| American Family Care, Llc | |
|
1680 Montgomery Hwy Birmingham AL 35216 | |
| (205) 979-0888 | |
| (205) 979-4110 |
| Full Name | American Family Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 Montgomery Hwy, Birmingham, Alabama |
| Authorized Official Name and Position | Randy A Johansen (PRESIDENT) |
| Authorized Official Contact | 2054212102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Care, Llc 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | American Family Care, Llc 1680 Montgomery Hwy Birmingham AL 35216 Ph: (205) 979-0888 |
| NPI Number | 1669429080 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9739087818 |
|---|---|
| Medicare Enrollment ID | O20031229000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669429080 | NPI | - | NPPES |
| 529202590 | Medicaid | AL |
| Provider Name | Mila Riehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003848706 PECOS PAC ID: 3678479086 Enrollment ID: I20031208000828 |
| Provider Name | Jesse W Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346298171 PECOS PAC ID: 2668370891 Enrollment ID: I20031226000212 |
| Provider Name | Brendella T Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194755827 PECOS PAC ID: 3274439930 Enrollment ID: I20031229000064 |
| Provider Name | Adedoyin B0dinrin Dosunmu-ogunbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306817184 PECOS PAC ID: 0941114086 Enrollment ID: I20031230000763 |
| Provider Name | Robert A Revel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811936552 PECOS PAC ID: 8628978590 Enrollment ID: I20040109000118 |
| Provider Name | Andrea M Pincham-benton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154317618 PECOS PAC ID: 2769385756 Enrollment ID: I20040128000615 |
| Provider Name | Julie E Orender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043386063 PECOS PAC ID: 1153224621 Enrollment ID: I20040130000971 |
| Provider Name | Dinesh R Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568443273 PECOS PAC ID: 1850294364 Enrollment ID: I20040131000068 |
| Provider Name | John W Scarborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922049949 PECOS PAC ID: 7012810484 Enrollment ID: I20040205001253 |
| Provider Name | Kim J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184680472 PECOS PAC ID: 6002700507 Enrollment ID: I20040213000170 |
| Provider Name | James Robert Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679505739 PECOS PAC ID: 3577458124 Enrollment ID: I20040220000926 |
| Provider Name | David Marotta |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114958014 PECOS PAC ID: 3971499062 Enrollment ID: I20040225000786 |
| Provider Name | Christopher J Portante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922188861 PECOS PAC ID: 6709787468 Enrollment ID: I20040311001065 |
| Provider Name | Timothy A Shaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306160296 PECOS PAC ID: 1254221047 Enrollment ID: I20040318000113 |
| Provider Name | Frank James Malensek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739500 PECOS PAC ID: 3274424148 Enrollment ID: I20040322000548 |
| Provider Name | Robert A Ruth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912926437 PECOS PAC ID: 5890788046 Enrollment ID: I20040405001329 |
| Provider Name | Ewane Ngone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554446 PECOS PAC ID: 9830094853 Enrollment ID: I20040406000296 |
| Provider Name | Karen S Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740384817 PECOS PAC ID: 9133112170 Enrollment ID: I20040406000875 |
| Provider Name | Donald L Abele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669420394 PECOS PAC ID: 3072507375 Enrollment ID: I20040410000072 |
| Provider Name | James V Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114975125 PECOS PAC ID: 3476540063 Enrollment ID: I20040427000451 |
| Provider Name | Dixie D Kidd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265427413 PECOS PAC ID: 9830180827 Enrollment ID: I20040519000850 |
| Provider Name | Kristopher F Lay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447227830 PECOS PAC ID: 8325029069 Enrollment ID: I20040527000844 |
| Provider Name | Uttam K Podder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649214990 PECOS PAC ID: 4789666165 Enrollment ID: I20040601001394 |
| Provider Name | Eric S Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033209473 PECOS PAC ID: 4981686268 Enrollment ID: I20040601001447 |
| Provider Name | Patrick D Bianchi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538146048 PECOS PAC ID: 6608857818 Enrollment ID: I20040603001357 |
| Provider Name | Joyce P Goetsch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629395082 PECOS PAC ID: 1759351661 Enrollment ID: I20040728001115 |
| Provider Name | Shirley J Lazenby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598839037 PECOS PAC ID: 4688644305 Enrollment ID: I20040729001037 |
| Provider Name | Dolores V Victoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992868178 PECOS PAC ID: 6800869660 Enrollment ID: I20040818001317 |
| Provider Name | Natashia L Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659347581 PECOS PAC ID: 1951375575 Enrollment ID: I20040820000376 |
| Provider Name | Agatha I Asuru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699722348 PECOS PAC ID: 8628044864 Enrollment ID: I20040908001287 |
| Provider Name | Celeste S Reese Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104893809 PECOS PAC ID: 3779552963 Enrollment ID: I20040924000656 |
| Provider Name | Samuel J Harden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316022148 PECOS PAC ID: 8123087012 Enrollment ID: I20041006001087 |
| Provider Name | William A Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295738623 PECOS PAC ID: 3678534476 Enrollment ID: I20041025000898 |
| Provider Name | David R Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901970 PECOS PAC ID: 8224091392 Enrollment ID: I20041109001102 |
| Provider Name | William B Bohannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439133 PECOS PAC ID: 4082677059 Enrollment ID: I20041110000660 |
| Provider Name | Elliott J Saltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619962602 PECOS PAC ID: 8123081064 Enrollment ID: I20041110001261 |
| Provider Name | Rebecca W Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922069665 PECOS PAC ID: 4082678255 Enrollment ID: I20041117000404 |
| Provider Name | Connie W Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093815722 PECOS PAC ID: 8426015462 Enrollment ID: I20041211000193 |
| Provider Name | Luther G Stanfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124045562 PECOS PAC ID: 8820056021 Enrollment ID: I20041220000883 |
| Provider Name | Yocunda D Clayton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912940453 PECOS PAC ID: 4385602648 Enrollment ID: I20050103000813 |
| Provider Name | Robert W Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508937723 PECOS PAC ID: 2769440031 Enrollment ID: I20050103000893 |
| Provider Name | Steven M Hayden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265408603 PECOS PAC ID: 9133179757 Enrollment ID: I20050131000840 |
| Provider Name | Ric A Koler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114090453 PECOS PAC ID: 4789635459 Enrollment ID: I20050210000160 |
| Provider Name | Jerry B Hankins |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952367377 PECOS PAC ID: 6305898370 Enrollment ID: I20050217000711 |
| Provider Name | Victoria L Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659339208 PECOS PAC ID: 7012960537 Enrollment ID: I20050224000662 |
| Provider Name | Ashley D Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699747709 PECOS PAC ID: 9931153418 Enrollment ID: I20050308000671 |
| Provider Name | Michael A Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750358818 PECOS PAC ID: 5799731824 Enrollment ID: I20050322000995 |
| Provider Name | Kristopher N Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342556 PECOS PAC ID: 3375599418 Enrollment ID: I20050322001057 |
| Provider Name | Sheela Krishnasami Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659487361 PECOS PAC ID: 2466499272 Enrollment ID: I20050413000734 |
| Provider Name | Alicia S Baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700853280 PECOS PAC ID: 1759325624 Enrollment ID: I20050613000778 |
| Provider Name | Wendy Renee Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992891345 PECOS PAC ID: 3779527577 Enrollment ID: I20050613001108 |
| Provider Name | Ghaith Ajamoughli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841212974 PECOS PAC ID: 9739117201 Enrollment ID: I20050727000572 |
| Provider Name | Roger D Stanmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295772986 PECOS PAC ID: 3173550266 Enrollment ID: I20050815000377 |
| Provider Name | Eileen M Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093702326 PECOS PAC ID: 8123058666 Enrollment ID: I20050815001027 |
| Provider Name | Kitturah B Schomberg-klaiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912013145 PECOS PAC ID: 0345271490 Enrollment ID: I20050829000257 |
| Provider Name | Aletha L Edison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528053519 PECOS PAC ID: 8224069257 Enrollment ID: I20050829001022 |
| Provider Name | George J Kiricenkov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366472227 PECOS PAC ID: 8527092402 Enrollment ID: I20050920001129 |
| Provider Name | Patricia L Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831110691 PECOS PAC ID: 9032143912 Enrollment ID: I20050920001156 |
| Provider Name | Caroline O Folashade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801848973 PECOS PAC ID: 7113951062 Enrollment ID: I20050921000250 |
| Provider Name | Lee G Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346260684 PECOS PAC ID: 9436183381 Enrollment ID: I20050921000286 |
| Provider Name | Mark E Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314140 PECOS PAC ID: 9537193206 Enrollment ID: I20050921001183 |
| Provider Name | Brunda Revanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689646135 PECOS PAC ID: 7315967122 Enrollment ID: I20051122000810 |
| Provider Name | Norman F Mcgowin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184712101 PECOS PAC ID: 8628098233 Enrollment ID: I20051128000825 |
| Provider Name | Richard L Horak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578651287 PECOS PAC ID: 7517988157 Enrollment ID: I20051212000397 |
| Provider Name | Suzanne E Graham-hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235103441 PECOS PAC ID: 0840212825 Enrollment ID: I20051220000189 |
| Provider Name | Mauel Valentin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942290812 PECOS PAC ID: 5799709564 Enrollment ID: I20060119000348 |
| Provider Name | Jeremy W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447287115 PECOS PAC ID: 4284648023 Enrollment ID: I20060131000678 |
| Provider Name | Richard A Bucco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945724 PECOS PAC ID: 7315902210 Enrollment ID: I20060301000353 |
| Provider Name | Joel P Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578503496 PECOS PAC ID: 3779590732 Enrollment ID: I20060315000724 |
| Provider Name | Pamela P Tuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720048275 PECOS PAC ID: 1759398431 Enrollment ID: I20060322000332 |
| Provider Name | Jonathan C Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467471003 PECOS PAC ID: 5193734614 Enrollment ID: I20060411000799 |
| Provider Name | Lisa D Columbia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629051495 PECOS PAC ID: 7810807542 Enrollment ID: I20060427000347 |
| Provider Name | Larry Wayne Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770552077 PECOS PAC ID: 8224049267 Enrollment ID: I20060505000465 |
| Provider Name | Ernest A Ruse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942232822 PECOS PAC ID: 6002819836 Enrollment ID: I20060817000357 |
| Provider Name | John Tinglin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033130760 PECOS PAC ID: 5799789665 Enrollment ID: I20060907000181 |
| Provider Name | Jian Huai Fong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760491419 PECOS PAC ID: 6204855398 Enrollment ID: I20061020000168 |
| Provider Name | Lloyd S Clements |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063498533 PECOS PAC ID: 6901803493 Enrollment ID: I20061128000137 |
| Provider Name | Dariusz A Skladaniec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552750 PECOS PAC ID: 1557360013 Enrollment ID: I20061211000197 |
| Provider Name | Tiffany M Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659312494 PECOS PAC ID: 8527068394 Enrollment ID: I20061228000369 |
| Provider Name | Frederick H Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578530184 PECOS PAC ID: 6800897570 Enrollment ID: I20070123000454 |
| Provider Name | Jacqueline L Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831125848 PECOS PAC ID: 0446251730 Enrollment ID: I20070130000279 |
| Provider Name | Marcia Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477613461 PECOS PAC ID: 6608878517 Enrollment ID: I20070206000455 |
| Provider Name | Malcolm R Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700823697 PECOS PAC ID: 5890797658 Enrollment ID: I20070207000192 |
| Provider Name | Jon I Roden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023169612 PECOS PAC ID: 8426150053 Enrollment ID: I20070228000032 |
| Provider Name | Gregory A Nayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053460527 PECOS PAC ID: 5294839718 Enrollment ID: I20070322000312 |
| Provider Name | Holsey A Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326016494 PECOS PAC ID: 2062517519 Enrollment ID: I20070412000233 |
| Provider Name | Jarod E Speer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609947993 PECOS PAC ID: 6002911781 Enrollment ID: I20070425000435 |
| Provider Name | Ronald J Barrette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942256623 PECOS PAC ID: 1355237074 Enrollment ID: I20070502000307 |
| Provider Name | Katherine N Montgomery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902920267 PECOS PAC ID: 9638278039 Enrollment ID: I20070626000612 |
| Provider Name | Joneice Toney Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972669802 PECOS PAC ID: 1355441445 Enrollment ID: I20070702000359 |
| Provider Name | Stacey L Searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811191463 PECOS PAC ID: 2365534484 Enrollment ID: I20070823000859 |
| Provider Name | William J Roy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225051204 PECOS PAC ID: 7315993243 Enrollment ID: I20070828000517 |
| Provider Name | Inkil Hwangpo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053538736 PECOS PAC ID: 7911091129 Enrollment ID: I20070919000433 |
| Provider Name | Donald C Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336176445 PECOS PAC ID: 3375638588 Enrollment ID: I20071003000410 |
| Provider Name | Betty J Howton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497737779 PECOS PAC ID: 5799873055 Enrollment ID: I20071120000349 |
| Provider Name | Marquisha D Moore Jarmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013085679 PECOS PAC ID: 5890883060 Enrollment ID: I20071126000008 |
| Provider Name | Beatriz M Rodriguez Gaztambide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912180035 PECOS PAC ID: 3173607199 Enrollment ID: I20080228000341 |
| Provider Name | Ryan Gregorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285849729 PECOS PAC ID: 7719061837 Enrollment ID: I20080228000362 |
| Provider Name | Bernard T Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558338236 PECOS PAC ID: 3577648203 Enrollment ID: I20080305000489 |
| Provider Name | Aubrey D Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982816724 PECOS PAC ID: 2860445194 Enrollment ID: I20080605000541 |
| Provider Name | Robert E Agee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417035270 PECOS PAC ID: 2860562576 Enrollment ID: I20080607000096 |
| Provider Name | Kelley L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538105267 PECOS PAC ID: 3072683556 Enrollment ID: I20080610000707 |
| Provider Name | Sylvia Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700937067 PECOS PAC ID: 6800967159 Enrollment ID: I20080616000006 |
| Provider Name | Ronald W Perdue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730196437 PECOS PAC ID: 8921190091 Enrollment ID: I20080619000495 |
| Provider Name | Kara J Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972762771 PECOS PAC ID: 5294802310 Enrollment ID: I20080916000003 |
| Provider Name | Carol M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720096183 PECOS PAC ID: 1456428127 Enrollment ID: I20080922000440 |
| Provider Name | Haritha V Guttikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912162504 PECOS PAC ID: 3678641842 Enrollment ID: I20081001000707 |
| Provider Name | Nadeem Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225041957 PECOS PAC ID: 8921176199 Enrollment ID: I20081001000740 |
| Provider Name | Cheryl J. Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225257660 PECOS PAC ID: 1052489838 Enrollment ID: I20081007000174 |
| Provider Name | Royshanda C Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063444628 PECOS PAC ID: 4082713698 Enrollment ID: I20081028000343 |
| Provider Name | Sandra J Carmichael |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770514259 PECOS PAC ID: 8224066212 Enrollment ID: I20081029000545 |
| Provider Name | Prabhakara B Ravi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417917832 PECOS PAC ID: 7416018015 Enrollment ID: I20081201000481 |
| Provider Name | Burnestine Taylor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477655355 PECOS PAC ID: 2769544907 Enrollment ID: I20081222000380 |
| Provider Name | Karen G Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598832792 PECOS PAC ID: 9133160278 Enrollment ID: I20090106000172 |
| Provider Name | Linda K Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255315198 PECOS PAC ID: 5294754396 Enrollment ID: I20090113000541 |
| Provider Name | James F Zumstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588778591 PECOS PAC ID: 1052381514 Enrollment ID: I20090617000419 |
| Provider Name | Phyllis C Kreischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548402845 PECOS PAC ID: 8820140551 Enrollment ID: I20090710000166 |
| Provider Name | Kendra D Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760518658 PECOS PAC ID: 7517019664 Enrollment ID: I20090721000201 |
| Provider Name | Oneil Culver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063401628 PECOS PAC ID: 4688639446 Enrollment ID: I20090731000331 |
| Provider Name | Kimberly A Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588759633 PECOS PAC ID: 0749268019 Enrollment ID: I20090831000047 |
| Provider Name | Travis L Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831333830 PECOS PAC ID: 7911053152 Enrollment ID: I20090914000284 |
| Provider Name | Caroline Feist |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548311020 PECOS PAC ID: 4082760111 Enrollment ID: I20090915000440 |
| Provider Name | Pallavi Sunkavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184878639 PECOS PAC ID: 6901943869 Enrollment ID: I20091026000223 |
| Provider Name | Cynthia B Booker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215146238 PECOS PAC ID: 3476693912 Enrollment ID: I20091215000162 |
| Provider Name | Leslie Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891755971 PECOS PAC ID: 2365584943 Enrollment ID: I20100120000208 |
| Provider Name | Aniqa Baqauddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225231665 PECOS PAC ID: 4486796760 Enrollment ID: I20100125000604 |
| Provider Name | Torrence Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437317385 PECOS PAC ID: 2769524982 Enrollment ID: I20100126000282 |
| Provider Name | Victor E De Loach |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982693123 PECOS PAC ID: 9133178825 Enrollment ID: I20100129000452 |
| Provider Name | John Looney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932237955 PECOS PAC ID: 5092858324 Enrollment ID: I20100208000682 |
| Provider Name | Melissa R Wheeles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346576543 PECOS PAC ID: 5698819969 Enrollment ID: I20100224000750 |
| Provider Name | Elizabeth Owings |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306819545 PECOS PAC ID: 8820014111 Enrollment ID: I20100303000794 |
| Provider Name | Laquetta N Pettway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376588095 PECOS PAC ID: 8921133679 Enrollment ID: I20100319000189 |
| Provider Name | Angelo J Chavez Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235465774 PECOS PAC ID: 9537296132 Enrollment ID: I20100429000509 |
| Provider Name | John Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528081353 PECOS PAC ID: 0840328498 Enrollment ID: I20100503000453 |
| Provider Name | Thomas Dodd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679542153 PECOS PAC ID: 2365572658 Enrollment ID: I20100614000066 |
| Provider Name | Deborah T Roman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447227046 PECOS PAC ID: 7214067412 Enrollment ID: I20100615000437 |
| Provider Name | Nicholas A Patellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366582835 PECOS PAC ID: 3274694864 Enrollment ID: I20100621000383 |
| Provider Name | Jatinder K Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104893551 PECOS PAC ID: 8123159654 Enrollment ID: I20100628000756 |
| Provider Name | Jonathan Moore |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1598841322 PECOS PAC ID: 8426180233 Enrollment ID: I20100714000589 |
| Provider Name | Philemon Theologos Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437348950 PECOS PAC ID: 1052443694 Enrollment ID: I20100719000184 |
| Provider Name | Noah Thomas Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144473661 PECOS PAC ID: 0749312254 Enrollment ID: I20100720000207 |
| Provider Name | Courtney J Winston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730401787 PECOS PAC ID: 5991837320 Enrollment ID: I20100720000483 |
| Provider Name | Bernice R Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881789063 PECOS PAC ID: 6709919350 Enrollment ID: I20100803000270 |
| Provider Name | Zachary M Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063512242 PECOS PAC ID: 2769516236 Enrollment ID: I20100819000266 |
| Provider Name | Samantha L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396981346 PECOS PAC ID: 1850425133 Enrollment ID: I20100823000757 |
| Provider Name | George T Astin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730292939 PECOS PAC ID: 4981746294 Enrollment ID: I20100825000128 |
| Provider Name | Daniel C Burnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487851077 PECOS PAC ID: 6002931623 Enrollment ID: I20100920000130 |
| Provider Name | Jennifer B Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538488143 PECOS PAC ID: 4880710300 Enrollment ID: I20100922000051 |
| Provider Name | Mustafa Mohiuddin Akif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773024 PECOS PAC ID: 2163591397 Enrollment ID: I20101117000516 |
| Provider Name | Gregory R Myrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972786960 PECOS PAC ID: 9335335942 Enrollment ID: I20101122000963 |
| Provider Name | Cliff Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114022159 PECOS PAC ID: 3870780661 Enrollment ID: I20101206000794 |
| Provider Name | John H Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528028875 PECOS PAC ID: 6800083163 Enrollment ID: I20101213000460 |
| Provider Name | Michael S Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275500340 PECOS PAC ID: 5092903021 Enrollment ID: I20101217000280 |
| Provider Name | Jamie E Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114177375 PECOS PAC ID: 1951581206 Enrollment ID: I20110203000963 |
| Provider Name | James E Mckinley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023278116 PECOS PAC ID: 9335329309 Enrollment ID: I20110208000602 |
| Provider Name | Robert K Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069939 PECOS PAC ID: 8426238924 Enrollment ID: I20110215000490 |
| Provider Name | Vincent Mirarchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235358607 PECOS PAC ID: 0648165274 Enrollment ID: I20110308000578 |
| Provider Name | Ian H. Thorneycroft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154378495 PECOS PAC ID: 0941212252 Enrollment ID: I20110310000086 |
| Provider Name | James M Tuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871687541 PECOS PAC ID: 8325220064 Enrollment ID: I20110316000824 |
| Provider Name | William P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698387 PECOS PAC ID: 0648454330 Enrollment ID: I20110406000828 |
| Provider Name | Jason A Ham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245560796 PECOS PAC ID: 5395929889 Enrollment ID: I20110407000291 |
| Provider Name | Tracy Hwangpo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841451101 PECOS PAC ID: 8527243476 Enrollment ID: I20110419000968 |
| Provider Name | Stephen R Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740412063 PECOS PAC ID: 0244416949 Enrollment ID: I20110513000403 |
| Provider Name | Vanosia Shablee Faison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023199817 PECOS PAC ID: 2365442126 Enrollment ID: I20110525000388 |
| Provider Name | Dongjin Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851501266 PECOS PAC ID: 5799964136 Enrollment ID: I20110601000893 |
| Provider Name | Patricia Louise Frierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528006053 PECOS PAC ID: 3072542661 Enrollment ID: I20110608000299 |
| Provider Name | Vaughn H Mancha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184738668 PECOS PAC ID: 6406033885 Enrollment ID: I20110613000256 |
| Provider Name | David Mowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720095268 PECOS PAC ID: 2961680442 Enrollment ID: I20110705000378 |
| Provider Name | Jennifer R Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467741488 PECOS PAC ID: 3870771298 Enrollment ID: I20110706000414 |
| Provider Name | Sarah L Frederick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720249097 PECOS PAC ID: 8729256029 Enrollment ID: I20110712000199 |
| Provider Name | Adetunji Adaraloye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457589350 PECOS PAC ID: 9537338934 Enrollment ID: I20110801000370 |
| Provider Name | Glenn E Harnett |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982644407 PECOS PAC ID: 3173508520 Enrollment ID: I20110815000322 |
| Provider Name | Miquel Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174547970 PECOS PAC ID: 3173792777 Enrollment ID: I20110817000299 |
| Provider Name | Tommie M Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790929222 PECOS PAC ID: 0648440065 Enrollment ID: I20110823000185 |
| Provider Name | Joshua Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982922365 PECOS PAC ID: 3375714223 Enrollment ID: I20110926000294 |
| Provider Name | Elaina G Sexton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528265238 PECOS PAC ID: 9931370715 Enrollment ID: I20110928000124 |
| Provider Name | Marshall Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619295441 PECOS PAC ID: 6002088689 Enrollment ID: I20111003000606 |
| Provider Name | Caroline Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144467309 PECOS PAC ID: 4880866110 Enrollment ID: I20111011000320 |
| Provider Name | William C Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689992661 PECOS PAC ID: 9032381363 Enrollment ID: I20111011000351 |
| Provider Name | Charles B Brentnall |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497751036 PECOS PAC ID: 6800975814 Enrollment ID: I20111018000422 |
| Provider Name | Ryan D Steff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137607 PECOS PAC ID: 0042482903 Enrollment ID: I20111019000255 |
| Provider Name | Chiazom C Omeruah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265698922 PECOS PAC ID: 6507039336 Enrollment ID: I20111024000195 |
| Provider Name | Archana Balasubramanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912197443 PECOS PAC ID: 3476647033 Enrollment ID: I20111028000679 |
| Provider Name | Elizabeth Western |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689903833 PECOS PAC ID: 8820262603 Enrollment ID: I20111111000574 |
| Provider Name | Latoya D Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417124413 PECOS PAC ID: 6709050446 Enrollment ID: I20111115000840 |
| Provider Name | Scott W Kemp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982925517 PECOS PAC ID: 0547434714 Enrollment ID: I20111128000455 |
| Provider Name | Matthew J Satcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386964310 PECOS PAC ID: 7719151984 Enrollment ID: I20111128000465 |
| Provider Name | David Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780886697 PECOS PAC ID: 5890810899 Enrollment ID: I20111202000637 |
| Provider Name | Ronald Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255337770 PECOS PAC ID: 9830183490 Enrollment ID: I20111214000061 |
| Provider Name | Brent G Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912226945 PECOS PAC ID: 9133394281 Enrollment ID: I20111219000729 |
| Provider Name | Todd B Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538489562 PECOS PAC ID: 6204001373 Enrollment ID: I20111219000865 |
| Provider Name | Amaresh Misra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508928458 PECOS PAC ID: 1153597091 Enrollment ID: I20111227000673 |
| Provider Name | James W Nabers, Jr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013961234 PECOS PAC ID: 5799764569 Enrollment ID: I20120104000080 |
| Provider Name | Matthew J Reardon |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760482475 PECOS PAC ID: 0749456986 Enrollment ID: I20120110000326 |
| Provider Name | Seema Kapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235384090 PECOS PAC ID: 6709053630 Enrollment ID: I20120118000392 |
| Provider Name | Andrea L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144437492 PECOS PAC ID: 4880758903 Enrollment ID: I20120123000310 |
| Provider Name | Virginia J Reeder |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265666820 PECOS PAC ID: 5092973172 Enrollment ID: I20120221000239 |
| Provider Name | Nima H Bahraini |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275851578 PECOS PAC ID: 4385802438 Enrollment ID: I20120221001016 |
| Provider Name | Cleon L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285952408 PECOS PAC ID: 0547428211 Enrollment ID: I20120227000509 |
| Provider Name | Kathryn N Pettit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376718080 PECOS PAC ID: 6709045693 Enrollment ID: I20120313000478 |
| Provider Name | Lashelle F Barmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902177611 PECOS PAC ID: 5799947891 Enrollment ID: I20120508000109 |
| Provider Name | Elizabeth M Trotter-tilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235180431 PECOS PAC ID: 7214190453 Enrollment ID: I20120525000122 |
| Provider Name | Layla S Wren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366674681 PECOS PAC ID: 2961666805 Enrollment ID: I20120606000079 |
| Provider Name | Scott C Boyken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245551878 PECOS PAC ID: 8325203490 Enrollment ID: I20120625000065 |
| Provider Name | Salisia S Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871894162 PECOS PAC ID: 3678729241 Enrollment ID: I20120814000485 |
| Provider Name | Townes R. Leigh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619298247 PECOS PAC ID: 7012164379 Enrollment ID: I20120822000289 |
| Provider Name | Zhenhong Zhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841569068 PECOS PAC ID: 2860649712 Enrollment ID: I20120828000380 |
| Provider Name | Susan Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952361776 PECOS PAC ID: 3779515671 Enrollment ID: I20120912000144 |
| Provider Name | Emma W Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386932432 PECOS PAC ID: 6204085533 Enrollment ID: I20121002000557 |
| Provider Name | Daniel K Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700175353 PECOS PAC ID: 9830348887 Enrollment ID: I20121005000686 |
| Provider Name | Marcia C Mierez-bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013964261 PECOS PAC ID: 7911955943 Enrollment ID: I20121022000771 |
| Provider Name | Robert J Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659662575 PECOS PAC ID: 3375793235 Enrollment ID: I20121030000553 |
| Provider Name | Jack R Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114218112 PECOS PAC ID: 9335399112 Enrollment ID: I20121101000624 |
| Provider Name | Kyle J Rudemiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306136692 PECOS PAC ID: 7517118102 Enrollment ID: I20121107000480 |
| Provider Name | Kimberly Cornelius-peace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134341019 PECOS PAC ID: 9335225432 Enrollment ID: I20121107000549 |
| Provider Name | Darnita A Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740297126 PECOS PAC ID: 4587616800 Enrollment ID: I20121112000156 |
| Provider Name | Geetha Scariya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881618361 PECOS PAC ID: 6406008747 Enrollment ID: I20121212000371 |
| Provider Name | Daniel A Foster |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013094226 PECOS PAC ID: 4284886532 Enrollment ID: I20121212000421 |
| Provider Name | Jamie B Caudill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699095182 PECOS PAC ID: 7517111347 Enrollment ID: I20130204000178 |
| Provider Name | Mark A Pita |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871767145 PECOS PAC ID: 5294989984 Enrollment ID: I20130205000214 |
| Provider Name | Douglas H Lolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760735716 PECOS PAC ID: 1658525399 Enrollment ID: I20130206000217 |
| Provider Name | Michael D Putman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871848929 PECOS PAC ID: 3678724242 Enrollment ID: I20130213000426 |
| Provider Name | Carisa F Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356689129 PECOS PAC ID: 8325292543 Enrollment ID: I20130215000332 |
| Provider Name | Elizabeth H Pridgen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528359007 PECOS PAC ID: 6608020862 Enrollment ID: I20130218000170 |
| Provider Name | Messalina C Jordan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114218039 PECOS PAC ID: 2860647237 Enrollment ID: I20130311000148 |
| Provider Name | Matthew L Kendrick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194030544 PECOS PAC ID: 4789839168 Enrollment ID: I20130311000230 |
| Provider Name | Earl C Joyner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851386320 PECOS PAC ID: 9133139868 Enrollment ID: I20130325000144 |
| Provider Name | Mark Twedt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811293525 PECOS PAC ID: 0244475127 Enrollment ID: I20130325000375 |
| Provider Name | Nova Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043230212 PECOS PAC ID: 0749188258 Enrollment ID: I20130401000371 |
| Provider Name | Thomas A Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003998394 PECOS PAC ID: 6800865288 Enrollment ID: I20130401000450 |
| Provider Name | Adam C Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922329267 PECOS PAC ID: 5890930424 Enrollment ID: I20130401000455 |
| Provider Name | Jennifer Grimmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629414198 PECOS PAC ID: 3375782113 Enrollment ID: I20130626000827 |
| Provider Name | Elena V Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417229980 PECOS PAC ID: 2567602097 Enrollment ID: I20130705000449 |
| Provider Name | Jeffery Kele Sewell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598705071 PECOS PAC ID: 9234149063 Enrollment ID: I20130803000205 |
| Provider Name | Elizabeth D Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265470900 PECOS PAC ID: 3274529201 Enrollment ID: I20130806000681 |
| Provider Name | April L Garrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975757 PECOS PAC ID: 9234371360 Enrollment ID: I20130820000214 |
| Provider Name | Danielle L Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982999413 PECOS PAC ID: 4082857107 Enrollment ID: I20130821000305 |
| Provider Name | Anthony S House |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952615973 PECOS PAC ID: 2365680337 Enrollment ID: I20130823000455 |
| Provider Name | Carlos A Liotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528270790 PECOS PAC ID: 5799849477 Enrollment ID: I20131031000346 |
| Provider Name | Anthony Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235287301 PECOS PAC ID: 0446220636 Enrollment ID: I20131216000524 |
| Provider Name | Helen Katherine Fancher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164853099 PECOS PAC ID: 2567691348 Enrollment ID: I20140128001354 |
| Provider Name | Abby K Olive |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689001596 PECOS PAC ID: 6305075847 Enrollment ID: I20140204000865 |
| Provider Name | Kenneth Emeka Akalonu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417268186 PECOS PAC ID: 0345479614 Enrollment ID: I20140207000389 |
| Provider Name | Whitney M Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596592 PECOS PAC ID: 9436309283 Enrollment ID: I20140303000164 |
| Provider Name | David J Thomason |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770878373 PECOS PAC ID: 5991955254 Enrollment ID: I20140303000170 |
| Provider Name | Caroline W Muriuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497182000 PECOS PAC ID: 7810127982 Enrollment ID: I20140311001870 |
| Provider Name | James F. Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487075289 PECOS PAC ID: 5395976286 Enrollment ID: I20140318000118 |
| Provider Name | Krista Ann Blanton-goguen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806368 PECOS PAC ID: 5597997254 Enrollment ID: I20140410001905 |
| Provider Name | Brett T Roberts |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356584254 PECOS PAC ID: 6305082025 Enrollment ID: I20140430001988 |
| Provider Name | Terry Shaneyfelt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073530754 PECOS PAC ID: 5496993131 Enrollment ID: I20140508001954 |
| Provider Name | Tony L Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609161843 PECOS PAC ID: 6406021393 Enrollment ID: I20140514001824 |
| Provider Name | Deidra A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609207273 PECOS PAC ID: 7214150192 Enrollment ID: I20140521002354 |
| Provider Name | Michele Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793622 PECOS PAC ID: 8426150210 Enrollment ID: I20140610002497 |
| Provider Name | William P Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780978205 PECOS PAC ID: 3072746650 Enrollment ID: I20140611001663 |
| Provider Name | Bobbie Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811310915 PECOS PAC ID: 7012131824 Enrollment ID: I20140618001250 |
| Provider Name | Ray Harvey Mclaughin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720215049 PECOS PAC ID: 3173773546 Enrollment ID: I20140625002494 |
| Provider Name | Lisa L Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285065078 PECOS PAC ID: 6002031952 Enrollment ID: I20140708002504 |
| Provider Name | Christina L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386950640 PECOS PAC ID: 5597903567 Enrollment ID: I20140716000698 |
| Provider Name | Lamarquis D Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871893990 PECOS PAC ID: 5799937082 Enrollment ID: I20140902000944 |
| Provider Name | Dustin L Millican |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396090445 PECOS PAC ID: 9032358296 Enrollment ID: I20140904001632 |
| Provider Name | John W Padley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558620765 PECOS PAC ID: 8527287028 Enrollment ID: I20140916000825 |
| Provider Name | Ross A Lumsden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063704823 PECOS PAC ID: 0446497119 Enrollment ID: I20141007001439 |
| Provider Name | Jay R Colbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437379021 PECOS PAC ID: 5698875086 Enrollment ID: I20141010001069 |
| Provider Name | Steven J Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063640142 PECOS PAC ID: 5991926941 Enrollment ID: I20141016001894 |
| Provider Name | Tandra R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740571215 PECOS PAC ID: 0143464404 Enrollment ID: I20141016001926 |
| Provider Name | Cythnia M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194901223 PECOS PAC ID: 4880815851 Enrollment ID: I20141016002404 |
| Provider Name | Gwen Lauren Libby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326307729 PECOS PAC ID: 0648491514 Enrollment ID: I20141017000151 |
| Provider Name | Kenny J Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487913836 PECOS PAC ID: 6608010012 Enrollment ID: I20141023001291 |
| Provider Name | Michael C Caruso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720267891 PECOS PAC ID: 1951465947 Enrollment ID: I20141029002378 |
| Provider Name | Jonathan Humphreys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619140639 PECOS PAC ID: 5698996890 Enrollment ID: I20141030002384 |
| Provider Name | Stephanie S Gafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770697518 PECOS PAC ID: 8921151127 Enrollment ID: I20141105002161 |
| Provider Name | David Shokrian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811253081 PECOS PAC ID: 3476796830 Enrollment ID: I20141118001887 |
| Provider Name | Randall Narvin Beyl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356630958 PECOS PAC ID: 0345473583 Enrollment ID: I20141204001261 |
| Provider Name | Casey A Mcintosh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811253529 PECOS PAC ID: 8325299118 Enrollment ID: I20141229000922 |
| Provider Name | Julie T Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750632774 PECOS PAC ID: 1557500626 Enrollment ID: I20141230001816 |
| Provider Name | Jose M Rodriguez-barrantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952656001 PECOS PAC ID: 7416107123 Enrollment ID: I20141231001390 |
| Provider Name | Kristina T Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104182674 PECOS PAC ID: 9537309687 Enrollment ID: I20150122000865 |
| Provider Name | Marnie Vanstrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598942963 PECOS PAC ID: 1850465311 Enrollment ID: I20150122001637 |
| Provider Name | Dwaipayan Chakraborti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069230 PECOS PAC ID: 6204076912 Enrollment ID: I20150310001157 |
| Provider Name | Amy L Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205254455 PECOS PAC ID: 0143547703 Enrollment ID: I20150320000078 |
| Provider Name | Eddah W Muya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780910414 PECOS PAC ID: 0244496545 Enrollment ID: I20150320000129 |
| Provider Name | Holly Lee Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073769998 PECOS PAC ID: 3870651334 Enrollment ID: I20150323001380 |
| Provider Name | Rachel Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669763652 PECOS PAC ID: 8820315237 Enrollment ID: I20150324001475 |
| Provider Name | Jacqueline W Kabukuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386047199 PECOS PAC ID: 4284952128 Enrollment ID: I20150406001073 |
| Provider Name | Travis L Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942299854 PECOS PAC ID: 6002830528 Enrollment ID: I20150409002200 |
| Provider Name | Margaret O Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114010295 PECOS PAC ID: 2264457449 Enrollment ID: I20150413002427 |
| Provider Name | Catherine K Kinslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235520321 PECOS PAC ID: 3476871567 Enrollment ID: I20150422000757 |
| Provider Name | Bo Ryung Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386806685 PECOS PAC ID: 5193906147 Enrollment ID: I20150427001836 |
| Provider Name | Rosiland K Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780970822 PECOS PAC ID: 7214176148 Enrollment ID: I20150428001449 |
| Provider Name | Jennifer Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821486465 PECOS PAC ID: 3375862816 Enrollment ID: I20150505000193 |
| Provider Name | David Rivera Toro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487876132 PECOS PAC ID: 2264464452 Enrollment ID: I20150511001086 |
| Provider Name | Samantha P Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013310143 PECOS PAC ID: 6608197470 Enrollment ID: I20150604001903 |
| Provider Name | Brittain Ford Heindl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144587270 PECOS PAC ID: 1052561131 Enrollment ID: I20150629002244 |
| Provider Name | Richard A Nance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447232863 PECOS PAC ID: 3375512999 Enrollment ID: I20150702002635 |
| Provider Name | Larua N Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124405139 PECOS PAC ID: 3678886678 Enrollment ID: I20150720003277 |
| Provider Name | Benjamin M Petty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518252105 PECOS PAC ID: 8628216694 Enrollment ID: I20150722003728 |
| Provider Name | Davida L Spann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245627322 PECOS PAC ID: 3173836996 Enrollment ID: I20150722003832 |
| Provider Name | Nathan H Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649513763 PECOS PAC ID: 7012149198 Enrollment ID: I20150728005082 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20150728005216 |
| Provider Name | Elizabeth Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964720 PECOS PAC ID: 9234443748 Enrollment ID: I20150728005545 |
| Provider Name | Michael Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972941243 PECOS PAC ID: 6709009871 Enrollment ID: I20150819006461 |
| Provider Name | John Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205182508 PECOS PAC ID: 0648404129 Enrollment ID: I20150826000598 |
| Provider Name | Audra E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194107631 PECOS PAC ID: 3173839743 Enrollment ID: I20150826002701 |
| Provider Name | Vicki D Senn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881007086 PECOS PAC ID: 7214244516 Enrollment ID: I20150918001931 |
| Provider Name | Karen Vines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417392010 PECOS PAC ID: 7517275316 Enrollment ID: I20150928002430 |
| Provider Name | David H Glazer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275899395 PECOS PAC ID: 5496995706 Enrollment ID: I20151013001000 |
| Provider Name | Jerdonna D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336515907 PECOS PAC ID: 3476862491 Enrollment ID: I20151014000857 |
| Provider Name | Malia S Myers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023338100 PECOS PAC ID: 7113151010 Enrollment ID: I20151019000851 |
| Provider Name | Jonathan Lamar Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821467267 PECOS PAC ID: 6002125853 Enrollment ID: I20151019002336 |
| Provider Name | James Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427443944 PECOS PAC ID: 2567771264 Enrollment ID: I20151020002128 |
| Provider Name | Robin M Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252568 PECOS PAC ID: 8527377746 Enrollment ID: I20151028002378 |
| Provider Name | Haley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194193607 PECOS PAC ID: 7810207065 Enrollment ID: I20151030001409 |
| Provider Name | Kathryn Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700255916 PECOS PAC ID: 8224348156 Enrollment ID: I20151105001108 |
| Provider Name | Bruce T Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396785457 PECOS PAC ID: 6608850250 Enrollment ID: I20151110001206 |
| Provider Name | Jason M Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770966202 PECOS PAC ID: 3274843727 Enrollment ID: I20151112001453 |
| Provider Name | Marie Charlene Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780827071 PECOS PAC ID: 5496911059 Enrollment ID: I20151113001491 |
| Provider Name | Linda Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396788337 PECOS PAC ID: 5193769644 Enrollment ID: I20151116002737 |
| Provider Name | Jeana E Blalock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524414 PECOS PAC ID: 3476854712 Enrollment ID: I20151210002203 |
| Provider Name | Courtney Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821352089 PECOS PAC ID: 3476864067 Enrollment ID: I20151215002212 |
| Provider Name | Sunni L Beeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164862942 PECOS PAC ID: 0648257899 Enrollment ID: I20151224000049 |
| Provider Name | Amitashilpa M Chhabra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316206378 PECOS PAC ID: 6507168440 Enrollment ID: I20160108000839 |
| Provider Name | Stacey R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598146631 PECOS PAC ID: 2961704754 Enrollment ID: I20160111002598 |
| Provider Name | John H Stanton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376599654 PECOS PAC ID: 0345212460 Enrollment ID: I20160126000760 |
| Provider Name | Erin A Esskuchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790163053 PECOS PAC ID: 7810291341 Enrollment ID: I20160203002531 |
| Provider Name | James Matthew Rhinewalt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669760609 PECOS PAC ID: 7810291119 Enrollment ID: I20160208000225 |
| Provider Name | Heather Kathleen Bright |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225175953 PECOS PAC ID: 6608057880 Enrollment ID: I20160208000718 |
| Provider Name | Stacie Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206889 PECOS PAC ID: 7315932969 Enrollment ID: I20160209001764 |
| Provider Name | Hannah Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073993747 PECOS PAC ID: 5395040307 Enrollment ID: I20160229001032 |
| Provider Name | William Timothy Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502238 PECOS PAC ID: 9234436296 Enrollment ID: I20160318001303 |
| Provider Name | Jamie S Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508800707 PECOS PAC ID: 9133137003 Enrollment ID: I20160321001141 |
| Provider Name | Brian Mudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124028527 PECOS PAC ID: 9436133949 Enrollment ID: I20160401001286 |
| Provider Name | Curtis J Gill |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518387984 PECOS PAC ID: 8022329614 Enrollment ID: I20160505001997 |
| Provider Name | Kelley M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233352 PECOS PAC ID: 8921398009 Enrollment ID: I20160601002224 |
| Provider Name | Landon G Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295191609 PECOS PAC ID: 1153611645 Enrollment ID: I20160613001609 |
| Provider Name | Megan Lynsey Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902286529 PECOS PAC ID: 7012229230 Enrollment ID: I20160621000449 |
| Provider Name | Joseph T Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336522085 PECOS PAC ID: 9931491164 Enrollment ID: I20160708001532 |
| Provider Name | Donna Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734549 PECOS PAC ID: 7618267287 Enrollment ID: I20160725002227 |
| Provider Name | Kathryn Baglini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790134534 PECOS PAC ID: 2567755713 Enrollment ID: I20160726000355 |
| Provider Name | Chigozie U Obiaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770987927 PECOS PAC ID: 4082907829 Enrollment ID: I20160801001608 |
| Provider Name | Yari Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144398678 PECOS PAC ID: 3577525658 Enrollment ID: I20160804002306 |
| Provider Name | Marlene L Wilson-lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275919698 PECOS PAC ID: 9436454741 Enrollment ID: I20160812001570 |
| Provider Name | Pallavi Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164798724 PECOS PAC ID: 1557592649 Enrollment ID: I20160824000952 |
| Provider Name | Margaret Lamkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215128376 PECOS PAC ID: 7113212309 Enrollment ID: I20160826001911 |
| Provider Name | Jessica R Mccain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467897900 PECOS PAC ID: 0345475075 Enrollment ID: I20160830001697 |
| Provider Name | Eric E Melancon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679918320 PECOS PAC ID: 3577859289 Enrollment ID: I20160907000285 |
| Provider Name | Richard A Nance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306232541 PECOS PAC ID: 0547556961 Enrollment ID: I20160912002011 |
| Provider Name | Carmen D Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700236908 PECOS PAC ID: 6002103017 Enrollment ID: I20160919002378 |
| Provider Name | Jay S Umarvadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588906671 PECOS PAC ID: 7012225493 Enrollment ID: I20160920001636 |
| Provider Name | Jolie S Wildinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368887 PECOS PAC ID: 5395032189 Enrollment ID: I20160922000061 |
| Provider Name | Daniel Nailor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376098301 PECOS PAC ID: 1759678196 Enrollment ID: I20160928001442 |
| Provider Name | Liliya Slutsker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841302809 PECOS PAC ID: 1456361369 Enrollment ID: I20161025001419 |
| Provider Name | Deray Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073067856 PECOS PAC ID: 7416235544 Enrollment ID: I20161025001455 |
| Provider Name | Laura Leigh Cossette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859456 PECOS PAC ID: 5799063855 Enrollment ID: I20161025002292 |
| Provider Name | Lee Chapman Patino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023569423 PECOS PAC ID: 3779864376 Enrollment ID: I20161219001852 |
| Provider Name | Jorge Blanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679981120 PECOS PAC ID: 3779863311 Enrollment ID: I20161220000546 |
| Provider Name | Anna Hughey Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386192557 PECOS PAC ID: 1456635721 Enrollment ID: I20170306000496 |
| Provider Name | Sakeena Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944233 PECOS PAC ID: 1456635861 Enrollment ID: I20170308001386 |
| Provider Name | Michelle Lee Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362987 PECOS PAC ID: 1456636620 Enrollment ID: I20170330002040 |
| Provider Name | Rachna Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376087171 PECOS PAC ID: 8820374838 Enrollment ID: I20170405001706 |
| Provider Name | Latashia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245620863 PECOS PAC ID: 6901087790 Enrollment ID: I20170418002887 |
| Provider Name | James S Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735693 PECOS PAC ID: 7214213412 Enrollment ID: I20170424000187 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063836765 PECOS PAC ID: 2961789177 Enrollment ID: I20170425002513 |
| Provider Name | James D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323151 PECOS PAC ID: 9234416462 Enrollment ID: I20170426000315 |
| Provider Name | Davida Yarbrough Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487073565 PECOS PAC ID: 2365753720 Enrollment ID: I20170426000595 |
| Provider Name | Rachel Runge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003355637 PECOS PAC ID: 6507143757 Enrollment ID: I20170426001194 |
| Provider Name | Sharon A Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150452 PECOS PAC ID: 7911284179 Enrollment ID: I20170426001441 |
| Provider Name | Michael O Stodard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538187885 PECOS PAC ID: 4284728825 Enrollment ID: I20170427001475 |
| Provider Name | Yvette Greaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598057705 PECOS PAC ID: 7719114321 Enrollment ID: I20170427001822 |
| Provider Name | Wilnadia Rawls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527997 PECOS PAC ID: 7416234034 Enrollment ID: I20170509002395 |
| Provider Name | Elisha Magdalene Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093000861 PECOS PAC ID: 4688803497 Enrollment ID: I20170512002059 |
| Provider Name | Jill Hudnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331491 PECOS PAC ID: 7517234677 Enrollment ID: I20170522001983 |
| Provider Name | Elva Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012629 PECOS PAC ID: 5496022998 Enrollment ID: I20170605002985 |
| Provider Name | James D Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766163 PECOS PAC ID: 6507134319 Enrollment ID: I20170620002862 |
| Provider Name | Patrick L Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316384936 PECOS PAC ID: 5698043214 Enrollment ID: I20170622000793 |
| Provider Name | Tara Gaudet Estay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578979852 PECOS PAC ID: 7416177241 Enrollment ID: I20170711001278 |
| Provider Name | Joshua Heath Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679991202 PECOS PAC ID: 7911276720 Enrollment ID: I20170711002455 |
| Provider Name | Jessica K Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912446402 PECOS PAC ID: 9032489232 Enrollment ID: I20170720002210 |
| Provider Name | Jose F Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568867042 PECOS PAC ID: 4284905902 Enrollment ID: I20170728002927 |
| Provider Name | John O Mabayoje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679586648 PECOS PAC ID: 3274635826 Enrollment ID: I20170809000950 |
| Provider Name | Romualdo Enrique Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134531528 PECOS PAC ID: 6507135662 Enrollment ID: I20170817002153 |
| Provider Name | Geralda Andrea James-posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734119 PECOS PAC ID: 2365741931 Enrollment ID: I20170823004341 |
| Provider Name | Christina Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173060 PECOS PAC ID: 7618240136 Enrollment ID: I20170906000412 |
| Provider Name | Trina Marie Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033540489 PECOS PAC ID: 5294746814 Enrollment ID: I20170906000683 |
| Provider Name | Saujanya Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235425083 PECOS PAC ID: 9830377266 Enrollment ID: I20170927000469 |
| Provider Name | Brooke Ross Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043742489 PECOS PAC ID: 6507017258 Enrollment ID: I20171009000109 |
| Provider Name | Reneka Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154845535 PECOS PAC ID: 5496020935 Enrollment ID: I20171009002467 |
| Provider Name | Melissa Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081097 PECOS PAC ID: 7911273974 Enrollment ID: I20171019001935 |
| Provider Name | Satish Babu Gundapuneni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982018826 PECOS PAC ID: 7113293473 Enrollment ID: I20171101000945 |
| Provider Name | Stephen M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477965127 PECOS PAC ID: 4880816016 Enrollment ID: I20171101001857 |
| Provider Name | Shelby C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744280 PECOS PAC ID: 1052589231 Enrollment ID: I20171102001427 |
| Provider Name | Alisa Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770093882 PECOS PAC ID: 3274899240 Enrollment ID: I20171107001912 |
| Provider Name | Kristen P Beverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194258319 PECOS PAC ID: 3870859416 Enrollment ID: I20171114002677 |
| Provider Name | Kennedy E Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831616085 PECOS PAC ID: 7911263595 Enrollment ID: I20171115000594 |
| Provider Name | Randi C Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548643273 PECOS PAC ID: 3375850431 Enrollment ID: I20171129000039 |
| Provider Name | Jackie Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831614452 PECOS PAC ID: 6608133467 Enrollment ID: I20171204000104 |
| Provider Name | Alexis Suttles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679094957 PECOS PAC ID: 9537427885 Enrollment ID: I20171214003176 |
| Provider Name | Jonnye-lea M Thibodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964385 PECOS PAC ID: 9830470558 Enrollment ID: I20171226002097 |
| Provider Name | Susan Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760912596 PECOS PAC ID: 3577833318 Enrollment ID: I20180213003353 |
| Provider Name | Jacquelynn P Luker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578946208 PECOS PAC ID: 6002125770 Enrollment ID: I20180324000004 |
| Provider Name | Gennitha Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639522196 PECOS PAC ID: 5294029906 Enrollment ID: I20180502000376 |
| Provider Name | Deborah Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553264 PECOS PAC ID: 6204190044 Enrollment ID: I20180503000865 |
| Provider Name | Brittany T Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357650 PECOS PAC ID: 9436431020 Enrollment ID: I20180702001792 |
| Provider Name | Jaclyn Collie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922509520 PECOS PAC ID: 2365799632 Enrollment ID: I20180717004094 |
| Provider Name | Tonya Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214430 PECOS PAC ID: 4284932484 Enrollment ID: I20180723000486 |
| Provider Name | Christopher B Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366836538 PECOS PAC ID: 0143577957 Enrollment ID: I20180725002453 |
| Provider Name | Brittany C Wickware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053802926 PECOS PAC ID: 5991054520 Enrollment ID: I20180815002035 |
| Provider Name | Tiffany Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770077885 PECOS PAC ID: 7214286392 Enrollment ID: I20180822003043 |
| Provider Name | Amy Lynn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224483 PECOS PAC ID: 8325397136 Enrollment ID: I20180827002975 |
| Provider Name | Melodye M Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770940389 PECOS PAC ID: 4385993195 Enrollment ID: I20180827003169 |
| Provider Name | Hussein Habib Zughaib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902291297 PECOS PAC ID: 2769780675 Enrollment ID: I20180828000001 |
| Provider Name | Christopher J Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720492242 PECOS PAC ID: 8921378837 Enrollment ID: I20180831002523 |
| Provider Name | Hali Graham Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104310721 PECOS PAC ID: 2961752258 Enrollment ID: I20180907000350 |
| Provider Name | Brandy Michelle Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497255160 PECOS PAC ID: 8022368141 Enrollment ID: I20180911000271 |
| Provider Name | Julie Grace Knop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275038549 PECOS PAC ID: 9739439845 Enrollment ID: I20180912000096 |
| Provider Name | Tina Faye Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444256 PECOS PAC ID: 4385994235 Enrollment ID: I20180913002748 |
| Provider Name | Conrad Lane Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558854851 PECOS PAC ID: 8224389747 Enrollment ID: I20180923000001 |
| Provider Name | Benjamin Barlow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699931808 PECOS PAC ID: 6406003029 Enrollment ID: I20180925002192 |
| Provider Name | Emily Glass Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780177030 PECOS PAC ID: 3577814755 Enrollment ID: I20180927000879 |
| Provider Name | Cassandra Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841709888 PECOS PAC ID: 0749531929 Enrollment ID: I20180927000907 |
| Provider Name | Ashley Burroughs Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518235142 PECOS PAC ID: 3678717949 Enrollment ID: I20181001002336 |
| Provider Name | Bridget D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174000368 PECOS PAC ID: 9234480286 Enrollment ID: I20181001003366 |
| Provider Name | Raegan Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316436504 PECOS PAC ID: 1052663002 Enrollment ID: I20181003000455 |
| Provider Name | Jennifer Ryan Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265918163 PECOS PAC ID: 9032461785 Enrollment ID: I20181009001049 |
| Provider Name | Sandra Michele Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173858 PECOS PAC ID: 3072865674 Enrollment ID: I20181010000023 |
| Provider Name | Mary Page H Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700956265 PECOS PAC ID: 0446252373 Enrollment ID: I20181015001900 |
| Provider Name | Kathy C Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467514802 PECOS PAC ID: 5496890584 Enrollment ID: I20181023002531 |
| Provider Name | Kim A Driggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407332232 PECOS PAC ID: 5698028413 Enrollment ID: I20181025000040 |
| Provider Name | Elizabeth Sloan Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962983171 PECOS PAC ID: 8729331293 Enrollment ID: I20181030002937 |
| Provider Name | Jennie T Stanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588028153 PECOS PAC ID: 4284987603 Enrollment ID: I20181031002266 |
| Provider Name | Leonardo Taarea |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1912386848 PECOS PAC ID: 7810287190 Enrollment ID: I20181106001885 |
| Provider Name | Kristi Mckeever Lunceford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295211795 PECOS PAC ID: 9830443027 Enrollment ID: I20181106001909 |
| Provider Name | Sholanda Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437669751 PECOS PAC ID: 2062766017 Enrollment ID: I20181112000439 |
| Provider Name | Devin Handley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801866447 PECOS PAC ID: 0143352336 Enrollment ID: I20181112000924 |
| Provider Name | Lisa Paige Mizelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316450661 PECOS PAC ID: 2163785353 Enrollment ID: I20181112002528 |
| Provider Name | Lakristin Graham Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568956852 PECOS PAC ID: 2365796117 Enrollment ID: I20181113003281 |
| Provider Name | Jacob Nathaniel Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396192423 PECOS PAC ID: 1456605773 Enrollment ID: I20181126001040 |
| Provider Name | Sirna Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376034660 PECOS PAC ID: 1052655339 Enrollment ID: I20181128001509 |
| Provider Name | Vikas Suri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700234341 PECOS PAC ID: 0547504565 Enrollment ID: I20181203001390 |
| Provider Name | Shannon L Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063959682 PECOS PAC ID: 1052695509 Enrollment ID: I20181210003559 |
| Provider Name | Ashley Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205271392 PECOS PAC ID: 9638305600 Enrollment ID: I20181214002499 |
| Provider Name | Hoai-linh D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497851109 PECOS PAC ID: 2860476595 Enrollment ID: I20181227001013 |
| Provider Name | Brittney Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511959 PECOS PAC ID: 3274879671 Enrollment ID: I20190106000004 |
| Provider Name | Daphne Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124598842 PECOS PAC ID: 5395081350 Enrollment ID: I20190111001152 |
| Provider Name | Antoinette Spellmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477028744 PECOS PAC ID: 4587900337 Enrollment ID: I20190115002901 |
| Provider Name | Anastasia Katerina Boody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619443348 PECOS PAC ID: 8820335318 Enrollment ID: I20190122002063 |
| Provider Name | Sarah Grace Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285115774 PECOS PAC ID: 5698012128 Enrollment ID: I20190122003561 |
| Provider Name | Brian Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174977383 PECOS PAC ID: 5799058384 Enrollment ID: I20190126000027 |
| Provider Name | Jeremy Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346470069 PECOS PAC ID: 2860627049 Enrollment ID: I20190205001739 |
| Provider Name | Dawn Sizemore Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427525898 PECOS PAC ID: 3476891383 Enrollment ID: I20190218002856 |
| Provider Name | Margaret M. Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275833568 PECOS PAC ID: 3072773084 Enrollment ID: I20190222002330 |
| Provider Name | Kimberly Dionne Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487815346 PECOS PAC ID: 3779822101 Enrollment ID: I20190302000004 |
| Provider Name | Emily Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550330 PECOS PAC ID: 7214276559 Enrollment ID: I20190304000838 |
| Provider Name | Mary Ann Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457832669 PECOS PAC ID: 1456690684 Enrollment ID: I20190305001949 |
| Provider Name | Chasen Uptain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942747704 PECOS PAC ID: 7810236064 Enrollment ID: I20190305002432 |
| Provider Name | Sharon Barganier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699244228 PECOS PAC ID: 2466791637 Enrollment ID: I20190305003414 |
| Provider Name | Julia Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669641171 PECOS PAC ID: 5294808275 Enrollment ID: I20190307003392 |
| Provider Name | Colee Tucker Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750858569 PECOS PAC ID: 2567701477 Enrollment ID: I20190311001543 |
| Provider Name | Maggie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255870408 PECOS PAC ID: 5092055624 Enrollment ID: I20190319001217 |
| Provider Name | Chetan Raman Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346650975 PECOS PAC ID: 3870805955 Enrollment ID: I20190319001541 |
| Provider Name | Paul Zachary Ottis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215323639 PECOS PAC ID: 3072829142 Enrollment ID: I20190326001672 |
| Provider Name | Deon Qcuenise Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205314531 PECOS PAC ID: 3678813714 Enrollment ID: I20190327001837 |
| Provider Name | Ibukunoluwa Oluwapelumi Kusimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356792790 PECOS PAC ID: 7214278290 Enrollment ID: I20190402000625 |
| Provider Name | Nachaisty Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659859155 PECOS PAC ID: 9537400106 Enrollment ID: I20190408002682 |
| Provider Name | Emily Rae Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598221210 PECOS PAC ID: 4789925355 Enrollment ID: I20190408002877 |
| Provider Name | Lauren Prance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902376999 PECOS PAC ID: 3971844580 Enrollment ID: I20190409001595 |
| Provider Name | Brianna Lasha Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972069102 PECOS PAC ID: 8628319845 Enrollment ID: I20190416000809 |
| Provider Name | Alexander Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099806 PECOS PAC ID: 3274875315 Enrollment ID: I20190422000848 |
| Provider Name | Marlene Mcwhirter Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881158863 PECOS PAC ID: 7012259195 Enrollment ID: I20190422002389 |
| Provider Name | Peri Kathryn Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395282 PECOS PAC ID: 5890037352 Enrollment ID: I20190502000893 |
| Provider Name | Kevin M Langlois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184997264 PECOS PAC ID: 6204145261 Enrollment ID: I20190531002256 |
| Provider Name | Laura Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196081 PECOS PAC ID: 3678806536 Enrollment ID: I20190607000557 |
| Provider Name | Lucie E Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861887804 PECOS PAC ID: 9436445483 Enrollment ID: I20190724003417 |
| Provider Name | Paul Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598706269 PECOS PAC ID: 8123293412 Enrollment ID: I20190729002632 |
| Provider Name | Lauren W Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962060822 PECOS PAC ID: 9830426089 Enrollment ID: I20190809001923 |
| Provider Name | Tiffany Tolliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003473877 PECOS PAC ID: 1254668130 Enrollment ID: I20190815001197 |
| Provider Name | Margaret Erwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962884411 PECOS PAC ID: 1759699887 Enrollment ID: I20190820000851 |
| Provider Name | Waqas Shuaib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356791115 PECOS PAC ID: 9234467622 Enrollment ID: I20190822003446 |
| Provider Name | Tameka L Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861958241 PECOS PAC ID: 1759619174 Enrollment ID: I20190822004540 |
| Provider Name | Cherie S Salisbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943777 PECOS PAC ID: 2668700857 Enrollment ID: I20190826003878 |
| Provider Name | Erica Brandi King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388916 PECOS PAC ID: 5991034936 Enrollment ID: I20190917000953 |
| Provider Name | Kellen Haywood Gower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356796601 PECOS PAC ID: 6406149871 Enrollment ID: I20190917001430 |
| Provider Name | Jordan L. Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804697 PECOS PAC ID: 8325378201 Enrollment ID: I20190918002898 |
| Provider Name | Nabilah Fairuz Lari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816205 PECOS PAC ID: 2365772068 Enrollment ID: I20190923003082 |
| Provider Name | Deanna D Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690223 PECOS PAC ID: 9133450299 Enrollment ID: I20191004000258 |
| Provider Name | Duane Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881746527 PECOS PAC ID: 5698808632 Enrollment ID: I20191007003257 |
| Provider Name | Robyn Jamese Stiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942649785 PECOS PAC ID: 0042541658 Enrollment ID: I20191014000620 |
| Provider Name | Travis Wesley Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245764257 PECOS PAC ID: 9830420272 Enrollment ID: I20191016000229 |
| Provider Name | Stephanie Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291383 PECOS PAC ID: 7618209578 Enrollment ID: I20191024003161 |
| Provider Name | Wendy Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245889997 PECOS PAC ID: 7315279296 Enrollment ID: I20191025000784 |
| Provider Name | Sarah Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457818551 PECOS PAC ID: 4082946686 Enrollment ID: I20191031002082 |
| Provider Name | Erin Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003267469 PECOS PAC ID: 0941595037 Enrollment ID: I20191031002744 |
| Provider Name | Shannon Lebakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427616861 PECOS PAC ID: 4385976802 Enrollment ID: I20191101000190 |
| Provider Name | Heather Skanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878136 PECOS PAC ID: 2264734557 Enrollment ID: I20191113002648 |
| Provider Name | William Hunter Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285081463 PECOS PAC ID: 6204127913 Enrollment ID: I20191115000371 |
| Provider Name | Elizabeth Anne Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407326812 PECOS PAC ID: 6103258942 Enrollment ID: I20191115000763 |
| Provider Name | Teresa C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992369581 PECOS PAC ID: 7416389267 Enrollment ID: I20191115001065 |
| Provider Name | Rhonda Lee Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255893889 PECOS PAC ID: 8527490317 Enrollment ID: I20191115002914 |
| Provider Name | Chelsea Vanderwall |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861879918 PECOS PAC ID: 9931497773 Enrollment ID: I20191207000113 |
| Provider Name | Victor J Bonuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801869862 PECOS PAC ID: 8224027099 Enrollment ID: I20191210003591 |
| Provider Name | Felicia Michelle Worthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114442340 PECOS PAC ID: 6204100506 Enrollment ID: I20200121001525 |
| Provider Name | Ashley Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207807 PECOS PAC ID: 6204261159 Enrollment ID: I20200122003263 |
| Provider Name | Emily Katherine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942847165 PECOS PAC ID: 6709212517 Enrollment ID: I20200213002201 |
| Provider Name | Rachel Rackard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306171236 PECOS PAC ID: 7719252659 Enrollment ID: I20200305002963 |
| Provider Name | Wesley Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003452558 PECOS PAC ID: 1254769888 Enrollment ID: I20200314000103 |
| Provider Name | Hannah Dean Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173720 PECOS PAC ID: 7618305103 Enrollment ID: I20200316002233 |
| Provider Name | Lora L Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649811654 PECOS PAC ID: 1153750880 Enrollment ID: I20200401001903 |
| Provider Name | Schonna Maria Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588147946 PECOS PAC ID: 5092144485 Enrollment ID: I20200406003333 |
| Provider Name | Robert Bryan Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548243884 PECOS PAC ID: 0244362598 Enrollment ID: I20200415002692 |
| Provider Name | Kayla Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083249890 PECOS PAC ID: 7911337787 Enrollment ID: I20200417002431 |
| Provider Name | Katlin N Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497200638 PECOS PAC ID: 8325316151 Enrollment ID: I20200526001371 |
| Provider Name | Kunwal Molwani Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290496 PECOS PAC ID: 1951647825 Enrollment ID: I20200527002901 |
| Provider Name | Abby Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346776796 PECOS PAC ID: 4385065499 Enrollment ID: I20200527003348 |
| Provider Name | Yaleshia Diann Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699320911 PECOS PAC ID: 9335560945 Enrollment ID: I20200608002099 |
| Provider Name | Emily Donielle Worthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471586 PECOS PAC ID: 7911320320 Enrollment ID: I20200701002698 |
| Provider Name | Niraj Ganjawala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346772001 PECOS PAC ID: 1951672690 Enrollment ID: I20200715000795 |
| Provider Name | Keela Carr Partee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190243 PECOS PAC ID: 0749604692 Enrollment ID: I20200723003662 |
| Provider Name | Resha Rochelle Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508427774 PECOS PAC ID: 5890110324 Enrollment ID: I20200731000331 |
| Provider Name | Carol Anne Youngstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809248 PECOS PAC ID: 6204058472 Enrollment ID: I20200807003012 |
| Provider Name | Mary Ann Randel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487278529 PECOS PAC ID: 5395160204 Enrollment ID: I20200808000134 |
| Provider Name | Jinwoo Hur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306336011 PECOS PAC ID: 2062763485 Enrollment ID: I20200812003836 |
| Provider Name | Dowanda Denise Pullom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689282188 PECOS PAC ID: 1355767930 Enrollment ID: I20200813000027 |
| Provider Name | Kenneth O. Kenneth-nwosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851811186 PECOS PAC ID: 8729404033 Enrollment ID: I20200818001066 |
| Provider Name | Elizabeth Alison Knight Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213898 PECOS PAC ID: 7315363306 Enrollment ID: I20200820003890 |
| Provider Name | Matthew Beidleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548799885 PECOS PAC ID: 1254682115 Enrollment ID: I20200826000815 |
| Provider Name | Terrika Anderson-cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861022030 PECOS PAC ID: 4981021615 Enrollment ID: I20200826003203 |
| Provider Name | Nicholas Dalton Heathscott |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104351626 PECOS PAC ID: 7810263605 Enrollment ID: I20200909001467 |
| Provider Name | Melanie Beth Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297630 PECOS PAC ID: 8527486158 Enrollment ID: I20200915000985 |
| Provider Name | Melinda Mcmorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629557533 PECOS PAC ID: 1658799028 Enrollment ID: I20200916002575 |
| Provider Name | Meredith Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407274038 PECOS PAC ID: 1355651183 Enrollment ID: I20200921000413 |
| Provider Name | Paula M. Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871106641 PECOS PAC ID: 2961821079 Enrollment ID: I20200923000746 |
| Provider Name | Ashley Jasmine Pauldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407481559 PECOS PAC ID: 8628497781 Enrollment ID: I20200923002591 |
| Provider Name | Hannah Browdy Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710593793 PECOS PAC ID: 7113346305 Enrollment ID: I20201008000839 |
| Provider Name | Deanna Emily Gerowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093329138 PECOS PAC ID: 5890115778 Enrollment ID: I20201014002038 |
| Provider Name | Bethany Beauchamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184158073 PECOS PAC ID: 9739599895 Enrollment ID: I20201102001562 |
| Provider Name | Michael P Brisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457811663 PECOS PAC ID: 2365676608 Enrollment ID: I20201103001657 |
| Provider Name | Lakisha Nicole Hamlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982177606 PECOS PAC ID: 8426468075 Enrollment ID: I20201110001658 |
| Provider Name | Jacquline D. Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538257 PECOS PAC ID: 0648681056 Enrollment ID: I20201116000896 |
| Provider Name | Maranda Kay Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639779069 PECOS PAC ID: 8224449632 Enrollment ID: I20201116001159 |
| Provider Name | Ashley Thrash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193389 PECOS PAC ID: 4183035983 Enrollment ID: I20201130003073 |
| Provider Name | Zenaida Yvonne Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386190270 PECOS PAC ID: 4486080009 Enrollment ID: I20201207000291 |
| Provider Name | Amanda D Atcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203329 PECOS PAC ID: 4385056068 Enrollment ID: I20201222002234 |
| Provider Name | Carol Denise Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649801598 PECOS PAC ID: 0244642866 Enrollment ID: I20201223000927 |
| Provider Name | Lori M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518569094 PECOS PAC ID: 8820401276 Enrollment ID: I20210105000216 |
| Provider Name | Brian V Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992248355 PECOS PAC ID: 8224441506 Enrollment ID: I20210105002042 |
| Provider Name | Asia Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457960635 PECOS PAC ID: 0244644987 Enrollment ID: I20210120003385 |
| Provider Name | Amber Alexandria Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922623131 PECOS PAC ID: 5991119810 Enrollment ID: I20210203002574 |
| Provider Name | Robert Do Quarcoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831402502 PECOS PAC ID: 5698901015 Enrollment ID: I20210209002220 |
| Provider Name | Kiyah Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316407554 PECOS PAC ID: 2769897255 Enrollment ID: I20210216000196 |
| Provider Name | Amanda Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073109708 PECOS PAC ID: 8729494174 Enrollment ID: I20210309001995 |
| Provider Name | Kelley Danielle Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922674035 PECOS PAC ID: 8820498314 Enrollment ID: I20210621003529 |
| Provider Name | Carmen Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424413 PECOS PAC ID: 1658622444 Enrollment ID: I20210714001127 |
| Provider Name | Jason B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669987335 PECOS PAC ID: 8123421815 Enrollment ID: I20210719001516 |
| Provider Name | Evan Torline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669905055 PECOS PAC ID: 6608120373 Enrollment ID: I20210802000442 |
| Provider Name | Yasmine Latrice Cargill Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134625452 PECOS PAC ID: 9234534991 Enrollment ID: I20210819000434 |
| Provider Name | Haiya Virendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792189 PECOS PAC ID: 9436554870 Enrollment ID: I20210823001530 |
| Provider Name | Angela Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028524 PECOS PAC ID: 6800015744 Enrollment ID: I20210902000814 |
| Provider Name | Ifeoma Anwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972271070 PECOS PAC ID: 6406253244 Enrollment ID: I20210922000522 |
| Provider Name | Ian Roslawski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477058949 PECOS PAC ID: 0244580942 Enrollment ID: I20211018001774 |
| Provider Name | Jonathan Elliot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124092689 PECOS PAC ID: 1355523374 Enrollment ID: I20211019002255 |
| Provider Name | Ashley N Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902470842 PECOS PAC ID: 5395133128 Enrollment ID: I20211028001217 |
| Provider Name | Emily C Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992356380 PECOS PAC ID: 9931599057 Enrollment ID: I20211204000017 |
| Provider Name | Edward Ryan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700476405 PECOS PAC ID: 7810387743 Enrollment ID: I20211207002154 |
| Provider Name | Valerie Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629303458 PECOS PAC ID: 2264824937 Enrollment ID: I20220110002501 |
| Provider Name | Elizabeth Rose Merkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356973622 PECOS PAC ID: 4082008198 Enrollment ID: I20220304001635 |
| Provider Name | Charlene D Mcmullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063978484 PECOS PAC ID: 1658766563 Enrollment ID: I20220310002921 |
| Provider Name | Thomas Hunter Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853108 PECOS PAC ID: 1355774233 Enrollment ID: I20220314001414 |
| Provider Name | Tonisha Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306474473 PECOS PAC ID: 7012336472 Enrollment ID: I20220315001798 |
| Provider Name | Jeremias Georgiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194423 PECOS PAC ID: 5597174656 Enrollment ID: I20220322001628 |
| Provider Name | Deirdra V Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356933360 PECOS PAC ID: 4587050711 Enrollment ID: I20220415000019 |
| Provider Name | Erin Turner Burress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396405643 PECOS PAC ID: 2264828425 Enrollment ID: I20220415000947 |
| Provider Name | Imani Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669650156 PECOS PAC ID: 4385898477 Enrollment ID: I20220419000904 |
| Provider Name | Monica Gail Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982359196 PECOS PAC ID: 7618364662 Enrollment ID: I20220422000260 |
| Provider Name | Deryus Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742594 PECOS PAC ID: 2668850967 Enrollment ID: I20220527000111 |
| Provider Name | Zachary Orme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548880818 PECOS PAC ID: 0446630842 Enrollment ID: I20220701000544 |
| Provider Name | Jeffrey Lipke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508827858 PECOS PAC ID: 5092610998 Enrollment ID: I20220706001091 |
| Provider Name | Megan Elizabeth Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854749 PECOS PAC ID: 2163755018 Enrollment ID: I20220718003015 |
| Provider Name | Nataleigh F Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801533559 PECOS PAC ID: 6507248390 Enrollment ID: I20220726001854 |
| Provider Name | Gary Hodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801457064 PECOS PAC ID: 7517349236 Enrollment ID: I20220727003789 |
| Provider Name | Pamela Anyango Kwena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003546243 PECOS PAC ID: 6901288034 Enrollment ID: I20220804003948 |
| Provider Name | Samantha Michelle Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235860214 PECOS PAC ID: 6406239144 Enrollment ID: I20220813000094 |
| Provider Name | Carrleigh Paige Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872501 PECOS PAC ID: 1456695261 Enrollment ID: I20220822002619 |
| Provider Name | Sitembile Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932669975 PECOS PAC ID: 3577946607 Enrollment ID: I20220822003421 |
| Provider Name | Micah Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192878 PECOS PAC ID: 4486038080 Enrollment ID: I20220831001430 |
| Provider Name | Mallory Brooke Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932859774 PECOS PAC ID: 9032593538 Enrollment ID: I20220901001427 |
| Provider Name | Charles Minor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700405503 PECOS PAC ID: 2860822533 Enrollment ID: I20220923002023 |
| Provider Name | Jordan Pharris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659934917 PECOS PAC ID: 0648603522 Enrollment ID: I20220923002115 |
| Provider Name | Maria Machelle Braxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654613 PECOS PAC ID: 8527444256 Enrollment ID: I20221004002665 |
| Provider Name | Valencia Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154046084 PECOS PAC ID: 8527435353 Enrollment ID: I20221107002794 |
| Provider Name | Sonja Dione Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962159210 PECOS PAC ID: 7315315918 Enrollment ID: I20221201000488 |
| Provider Name | Senitra Lashone Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033840046 PECOS PAC ID: 4587034368 Enrollment ID: I20230112001924 |
| Provider Name | Kiona Katrice Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316669799 PECOS PAC ID: 0446622427 Enrollment ID: I20230221002607 |
| Provider Name | Kesha L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295400836 PECOS PAC ID: 7214300193 Enrollment ID: I20230223000596 |
| Provider Name | Caleb Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292676 PECOS PAC ID: 3173996915 Enrollment ID: I20230227001736 |
| Provider Name | Kayla Noelle Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033822366 PECOS PAC ID: 0446624340 Enrollment ID: I20230315002995 |
| Provider Name | Brandi Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376257089 PECOS PAC ID: 6608241807 Enrollment ID: I20230330002666 |
| Provider Name | Tierra Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497469373 PECOS PAC ID: 1951776038 Enrollment ID: I20230403000601 |
| Provider Name | Jeffery Michael Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457058711 PECOS PAC ID: 4981079845 Enrollment ID: I20230405002879 |
| Provider Name | Jessica Nicole Bean King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487351409 PECOS PAC ID: 9830555143 Enrollment ID: I20230511001031 |
| Provider Name | Ryan Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437619004 PECOS PAC ID: 6204166903 Enrollment ID: I20230607002410 |
| Provider Name | Levi J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689371783 PECOS PAC ID: 9032576954 Enrollment ID: I20230608002097 |
| Provider Name | Joshua Dane Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609580604 PECOS PAC ID: 7315304102 Enrollment ID: I20230609001781 |
| Provider Name | Lisa Garrison Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871204982 PECOS PAC ID: 1759740442 Enrollment ID: I20230628002763 |
| Provider Name | James Corbin Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598384703 PECOS PAC ID: 8628490455 Enrollment ID: I20230725003443 |
| Provider Name | Jeremy James Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699302208 PECOS PAC ID: 8325461171 Enrollment ID: I20230811001193 |
| Provider Name | Juanita Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225797293 PECOS PAC ID: 7517321797 Enrollment ID: I20230907001386 |
| Provider Name | Victoria Broadhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973144 PECOS PAC ID: 8224407499 Enrollment ID: I20231004000836 |
| Provider Name | David Paul Harrison Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558129205 PECOS PAC ID: 1456792373 Enrollment ID: I20240509002137 |
| Provider Name | Nekia Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750169363 PECOS PAC ID: 2860834843 Enrollment ID: I20240522001126 |
| Provider Name | Louanne Lane Giangreco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740390574 PECOS PAC ID: 2466483508 Enrollment ID: I20240530001079 |
| Provider Name | John Sams Harrison Elebash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245953116 PECOS PAC ID: 7012459365 Enrollment ID: I20240603001375 |
| Provider Name | Caroline Ann Bowness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770212185 PECOS PAC ID: 6709268196 Enrollment ID: I20240611001302 |
| Provider Name | Benjamin Joseph Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437737020 PECOS PAC ID: 7214470699 Enrollment ID: I20240614000397 |
Lifestyle Management Of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 | |
Protective Life Bhs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 | |
Inverness Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 | |
Hoover Alt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 | |
Birmingham Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 | |
Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 | |
Taylor Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Ridgeway Dr, Birmingham, AL 35209 Phone: 205-447-0703 |