 |
| Provider Name | Lauren Melissa Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780115428 PECOS PAC ID: 4385915651 Enrollment ID: I20171011001631 |
| Provider Name | Gina Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508398835 PECOS PAC ID: 6507131901 Enrollment ID: I20171011002206 |
| Provider Name | Laura A Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043734429 PECOS PAC ID: 5991071524 Enrollment ID: I20171025002373 |
| Provider Name | Latisha Shontae Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114452083 PECOS PAC ID: 0345516811 Enrollment ID: I20171027001852 |
| Provider Name | Brittney Jeanetta Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053832154 PECOS PAC ID: 6204102700 Enrollment ID: I20171030000000 |
| Provider Name | Sharon T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104068840 PECOS PAC ID: 1850667148 Enrollment ID: I20171101002328 |
| Provider Name | Fritz Albert Basile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962882381 PECOS PAC ID: 1254626302 Enrollment ID: I20171102000723 |
| Provider Name | Melissa N Chism |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799729 PECOS PAC ID: 3476810888 Enrollment ID: I20171120001613 |
| Provider Name | Juanita M Aviles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497273965 PECOS PAC ID: 7810254927 Enrollment ID: I20171128001764 |
| Provider Name | Amanda Elizabeth Smith Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782859 PECOS PAC ID: 6103183959 Enrollment ID: I20171202000150 |
| Provider Name | Justin Osean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487177895 PECOS PAC ID: 7517224298 Enrollment ID: I20171205002801 |
| Provider Name | Suzanne Elizabeth Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619365590 PECOS PAC ID: 8325306830 Enrollment ID: I20171211000589 |
| Provider Name | Cerrissa Michelle Hugie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538695846 PECOS PAC ID: 2860751260 Enrollment ID: I20180110001385 |
| Provider Name | Ramonica H Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458599 PECOS PAC ID: 4981964111 Enrollment ID: I20180208002253 |
| Provider Name | Michelle Marie Deranieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831512623 PECOS PAC ID: 3072873181 Enrollment ID: I20180212000656 |
| Provider Name | Hope Easler Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848032 PECOS PAC ID: 9234490038 Enrollment ID: I20180219000128 |
| Provider Name | Jordan Emory Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396264610 PECOS PAC ID: 3779844147 Enrollment ID: I20180227001476 |
| Provider Name | Susan M Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982021770 PECOS PAC ID: 1759687411 Enrollment ID: I20180227002616 |
| Provider Name | April L Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159095 PECOS PAC ID: 0941561385 Enrollment ID: I20180228001560 |
| Provider Name | Kim Ann James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256337 PECOS PAC ID: 6103183033 Enrollment ID: I20180312002177 |
| Provider Name | Helen M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821520594 PECOS PAC ID: 6406119734 Enrollment ID: I20180418002262 |
| Provider Name | Jessica Lynn Litchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548774649 PECOS PAC ID: 6709140759 Enrollment ID: I20180430000587 |
| Provider Name | Sybil Angelene Tezza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750801791 PECOS PAC ID: 7719242833 Enrollment ID: I20180521000498 |
| Provider Name | Karen Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205330065 PECOS PAC ID: 2466717236 Enrollment ID: I20180525001385 |
| Provider Name | Valeea James Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013412972 PECOS PAC ID: 0042575573 Enrollment ID: I20180604000190 |
| Provider Name | Barbara Dawn Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861989733 PECOS PAC ID: 1254686504 Enrollment ID: I20180611000783 |
| Provider Name | Laura Patricia Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647009 PECOS PAC ID: 4183979354 Enrollment ID: I20180613000373 |
| Provider Name | Elizabeth A Kadar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073010906 PECOS PAC ID: 1355696022 Enrollment ID: I20180620002543 |
| Provider Name | Donnie Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508364936 PECOS PAC ID: 0941564314 Enrollment ID: I20180621000002 |
| Provider Name | Leigh C Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134628373 PECOS PAC ID: 8628323078 Enrollment ID: I20180626002258 |
| Provider Name | Stacie Newman Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114423175 PECOS PAC ID: 3870849532 Enrollment ID: I20180711000206 |
| Provider Name | Mary Legette Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376084970 PECOS PAC ID: 8224384888 Enrollment ID: I20180712000407 |
| Provider Name | Melanie Nicole All |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811499593 PECOS PAC ID: 7012264518 Enrollment ID: I20180716000008 |
| Provider Name | Brittany Lynn Osteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154813780 PECOS PAC ID: 7911255377 Enrollment ID: I20180801004021 |
| Provider Name | Fantasia Izolia Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578055471 PECOS PAC ID: 1951659051 Enrollment ID: I20180807000117 |
| Provider Name | Latonya Nicole Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376032813 PECOS PAC ID: 3375891328 Enrollment ID: I20180807002899 |
| Provider Name | Catherine Elaine Lindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619418241 PECOS PAC ID: 7214285071 Enrollment ID: I20180810000114 |
| Provider Name | Jonathan T Macon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720241557 PECOS PAC ID: 0244592194 Enrollment ID: I20180828001797 |
| Provider Name | Paula Ann Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861905960 PECOS PAC ID: 6507116969 Enrollment ID: I20180905002007 |
| Provider Name | Adrian M Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548746050 PECOS PAC ID: 7214288943 Enrollment ID: I20180919002932 |
| Provider Name | Elizabeth A Haselden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359502 PECOS PAC ID: 6002168853 Enrollment ID: I20181007000024 |
| Provider Name | Amber Perkins Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467933861 PECOS PAC ID: 5597018465 Enrollment ID: I20181023000029 |
| Provider Name | Janette S Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257196 PECOS PAC ID: 0143574368 Enrollment ID: I20181106003259 |
| Provider Name | Gwendell M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194222539 PECOS PAC ID: 3072867217 Enrollment ID: I20181107000815 |
| Provider Name | Lauren Christine Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316423593 PECOS PAC ID: 8022362904 Enrollment ID: I20181112002439 |
| Provider Name | Demonica Dunifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881175487 PECOS PAC ID: 0143574673 Enrollment ID: I20181119002356 |
| Provider Name | Chineita Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417447236 PECOS PAC ID: 4587908777 Enrollment ID: I20181128002545 |
| Provider Name | Lisa Renee Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316421597 PECOS PAC ID: 7214271733 Enrollment ID: I20181210002062 |
| Provider Name | Catherine Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316308794 PECOS PAC ID: 2466797139 Enrollment ID: I20181227002068 |
| Provider Name | Nathaniel C Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041297 PECOS PAC ID: 7416292024 Enrollment ID: I20181228001501 |
| Provider Name | Jennifer Leigh Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326513557 PECOS PAC ID: 7012252539 Enrollment ID: I20190102001844 |
| Provider Name | Stephanie Johnson Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306311832 PECOS PAC ID: 4587900857 Enrollment ID: I20190107003339 |
| Provider Name | Marsha L Johnson Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104112606 PECOS PAC ID: 5294965570 Enrollment ID: I20190108003121 |
| Provider Name | Emily R Pogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871069302 PECOS PAC ID: 1759627870 Enrollment ID: I20190110002578 |
| Provider Name | Lauren D Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997946 PECOS PAC ID: 6507102357 Enrollment ID: I20190115002772 |
| Provider Name | Brittany Leigh Hempton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072688 PECOS PAC ID: 0648517631 Enrollment ID: I20190129002992 |
| Provider Name | Lori Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639669088 PECOS PAC ID: 8729326111 Enrollment ID: I20190211000121 |
| Provider Name | Ashley V Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287312 PECOS PAC ID: 6204174618 Enrollment ID: I20190211000844 |
| Provider Name | Helena Ryan Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447729207 PECOS PAC ID: 6406194844 Enrollment ID: I20190211002186 |
| Provider Name | Christine C Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918708 PECOS PAC ID: 3072851245 Enrollment ID: I20190213001754 |
| Provider Name | Nancy Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997003 PECOS PAC ID: 5294073391 Enrollment ID: I20190215000670 |
| Provider Name | Stephanie Harry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194196386 PECOS PAC ID: 2264771062 Enrollment ID: I20190221002019 |
| Provider Name | Janette Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023582681 PECOS PAC ID: 8325388242 Enrollment ID: I20190312003136 |
| Provider Name | Mary Kathryn C West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306323977 PECOS PAC ID: 8022358944 Enrollment ID: I20190312003256 |
| Provider Name | Sarah Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841754751 PECOS PAC ID: 6305186974 Enrollment ID: I20190318001471 |
| Provider Name | Cassandra Ellen Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093271165 PECOS PAC ID: 2769722180 Enrollment ID: I20190321002843 |
| Provider Name | Baby Ruth Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295216208 PECOS PAC ID: 2365782646 Enrollment ID: I20190325000000 |
| Provider Name | Joylynn Crytzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861965139 PECOS PAC ID: 7416298245 Enrollment ID: I20190404001735 |
| Provider Name | Shante Gleaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248369 PECOS PAC ID: 1153662606 Enrollment ID: I20190409003653 |
| Provider Name | Tasha Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114417789 PECOS PAC ID: 3971844424 Enrollment ID: I20190409003656 |
| Provider Name | Brittany N Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861958365 PECOS PAC ID: 1456692821 Enrollment ID: I20190411002275 |
| Provider Name | Brittney Williams Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614542 PECOS PAC ID: 4789925033 Enrollment ID: I20190415000682 |
| Provider Name | Kimberly Shade Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477902 PECOS PAC ID: 7113268483 Enrollment ID: I20190415001337 |
| Provider Name | Jennifer E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588121305 PECOS PAC ID: 4082955265 Enrollment ID: I20190417000338 |
| Provider Name | Christina Nicole Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467984450 PECOS PAC ID: 5294006714 Enrollment ID: I20190422002127 |
| Provider Name | Tiffany N Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073896 PECOS PAC ID: 7416299102 Enrollment ID: I20190429002644 |
| Provider Name | Quintella Anartica Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994968 PECOS PAC ID: 7517209059 Enrollment ID: I20190502000016 |
| Provider Name | Richard Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073326 PECOS PAC ID: 3072855394 Enrollment ID: I20190506002554 |
| Provider Name | Tanisha Leann Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040776 PECOS PAC ID: 0345582540 Enrollment ID: I20190508000152 |
| Provider Name | Tara Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013416718 PECOS PAC ID: 4789926908 Enrollment ID: I20190508001345 |
| Provider Name | Kathryn Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275097230 PECOS PAC ID: 6709128960 Enrollment ID: I20190508003230 |
| Provider Name | Samica Snipes-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023576139 PECOS PAC ID: 8022351295 Enrollment ID: I20190510001674 |
| Provider Name | Ericka Middleton Aprn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922564673 PECOS PAC ID: 1951644913 Enrollment ID: I20190515002501 |
| Provider Name | Michael Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043873888 PECOS PAC ID: 9234472945 Enrollment ID: I20190521002284 |
| Provider Name | Kimberly Jane Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183826 PECOS PAC ID: 3971862459 Enrollment ID: I20190529003241 |
| Provider Name | Roxanne Serohi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891253522 PECOS PAC ID: 1658614995 Enrollment ID: I20190529003322 |
| Provider Name | Sarah Aprn Frierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215166111 PECOS PAC ID: 9133149321 Enrollment ID: I20190604003405 |
| Provider Name | Stephanie L Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609335744 PECOS PAC ID: 3779816616 Enrollment ID: I20190610001019 |
| Provider Name | Brittany L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497172779 PECOS PAC ID: 2264765981 Enrollment ID: I20190612002836 |
| Provider Name | Krystal Marie Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003389230 PECOS PAC ID: 7416280912 Enrollment ID: I20190617001064 |
| Provider Name | June Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003371931 PECOS PAC ID: 0840524997 Enrollment ID: I20190625000512 |
| Provider Name | Amanda Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011718 PECOS PAC ID: 8022344613 Enrollment ID: I20190718003551 |
| Provider Name | Hope H Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215499710 PECOS PAC ID: 4688900988 Enrollment ID: I20190724002646 |
| Provider Name | Kendrea Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861052425 PECOS PAC ID: 8325374515 Enrollment ID: I20190725002104 |
| Provider Name | Tynaka Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217545 PECOS PAC ID: 0547596751 Enrollment ID: I20190725002723 |
| Provider Name | Mumtaz Jiwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983229 PECOS PAC ID: 8325374291 Enrollment ID: I20190730003632 |
| Provider Name | Nancy M Spindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134582174 PECOS PAC ID: 7113254723 Enrollment ID: I20190805003392 |
| Provider Name | Sarah Christie Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781016 PECOS PAC ID: 4880921428 Enrollment ID: I20190806001074 |
| Provider Name | Christopher J Cauto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669868881 PECOS PAC ID: 3678800075 Enrollment ID: I20190807004082 |
| Provider Name | Lisa Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099954 PECOS PAC ID: 1850629684 Enrollment ID: I20190819000606 |
| Provider Name | Jorge O Chabrier-rosello |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437438835 PECOS PAC ID: 4880905983 Enrollment ID: I20190821001434 |
| Provider Name | Louis Aaron Bussells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043665821 PECOS PAC ID: 0042548299 Enrollment ID: I20190826002190 |
| Provider Name | Heather C Stavrakas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093986473 PECOS PAC ID: 7719066885 Enrollment ID: I20190827000032 |
| Provider Name | Shelley Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487216529 PECOS PAC ID: 0749518892 Enrollment ID: I20190827002849 |
| Provider Name | Trasha L Hyliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265995138 PECOS PAC ID: 7719216373 Enrollment ID: I20190906000630 |
| Provider Name | Kellie Foxworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083278600 PECOS PAC ID: 6406185842 Enrollment ID: I20190910001130 |
| Provider Name | Lauren Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337121 PECOS PAC ID: 0244569580 Enrollment ID: I20190911001495 |
| Provider Name | Kara M Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726482 PECOS PAC ID: 6305175464 Enrollment ID: I20190916000696 |
| Provider Name | Penny B Broach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387249 PECOS PAC ID: 7810226917 Enrollment ID: I20190916002553 |
| Provider Name | Taylor Buck Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134774607 PECOS PAC ID: 5193054120 Enrollment ID: I20190917000349 |
| Provider Name | Kristy Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770909517 PECOS PAC ID: 6901136910 Enrollment ID: I20190917004111 |
| Provider Name | Caroline Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376105056 PECOS PAC ID: 9335479179 Enrollment ID: I20190923000516 |
| Provider Name | Tadd Edward Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252328 PECOS PAC ID: 4284964990 Enrollment ID: I20190923003505 |
| Provider Name | Faith Tangel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831751486 PECOS PAC ID: 9032449343 Enrollment ID: I20191001000030 |
| Provider Name | Juliann Trumpower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297497 PECOS PAC ID: 3375874423 Enrollment ID: I20191003003823 |
| Provider Name | Latoya Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699262923 PECOS PAC ID: 2769713262 Enrollment ID: I20191015001560 |
| Provider Name | Gerlanda Derr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205072808 PECOS PAC ID: 5890847784 Enrollment ID: I20191018002118 |
| Provider Name | Paula Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861046054 PECOS PAC ID: 4880926047 Enrollment ID: I20191022000668 |
| Provider Name | Felicia Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942785019 PECOS PAC ID: 8628300712 Enrollment ID: I20191022002111 |
| Provider Name | Dwayne V Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942854773 PECOS PAC ID: 1254663016 Enrollment ID: I20191028001485 |
| Provider Name | Sarah Elizabeth Baldoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710536941 PECOS PAC ID: 2668704347 Enrollment ID: I20191030000254 |
| Provider Name | Selina White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699333427 PECOS PAC ID: 3375975501 Enrollment ID: I20191108002315 |
| Provider Name | Daniyele Feaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124522875 PECOS PAC ID: 9234561986 Enrollment ID: I20191118002330 |
| Provider Name | Collene Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063063642 PECOS PAC ID: 3274965694 Enrollment ID: I20191122001148 |
| Provider Name | Svetlana C Brusyanina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700446234 PECOS PAC ID: 9335572866 Enrollment ID: I20191213001151 |
| Provider Name | Nakisha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323972 PECOS PAC ID: 5092149237 Enrollment ID: I20191223000785 |
| Provider Name | Jessica Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871763 PECOS PAC ID: 3375977382 Enrollment ID: I20191230000517 |
| Provider Name | Crystal Kingcade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496631 PECOS PAC ID: 3375977226 Enrollment ID: I20191230002608 |
| Provider Name | Stacey Banis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389938 PECOS PAC ID: 2466886064 Enrollment ID: I20200107000185 |
| Provider Name | Michelle Buller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528615085 PECOS PAC ID: 7012341647 Enrollment ID: I20200107001166 |
| Provider Name | Caroline Cauthen Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114561685 PECOS PAC ID: 0840625257 Enrollment ID: I20200113001877 |
| Provider Name | Moriah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592205 PECOS PAC ID: 4880029198 Enrollment ID: I20200115000198 |
| Provider Name | Niccole Shockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184267049 PECOS PAC ID: 1355776691 Enrollment ID: I20200115001620 |
| Provider Name | Diane White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316584865 PECOS PAC ID: 7719312966 Enrollment ID: I20200115002079 |
| Provider Name | Rebecca Madison Sanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902440050 PECOS PAC ID: 7618302712 Enrollment ID: I20200118000083 |
| Provider Name | Sharon Mayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255972253 PECOS PAC ID: 3870929482 Enrollment ID: I20200130000409 |
| Provider Name | Jaclyn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276782 PECOS PAC ID: 6204262777 Enrollment ID: I20200130003215 |
| Provider Name | Lance C Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376181495 PECOS PAC ID: 9739515230 Enrollment ID: I20200131000832 |
| Provider Name | Sommer Lane Kitchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003453093 PECOS PAC ID: 9234565623 Enrollment ID: I20200203001896 |
| Provider Name | Debra Lagaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287043 PECOS PAC ID: 8628404035 Enrollment ID: I20200204000035 |
| Provider Name | Zandria Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079263 PECOS PAC ID: 3870929219 Enrollment ID: I20200204000933 |
| Provider Name | Krystal Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718753 PECOS PAC ID: 2062848310 Enrollment ID: I20200204001712 |
| Provider Name | Melody Craine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811551872 PECOS PAC ID: 9739515099 Enrollment ID: I20200204002464 |
| Provider Name | Misty Penrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356606768 PECOS PAC ID: 1052569316 Enrollment ID: I20200210000480 |
| Provider Name | Lakesha Nichol Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871130906 PECOS PAC ID: 3476989567 Enrollment ID: I20200210000672 |
| Provider Name | Melissa Senf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275170730 PECOS PAC ID: 8325474307 Enrollment ID: I20200211002035 |
| Provider Name | Kristen M Caulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780220921 PECOS PAC ID: 5496181372 Enrollment ID: I20200213000302 |
| Provider Name | Holly Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063067270 PECOS PAC ID: 4486080298 Enrollment ID: I20200213002344 |
| Provider Name | Jennifer P O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265089098 PECOS PAC ID: 5294162061 Enrollment ID: I20200218000948 |
| Provider Name | Kimberley M Theuerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632870 PECOS PAC ID: 4284061540 Enrollment ID: I20200226000408 |
| Provider Name | Melanie S Scianna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063070316 PECOS PAC ID: 6305273590 Enrollment ID: I20200228000206 |
| Provider Name | Shirley Pooler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710532742 PECOS PAC ID: 5799112736 Enrollment ID: I20200303002333 |
| Provider Name | Angela R Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891334017 PECOS PAC ID: 3870920846 Enrollment ID: I20200304000961 |
| Provider Name | Jennifer Pilot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133524 PECOS PAC ID: 0244668010 Enrollment ID: I20200310002887 |
| Provider Name | Madeline Soucy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417474 PECOS PAC ID: 9133557655 Enrollment ID: I20200317000541 |
| Provider Name | Calvin D Beckwith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215569462 PECOS PAC ID: 4385072552 Enrollment ID: I20200323000115 |
| Provider Name | Abigail Cornine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225660368 PECOS PAC ID: 2567890676 Enrollment ID: I20200323002723 |
| Provider Name | Kayla P Osteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144850017 PECOS PAC ID: 3971932856 Enrollment ID: I20200327000679 |
| Provider Name | Latoni Timesha Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013552587 PECOS PAC ID: 3274962980 Enrollment ID: I20200401000714 |
| Provider Name | Lasheena T Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782305 PECOS PAC ID: 9931538659 Enrollment ID: I20200401001045 |
| Provider Name | Katrina Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952934473 PECOS PAC ID: 8325477649 Enrollment ID: I20200407001513 |
| Provider Name | Shawnika Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912547803 PECOS PAC ID: 9638508922 Enrollment ID: I20200408001247 |
| Provider Name | Shantai Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598320046 PECOS PAC ID: 9638508849 Enrollment ID: I20200408003679 |
| Provider Name | Sequita Hennessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153607 PECOS PAC ID: 2668801887 Enrollment ID: I20200408004077 |
| Provider Name | Huyen Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619514833 PECOS PAC ID: 3870923923 Enrollment ID: I20200414001312 |
| Provider Name | Brandi Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373206 PECOS PAC ID: 5496185472 Enrollment ID: I20200414003066 |
| Provider Name | Allison Buryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174151922 PECOS PAC ID: 1456781327 Enrollment ID: I20200416000534 |
| Provider Name | Lorie Lagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498643 PECOS PAC ID: 8921438821 Enrollment ID: I20200416001759 |
| Provider Name | Mylene Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235779281 PECOS PAC ID: 9830529759 Enrollment ID: I20200416003002 |
| Provider Name | Corinne P Meynardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609413566 PECOS PAC ID: 8123458999 Enrollment ID: I20200417002309 |
| Provider Name | Margaret J Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689207623 PECOS PAC ID: 8022448802 Enrollment ID: I20200417003082 |
| Provider Name | Barry Michael Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225420490 PECOS PAC ID: 7012237654 Enrollment ID: I20200429001693 |
| Provider Name | Lethea Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780214775 PECOS PAC ID: 2668803339 Enrollment ID: I20200513000779 |
| Provider Name | Angela Arledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699308098 PECOS PAC ID: 0840611034 Enrollment ID: I20200526000742 |
| Provider Name | Brittany Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831718550 PECOS PAC ID: 2062833809 Enrollment ID: I20200602002098 |
| Provider Name | Priscilla Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992332027 PECOS PAC ID: 0941621601 Enrollment ID: I20200604001412 |
| Provider Name | Mary Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861014631 PECOS PAC ID: 8325460660 Enrollment ID: I20200616000115 |
| Provider Name | Tina M Moseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531413 PECOS PAC ID: 9234551763 Enrollment ID: I20200629003679 |
| Provider Name | Barbara Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497370589 PECOS PAC ID: 4587087580 Enrollment ID: I20200709001576 |
| Provider Name | Ashton Goldsmith-webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033734371 PECOS PAC ID: 4587087366 Enrollment ID: I20200713001583 |
| Provider Name | Angela Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487287579 PECOS PAC ID: 0547683278 Enrollment ID: I20200714000100 |
| Provider Name | Marie Sena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285265298 PECOS PAC ID: 7719301316 Enrollment ID: I20200715002146 |
| Provider Name | Casey Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700418688 PECOS PAC ID: 3678997012 Enrollment ID: I20200720000331 |
| Provider Name | Tracy Keisling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640483 PECOS PAC ID: 5294164190 Enrollment ID: I20200730002952 |
| Provider Name | Georgeana Oliver Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164040341 PECOS PAC ID: 3577988930 Enrollment ID: I20200731001617 |
| Provider Name | Tiffany Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356969778 PECOS PAC ID: 6608291745 Enrollment ID: I20200806000067 |
| Provider Name | Tonya Haywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871118679 PECOS PAC ID: 7113342007 Enrollment ID: I20200810001848 |
| Provider Name | Nichole Marie Esteppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922616861 PECOS PAC ID: 0749606382 Enrollment ID: I20200813001883 |
| Provider Name | Jessica Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407261845 PECOS PAC ID: 6406074855 Enrollment ID: I20200818002447 |
| Provider Name | Jessica Register |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467881979 PECOS PAC ID: 0446481329 Enrollment ID: I20200826002969 |
| Provider Name | Alice Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073031449 PECOS PAC ID: 8729405303 Enrollment ID: I20200827001158 |
| Provider Name | Amanda Beth Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689116055 PECOS PAC ID: 0941570212 Enrollment ID: I20200827002698 |
| Provider Name | Karrera Tindal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779178 PECOS PAC ID: 7214354778 Enrollment ID: I20200828000786 |
| Provider Name | Mary Katherine Gottlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184232803 PECOS PAC ID: 3971921669 Enrollment ID: I20200911001965 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982212585 PECOS PAC ID: 9537587175 Enrollment ID: I20200915001311 |
| Provider Name | Cherie Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326656075 PECOS PAC ID: 8921427634 Enrollment ID: I20200930000626 |
| Provider Name | Natisha Capers-howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790395101 PECOS PAC ID: 4981023553 Enrollment ID: I20200930003300 |
| Provider Name | April Leanne Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896616 PECOS PAC ID: 2769801133 Enrollment ID: I20201005000478 |
| Provider Name | Amanda Eden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770199440 PECOS PAC ID: 4789003054 Enrollment ID: I20201006002314 |
| Provider Name | Marilyn A Malia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083146898 PECOS PAC ID: 8527488931 Enrollment ID: I20201022002847 |
| Provider Name | Sylvia Wolsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473065 PECOS PAC ID: 6608204284 Enrollment ID: I20201023002353 |
| Provider Name | Kathryn Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841802238 PECOS PAC ID: 1153741442 Enrollment ID: I20201027001014 |
| Provider Name | Maresa Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447862909 PECOS PAC ID: 7719397090 Enrollment ID: I20201028002041 |
| Provider Name | Cullen Burgess Kubicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609499623 PECOS PAC ID: 3072923291 Enrollment ID: I20201029000800 |
| Provider Name | Holly Poplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134736309 PECOS PAC ID: 2264842236 Enrollment ID: I20201102002157 |
| Provider Name | Jamie Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116477 PECOS PAC ID: 2769892652 Enrollment ID: I20201104001499 |
| Provider Name | Kimberly Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498969 PECOS PAC ID: 4587074299 Enrollment ID: I20201109002717 |
| Provider Name | Michael D Nemastil |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730107905 PECOS PAC ID: 0446273809 Enrollment ID: I20201112001680 |
| Provider Name | Lavare Canace Seltun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108490 PECOS PAC ID: 7113298456 Enrollment ID: I20201113002237 |
| Provider Name | Bryan Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588271373 PECOS PAC ID: 4385055508 Enrollment ID: I20201119001102 |
| Provider Name | Comeshia Lemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639779853 PECOS PAC ID: 2062823974 Enrollment ID: I20201125002193 |
| Provider Name | Shawna Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720405277 PECOS PAC ID: 7214348846 Enrollment ID: I20201202002569 |
| Provider Name | Christina Pappalardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346850906 PECOS PAC ID: 8921410317 Enrollment ID: I20201208002685 |
| Provider Name | Amanda Cribb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669071163 PECOS PAC ID: 5294147450 Enrollment ID: I20201211000116 |
| Provider Name | Alice Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255947974 PECOS PAC ID: 1456764802 Enrollment ID: I20210105000279 |
| Provider Name | Tracie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013573328 PECOS PAC ID: 7719390160 Enrollment ID: I20210105000293 |
| Provider Name | Elijah P Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992317366 PECOS PAC ID: 5496168569 Enrollment ID: I20210108002478 |
| Provider Name | Shernika Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447848544 PECOS PAC ID: 4981018041 Enrollment ID: I20210201001251 |
| Provider Name | Brenda Ramirez-pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871114355 PECOS PAC ID: 5698189751 Enrollment ID: I20210201001376 |
| Provider Name | Thomas Kyle Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356931257 PECOS PAC ID: 0042625865 Enrollment ID: I20210209000348 |
| Provider Name | Lenda Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965501 PECOS PAC ID: 0345655106 Enrollment ID: I20210209002231 |
| Provider Name | Robert Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639768815 PECOS PAC ID: 5890100333 Enrollment ID: I20210216001999 |
| Provider Name | Daphne Areephanthu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073104790 PECOS PAC ID: 2062827512 Enrollment ID: I20210216002068 |
| Provider Name | Angela Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437745064 PECOS PAC ID: 0042625592 Enrollment ID: I20210216002158 |
| Provider Name | Jennie Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083204390 PECOS PAC ID: 3870908171 Enrollment ID: I20210218003028 |
| Provider Name | Teresa Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811501935 PECOS PAC ID: 1456766559 Enrollment ID: I20210224000090 |
| Provider Name | Olivia Christina Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408107 PECOS PAC ID: 9537575063 Enrollment ID: I20210309001041 |
| Provider Name | Porsha Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712627 PECOS PAC ID: 9537575733 Enrollment ID: I20210315000528 |
| Provider Name | Ariel Graham Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811581408 PECOS PAC ID: 2769898972 Enrollment ID: I20210315000776 |
| Provider Name | Jasmine Alecia Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982214334 PECOS PAC ID: 1254747264 Enrollment ID: I20210316002382 |
| Provider Name | Allison C. Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306430681 PECOS PAC ID: 4880001890 Enrollment ID: I20210318000437 |
| Provider Name | Bianca Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982294336 PECOS PAC ID: 3870908304 Enrollment ID: I20210318002998 |
| Provider Name | Jennifer Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588255343 PECOS PAC ID: 5597172569 Enrollment ID: I20210319000069 |
| Provider Name | Amelia K Bloomquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548809189 PECOS PAC ID: 4284063967 Enrollment ID: I20210319000243 |
| Provider Name | Tasha Loren Garrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245785617 PECOS PAC ID: 9234546862 Enrollment ID: I20210329000239 |
| Provider Name | Tara Sharay Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225671027 PECOS PAC ID: 9133463664 Enrollment ID: I20210330000952 |
| Provider Name | Allie Fant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760076780 PECOS PAC ID: 0840607206 Enrollment ID: I20210331001464 |
| Provider Name | Carri Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710584941 PECOS PAC ID: 4082021126 Enrollment ID: I20210407002294 |
| Provider Name | Hristina Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184216665 PECOS PAC ID: 4688082696 Enrollment ID: I20210412002076 |
| Provider Name | Hannah Sellers Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939995 PECOS PAC ID: 9931517851 Enrollment ID: I20210414000975 |
| Provider Name | Brianna Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164061032 PECOS PAC ID: 3870902893 Enrollment ID: I20210504001359 |
| Provider Name | Christyle Y Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518506997 PECOS PAC ID: 1355779323 Enrollment ID: I20210521000578 |
| Provider Name | Elizabeth Bailey Newsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316530074 PECOS PAC ID: 1456750249 Enrollment ID: I20210527001638 |
| Provider Name | Sylvia Bundotich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598215899 PECOS PAC ID: 6800172404 Enrollment ID: I20210607000543 |
| Provider Name | Sonya April Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234773 PECOS PAC ID: 5799106977 Enrollment ID: I20210624003406 |
| Provider Name | Uchechukwu Egbujo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497231211 PECOS PAC ID: 8628479789 Enrollment ID: I20210625002327 |
| Provider Name | Helen Brogan Vansant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588643571 PECOS PAC ID: 8628069739 Enrollment ID: I20210707003060 |
| Provider Name | Corinne Vaccaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851976690 PECOS PAC ID: 8022411594 Enrollment ID: I20210721001008 |
| Provider Name | Adam Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849835 PECOS PAC ID: 5799104154 Enrollment ID: I20210728003541 |
| Provider Name | Brittany Wray Ambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275162117 PECOS PAC ID: 8426452475 Enrollment ID: I20210812001936 |
| Provider Name | Brettney Lashay Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407426125 PECOS PAC ID: 7113321175 Enrollment ID: I20210812002209 |
| Provider Name | Tracy Stichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063032316 PECOS PAC ID: 2062818321 Enrollment ID: I20210913000165 |
| Provider Name | Emily Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083381511 PECOS PAC ID: 5193121218 Enrollment ID: I20210914003389 |
| Provider Name | Lauren C Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841967023 PECOS PAC ID: 5799181830 Enrollment ID: I20210915000616 |
| Provider Name | Sharnice Renee Boulware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366117046 PECOS PAC ID: 3577960699 Enrollment ID: I20210916000745 |
| Provider Name | Cornelia F Beckham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598331027 PECOS PAC ID: 0547661944 Enrollment ID: I20210921003366 |
| Provider Name | Demarcus Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902574486 PECOS PAC ID: 3678970423 Enrollment ID: I20210922000984 |
| Provider Name | Amber Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023694163 PECOS PAC ID: 2264839869 Enrollment ID: I20210924000429 |
| Provider Name | Catherine Renee Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992370316 PECOS PAC ID: 9830596360 Enrollment ID: I20210924002405 |
| Provider Name | Stephanie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479116 PECOS PAC ID: 2769889948 Enrollment ID: I20210930002858 |
| Provider Name | Lucretia Denise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184394090 PECOS PAC ID: 7810395662 Enrollment ID: I20211007002969 |
| Provider Name | Cynthia Benjamin Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346841186 PECOS PAC ID: 3375941701 Enrollment ID: I20211014002329 |
| Provider Name | Kelly Mcmanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619430501 PECOS PAC ID: 1052744984 Enrollment ID: I20211015002294 |
| Provider Name | Kisha Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831713288 PECOS PAC ID: 8123416344 Enrollment ID: I20211020002909 |
| Provider Name | Courtney Crumlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477147460 PECOS PAC ID: 3971991084 Enrollment ID: I20211022000148 |
| Provider Name | Jeremy C Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902572340 PECOS PAC ID: 9830587542 Enrollment ID: I20211029001843 |
| Provider Name | Mikhail Rybin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780242412 PECOS PAC ID: 3870981244 Enrollment ID: I20211104000897 |
| Provider Name | Veronica L Stukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457995375 PECOS PAC ID: 2365831559 Enrollment ID: I20211109001969 |
| Provider Name | Andrea Stress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105348 PECOS PAC ID: 0042609240 Enrollment ID: I20211109002591 |
| Provider Name | Kirsten Kearse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982270922 PECOS PAC ID: 5991194078 Enrollment ID: I20211110002593 |
| Provider Name | Angelina Dow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137745 PECOS PAC ID: 2961891999 Enrollment ID: I20211113000041 |
| Provider Name | Allicson Dulcie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922585009 PECOS PAC ID: 6103215132 Enrollment ID: I20211113000239 |
| Provider Name | Jennifer Hasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497426548 PECOS PAC ID: 6800285750 Enrollment ID: I20211115000871 |
| Provider Name | Evora Sinclair Liddell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477080851 PECOS PAC ID: 4981093838 Enrollment ID: I20211115000908 |
| Provider Name | Emily Jo Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578157996 PECOS PAC ID: 0648669564 Enrollment ID: I20211116000669 |
| Provider Name | Shankana Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326587387 PECOS PAC ID: 3971992744 Enrollment ID: I20211116003163 |
| Provider Name | Karrie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649624404 PECOS PAC ID: 3577952290 Enrollment ID: I20211117002462 |
| Provider Name | Kelly S Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790148153 PECOS PAC ID: 7810285699 Enrollment ID: I20211122002867 |
| Provider Name | Kelly Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093309098 PECOS PAC ID: 2163812637 Enrollment ID: I20211124002064 |
| Provider Name | Camilla Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679156970 PECOS PAC ID: 7810387230 Enrollment ID: I20211129001633 |
| Provider Name | Lisa Yolanda Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679093462 PECOS PAC ID: 0840680203 Enrollment ID: I20211130000475 |
| Provider Name | Tara Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336811314 PECOS PAC ID: 9032509286 Enrollment ID: I20211202002482 |
| Provider Name | Kimberly Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356717276 PECOS PAC ID: 4183928526 Enrollment ID: I20211206002174 |
| Provider Name | Lisa P Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568822252 PECOS PAC ID: 8527344654 Enrollment ID: I20211210002126 |
| Provider Name | Brandis Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275943581 PECOS PAC ID: 9830484229 Enrollment ID: I20211215000741 |
| Provider Name | Shauna Jere Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306152558 PECOS PAC ID: 3779778980 Enrollment ID: I20211216002573 |
| Provider Name | Brooke Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261550 PECOS PAC ID: 8123419264 Enrollment ID: I20211227000906 |
| Provider Name | Veola Riley-amaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083952030 PECOS PAC ID: 1355732397 Enrollment ID: I20211229001233 |
| Provider Name | Brittany Fnp Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346916301 PECOS PAC ID: 7113318049 Enrollment ID: I20220103000607 |
| Provider Name | Melissa Greenhalgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171031 PECOS PAC ID: 3072932011 Enrollment ID: I20220107000593 |
| Provider Name | Callie Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457250 PECOS PAC ID: 6204228679 Enrollment ID: I20220114000548 |
| Provider Name | Cynthia J Dinino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417615816 PECOS PAC ID: 2860884277 Enrollment ID: I20220115000108 |
| Provider Name | Tiffany Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699340752 PECOS PAC ID: 3476946807 Enrollment ID: I20220208001873 |
| Provider Name | Brittany M Gruber Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113324 PECOS PAC ID: 5395138432 Enrollment ID: I20220212000149 |
| Provider Name | Jessica Simmemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295488377 PECOS PAC ID: 7517351463 Enrollment ID: I20220218001812 |
| Provider Name | Alicia Overholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051882 PECOS PAC ID: 3375937865 Enrollment ID: I20220226000027 |
| Provider Name | Edith H. Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023760626 PECOS PAC ID: 8325384910 Enrollment ID: I20220307000259 |
| Provider Name | Meredith Altenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659043412 PECOS PAC ID: 7810382843 Enrollment ID: I20220309002638 |
| Provider Name | Tekola C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549090 PECOS PAC ID: 9931594991 Enrollment ID: I20220310000531 |
| Provider Name | Michael Vrmeer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568134534 PECOS PAC ID: 2365837788 Enrollment ID: I20220322002959 |
| Provider Name | Sarah Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699421370 PECOS PAC ID: 2961897020 Enrollment ID: I20220328001968 |
| Provider Name | Ashley Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477200145 PECOS PAC ID: 0547656316 Enrollment ID: I20220404000577 |
| Provider Name | Daisha Jerrice Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184394918 PECOS PAC ID: 6507252228 Enrollment ID: I20220406001025 |
| Provider Name | Natalie Isbell Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073091286 PECOS PAC ID: 6608262233 Enrollment ID: I20220408000031 |
| Provider Name | Emily Rose Thieme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892033 PECOS PAC ID: 2769878057 Enrollment ID: I20220414000399 |
| Provider Name | Glovenia Michelle Spires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043950967 PECOS PAC ID: 4486041381 Enrollment ID: I20220422002427 |
| Provider Name | Wendy Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912670373 PECOS PAC ID: 7012304488 Enrollment ID: I20220504000305 |
| Provider Name | Dana Renee Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295494441 PECOS PAC ID: 4082091327 Enrollment ID: I20220506001444 |
| Provider Name | Maggie Elizabeth Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497404115 PECOS PAC ID: 9032596705 Enrollment ID: I20220518001980 |
| Provider Name | Kennedy Goode Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477134880 PECOS PAC ID: 3971980525 Enrollment ID: I20220519002208 |
| Provider Name | Etoy N Flemmings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750038659 PECOS PAC ID: 2769879022 Enrollment ID: I20220523002428 |
| Provider Name | Keisha Johnson-roseboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104562198 PECOS PAC ID: 3274911508 Enrollment ID: I20220527001126 |
| Provider Name | Anna Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247217 PECOS PAC ID: 7113318791 Enrollment ID: I20220602001783 |
| Provider Name | Rachel Carlie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275279820 PECOS PAC ID: 0446638100 Enrollment ID: I20220608001771 |
| Provider Name | Tiffany Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518605120 PECOS PAC ID: 9436538295 Enrollment ID: I20220624000987 |
| Provider Name | Helen Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186148 PECOS PAC ID: 6204192305 Enrollment ID: I20220624001294 |
| Provider Name | Beverly Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275054157 PECOS PAC ID: 5698041291 Enrollment ID: I20220624001598 |
| Provider Name | Melanie Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245825439 PECOS PAC ID: 1355720152 Enrollment ID: I20220624002349 |
| Provider Name | Adrianna Deise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689916629 PECOS PAC ID: 9638558877 Enrollment ID: I20220709000408 |
| Provider Name | Katherine Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851021661 PECOS PAC ID: 8224410717 Enrollment ID: I20220730000323 |
| Provider Name | Ellen Caughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265044267 PECOS PAC ID: 6204218795 Enrollment ID: I20220730000446 |
| Provider Name | Justine M Schleiffelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356807242 PECOS PAC ID: 3971845223 Enrollment ID: I20220810000359 |
| Provider Name | Anfel Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695743 PECOS PAC ID: 4486037173 Enrollment ID: I20220812001423 |
| Provider Name | Joann L Brazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629625116 PECOS PAC ID: 1153753538 Enrollment ID: I20220818000035 |
| Provider Name | John Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396471033 PECOS PAC ID: 3072997584 Enrollment ID: I20220901002096 |
| Provider Name | Manohara Gnanashekar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043953409 PECOS PAC ID: 6305220542 Enrollment ID: I20220907001640 |
| Provider Name | Amy Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891426037 PECOS PAC ID: 3779968458 Enrollment ID: I20220915003561 |
| Provider Name | Dominique Lalonde-crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548982648 PECOS PAC ID: 8729464342 Enrollment ID: I20221005003322 |
| Provider Name | Cindy Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760101489 PECOS PAC ID: 2961888359 Enrollment ID: I20221010000228 |
| Provider Name | Crystal Marie Kolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073184396 PECOS PAC ID: 0648674465 Enrollment ID: I20221010001460 |
| Provider Name | Seth R Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669139036 PECOS PAC ID: 2466845771 Enrollment ID: I20221012000097 |
| Provider Name | Angela Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770207300 PECOS PAC ID: 1658748835 Enrollment ID: I20221031003042 |
| Provider Name | Heather D Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548983398 PECOS PAC ID: 0345466314 Enrollment ID: I20221102000417 |
| Provider Name | Cassandra Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433424 PECOS PAC ID: 5294102091 Enrollment ID: I20221108002284 |
| Provider Name | Michaela Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881315059 PECOS PAC ID: 7012384720 Enrollment ID: I20221109003462 |
| Provider Name | Hollie Mendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407591936 PECOS PAC ID: 5890177877 Enrollment ID: I20221114000521 |
| Provider Name | Sarah E Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427771542 PECOS PAC ID: 7618345109 Enrollment ID: I20221114002223 |
| Provider Name | Linda Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225755127 PECOS PAC ID: 4688042252 Enrollment ID: I20221201003297 |
| Provider Name | Margaret Wambui Nyoro-o'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679146187 PECOS PAC ID: 7416348537 Enrollment ID: I20221215002548 |
| Provider Name | Elizabeth Disher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063976546 PECOS PAC ID: 7719384783 Enrollment ID: I20221229000052 |
| Provider Name | Casey M Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861526790 PECOS PAC ID: 5698838738 Enrollment ID: I20221229002034 |
| Provider Name | Kamau Casey Gillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912619883 PECOS PAC ID: 7012388820 Enrollment ID: I20230113000874 |
| Provider Name | Parag S Dalsania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156025 PECOS PAC ID: 8921238957 Enrollment ID: I20230126002888 |
| Provider Name | Lindsay Eppehimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598473076 PECOS PAC ID: 8022489145 Enrollment ID: I20230126003041 |
| Provider Name | Dina Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205412889 PECOS PAC ID: 3476925363 Enrollment ID: I20230201002926 |
| Provider Name | Natasha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528778719 PECOS PAC ID: 5597137570 Enrollment ID: I20230221002341 |
| Provider Name | Carly Rae Gruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811608607 PECOS PAC ID: 9436522729 Enrollment ID: I20230308000252 |
| Provider Name | Christopher Laffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477265809 PECOS PAC ID: 3173997111 Enrollment ID: I20230315000346 |
| Provider Name | Eric T Orton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548990260 PECOS PAC ID: 2961883665 Enrollment ID: I20230320001236 |
| Provider Name | Gwenevere Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427762152 PECOS PAC ID: 9234503921 Enrollment ID: I20230320002992 |
| Provider Name | Sarah R Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518663210 PECOS PAC ID: 0345614061 Enrollment ID: I20230321001234 |
| Provider Name | Marc Birkmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205542198 PECOS PAC ID: 2264806736 Enrollment ID: I20230323002210 |
| Provider Name | April Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174238067 PECOS PAC ID: 6608240007 Enrollment ID: I20230327001787 |
| Provider Name | Jaya Christina Wall Ruffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861051609 PECOS PAC ID: 1759713688 Enrollment ID: I20230420001756 |
| Provider Name | Amanda Pyrda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013617679 PECOS PAC ID: 1355706292 Enrollment ID: I20230428002257 |
| Provider Name | Vanesia Davis Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912465154 PECOS PAC ID: 8527423318 Enrollment ID: I20230501001323 |
| Provider Name | Melisa Suzanne Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174241277 PECOS PAC ID: 4981069606 Enrollment ID: I20230503000554 |
| Provider Name | Jonathan Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316646557 PECOS PAC ID: 2163888124 Enrollment ID: I20230517000253 |
| Provider Name | Paige J Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982305843 PECOS PAC ID: 8325404098 Enrollment ID: I20230523000750 |
| Provider Name | Amy Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033808720 PECOS PAC ID: 3072979566 Enrollment ID: I20230525003341 |
| Provider Name | Brianna Rhea Odum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905540 PECOS PAC ID: 9931566189 Enrollment ID: I20230605000876 |
| Provider Name | Sondra Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144917774 PECOS PAC ID: 1355708405 Enrollment ID: I20230605001006 |
| Provider Name | Samantha Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134874175 PECOS PAC ID: 3971960543 Enrollment ID: I20230613002632 |
| Provider Name | Tiarra Monte Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790418168 PECOS PAC ID: 5799168001 Enrollment ID: I20230627000081 |
| Provider Name | Ashley Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851082606 PECOS PAC ID: 9335507037 Enrollment ID: I20230627002272 |
| Provider Name | Patty Louyse Howenstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659846558 PECOS PAC ID: 3375902018 Enrollment ID: I20230628004474 |
| Provider Name | Vanessa Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588877393 PECOS PAC ID: 9739289992 Enrollment ID: I20230629000364 |
| Provider Name | Tiffany Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417648916 PECOS PAC ID: 4688033350 Enrollment ID: I20230629000732 |
| Provider Name | Allison Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356032338 PECOS PAC ID: 5597124859 Enrollment ID: I20230705000542 |
| Provider Name | Carolyn Dejoseph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104221498 PECOS PAC ID: 8820457856 Enrollment ID: I20230707003435 |
| Provider Name | Erika Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245866151 PECOS PAC ID: 2567822992 Enrollment ID: I20230718000671 |
| Provider Name | Kristen Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487113767 PECOS PAC ID: 5193188761 Enrollment ID: I20230830000046 |
| Provider Name | Jodi Peavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417980624 PECOS PAC ID: 1052775103 Enrollment ID: I20230908000175 |
| Provider Name | Shelly Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427446475 PECOS PAC ID: 6507160785 Enrollment ID: I20230908003695 |
| Provider Name | Shannon Diroma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215619796 PECOS PAC ID: 8325492572 Enrollment ID: I20230921003961 |
| Provider Name | Judith Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609227602 PECOS PAC ID: 4486008141 Enrollment ID: I20230929001263 |
| Provider Name | Julie Sim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306483011 PECOS PAC ID: 4880048446 Enrollment ID: I20230929003421 |
| Provider Name | Corinthia Shupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591936 PECOS PAC ID: 6901164276 Enrollment ID: I20231026001864 |
| Provider Name | Jennifer M Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215621503 PECOS PAC ID: 9931555752 Enrollment ID: I20231030002609 |
| Provider Name | Beth Reeves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792076 PECOS PAC ID: 7012363898 Enrollment ID: I20231031001117 |
| Provider Name | Deborah Noel Sadek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790487577 PECOS PAC ID: 5193173342 Enrollment ID: I20231128002799 |
| Provider Name | Abigail Roulston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386341121 PECOS PAC ID: 8123476975 Enrollment ID: I20231205000125 |
| Provider Name | Courtney Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376231159 PECOS PAC ID: 9133578800 Enrollment ID: I20231207001494 |
| Provider Name | Umeko Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316719461 PECOS PAC ID: 3375992043 Enrollment ID: I20231207001593 |
| Provider Name | Juanetta Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346015112 PECOS PAC ID: 0941659494 Enrollment ID: I20231211000345 |
| Provider Name | Courtney Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871194563 PECOS PAC ID: 6800245200 Enrollment ID: I20231211002519 |
| Provider Name | Christine Waters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760570089 PECOS PAC ID: 1153770102 Enrollment ID: I20231215001265 |
| Provider Name | Arlisa Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275308306 PECOS PAC ID: 7618327230 Enrollment ID: I20231222001325 |
| Provider Name | James W Gasque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255326096 PECOS PAC ID: 0648436998 Enrollment ID: I20231229001100 |
| Provider Name | Sparkles Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144095340 PECOS PAC ID: 7517318058 Enrollment ID: I20240109001379 |
| Provider Name | Ashley Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225720246 PECOS PAC ID: 8224489398 Enrollment ID: I20240112003013 |
| Provider Name | Bryan J Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760160394 PECOS PAC ID: 0941653463 Enrollment ID: I20240131001770 |
| Provider Name | Ashleigh Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178822 PECOS PAC ID: 2567806946 Enrollment ID: I20240214001851 |
| Provider Name | Bryan K Sines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841667359 PECOS PAC ID: 3476853672 Enrollment ID: I20240220004503 |
| Provider Name | Amy Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720859408 PECOS PAC ID: 7618311333 Enrollment ID: I20240221000325 |
| Provider Name | Angela Inetta Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881069532 PECOS PAC ID: 7719322189 Enrollment ID: I20240226003249 |
| Provider Name | Veronica Whitman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578800678 PECOS PAC ID: 6608211420 Enrollment ID: I20240301002706 |
| Provider Name | Lisa Greer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831967736 PECOS PAC ID: 8628413457 Enrollment ID: I20240301003014 |
| Provider Name | Lisa Dease |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487213963 PECOS PAC ID: 4385080928 Enrollment ID: I20240306001284 |
| Provider Name | Jasmine Backmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790546943 PECOS PAC ID: 9133565526 Enrollment ID: I20240307002338 |
| Provider Name | Karen Parker-williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760028476 PECOS PAC ID: 7911343835 Enrollment ID: I20240313002396 |
| Provider Name | Damon Woodley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225478571 PECOS PAC ID: 7214374701 Enrollment ID: I20240320000069 |
| Provider Name | Autumn Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861185738 PECOS PAC ID: 9739526039 Enrollment ID: I20240322000063 |
| Provider Name | Getnet Aberra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801839170 PECOS PAC ID: 3577594357 Enrollment ID: I20240323000222 |
| Provider Name | Joshua L Thorp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659773299 PECOS PAC ID: 0345569463 Enrollment ID: I20240328003936 |
| Provider Name | Mackin Wall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144083023 PECOS PAC ID: 4880032325 Enrollment ID: I20240403002671 |
| Provider Name | Kifle Admassu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184664401 PECOS PAC ID: 1153346721 Enrollment ID: I20240408000314 |
| Provider Name | Jacqueline Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689367583 PECOS PAC ID: 4183062128 Enrollment ID: I20240409004580 |
| Provider Name | Carlotta J Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194418079 PECOS PAC ID: 7012356934 Enrollment ID: I20240411002366 |
| Provider Name | Stacy West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407540917 PECOS PAC ID: 9335588516 Enrollment ID: I20240422000041 |
| Provider Name | Leslie J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861243479 PECOS PAC ID: 6709225790 Enrollment ID: I20240424000726 |
| Provider Name | Jessicah Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689450835 PECOS PAC ID: 1850731316 Enrollment ID: I20240501000320 |
| Provider Name | Sharon Dyan Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548773005 PECOS PAC ID: 7012275308 Enrollment ID: I20240502002703 |
| Provider Name | Cassidy Grimsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104671759 PECOS PAC ID: 3274973359 Enrollment ID: I20240507000889 |
| Provider Name | Jasmine Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740032895 PECOS PAC ID: 5092156182 Enrollment ID: I20240507001986 |
| Provider Name | Carolyn Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811748361 PECOS PAC ID: 7012358153 Enrollment ID: I20240507003597 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104606144 PECOS PAC ID: 7719328756 Enrollment ID: I20240508003135 |
| Provider Name | Allyson Hudson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275651861 PECOS PAC ID: 5193166379 Enrollment ID: I20240520000674 |
| Provider Name | Deborah Woodberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518718030 PECOS PAC ID: 9032551080 Enrollment ID: I20240522003709 |
| Provider Name | Kendra Ayler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811391980 PECOS PAC ID: 4183023989 Enrollment ID: I20240604003516 |
| Provider Name | Stephanie Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164270195 PECOS PAC ID: 1052853157 Enrollment ID: I20240604003709 |
| Provider Name | Melanie Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538918073 PECOS PAC ID: 0345782819 Enrollment ID: I20240612001239 |
| Provider Name | Jennifer Lynn Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966024 PECOS PAC ID: 7214224906 Enrollment ID: I20240612002121 |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |