Atrium Health Urgent Care Eastland | |
5717 Albemarle Rd Charlotte NC 28212-1634 | |
(704) 563-2150 | |
Not Available |
Full Name | Atrium Health Urgent Care Eastland |
---|---|
Speciality | Family Medicine |
Location | 5717 Albemarle Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atrium Health Urgent Care Eastland Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Urgent Care Eastland 5717 Albemarle Rd Charlotte NC 28212-1634 Ph: (704) 563-2150 |
NPI Number | 1467481127 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 6305852591 |
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Medicare Enrollment ID | O20060224000538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467481127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | David C Tignor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083602866 PECOS PAC ID: 5294636676 Enrollment ID: I20040119000192 |
Provider Name | Michael S Mcleod |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871574418 PECOS PAC ID: 5597651208 Enrollment ID: I20040227000316 |
Provider Name | Carla A Gibson-detering |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164483343 PECOS PAC ID: 2163411661 Enrollment ID: I20040510001186 |
Provider Name | David Antonio Cosenza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033196399 PECOS PAC ID: 7719879634 Enrollment ID: I20040811000478 |
Provider Name | Jan G Pickett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598702896 PECOS PAC ID: 3072561034 Enrollment ID: I20050106000073 |
Provider Name | Jody Dale Holler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114928611 PECOS PAC ID: 7113950734 Enrollment ID: I20050914000972 |
Provider Name | Lawrence William Raymond |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780606020 PECOS PAC ID: 9436174232 Enrollment ID: I20051011000645 |
Provider Name | Terrence D Morton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295847705 PECOS PAC ID: 8820017973 Enrollment ID: I20051117000366 |
Provider Name | Leslie C Stanfield |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740285899 PECOS PAC ID: 4981624087 Enrollment ID: I20051205000526 |
Provider Name | Nicole M Scaccia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215961131 PECOS PAC ID: 7911929773 Enrollment ID: I20051221000655 |
Provider Name | Thomas R Childs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972598878 PECOS PAC ID: 4082630082 Enrollment ID: I20060209000542 |
Provider Name | Maureen H Link |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407894835 PECOS PAC ID: 2668480716 Enrollment ID: I20060330000602 |
Provider Name | James T Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427036672 PECOS PAC ID: 3072524446 Enrollment ID: I20060523000064 |
Provider Name | Thomas J Snyder |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235186784 PECOS PAC ID: 3375516867 Enrollment ID: I20060911000653 |
Provider Name | Everlyn Hall-baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174574149 PECOS PAC ID: 5496750572 Enrollment ID: I20060923000024 |
Provider Name | Ketan D Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528098134 PECOS PAC ID: 8628075405 Enrollment ID: I20061109000223 |
Provider Name | Krishan K Mohindroo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356374094 PECOS PAC ID: 3375542608 Enrollment ID: I20061213000468 |
Provider Name | Rashonda L Mintz-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265487763 PECOS PAC ID: 6103828470 Enrollment ID: I20070215000606 |
Provider Name | Christina Taylor Mcshea |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437251949 PECOS PAC ID: 4385743319 Enrollment ID: I20070615000413 |
Provider Name | Harold T Smith |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1174590590 PECOS PAC ID: 9032219753 Enrollment ID: I20070711000156 |
Provider Name | Lewis H Roberson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699753236 PECOS PAC ID: 6103918107 Enrollment ID: I20070822000952 |
Provider Name | Lauren N Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902004187 PECOS PAC ID: 0446344261 Enrollment ID: I20070924000342 |
Provider Name | Melissa H Coats |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538140694 PECOS PAC ID: 2466541081 Enrollment ID: I20071205000280 |
Provider Name | Christopher M Branner |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104973072 PECOS PAC ID: 9739262809 Enrollment ID: I20080212000701 |
Provider Name | Geovanna O Deese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558534768 PECOS PAC ID: 5092884346 Enrollment ID: I20080513000533 |
Provider Name | Cheryl L Baxter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902829203 PECOS PAC ID: 4385713643 Enrollment ID: I20080513000583 |
Provider Name | Brian Anthony Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619949617 PECOS PAC ID: 7911943881 Enrollment ID: I20080521000676 |
Provider Name | Louie A Anquilo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275649618 PECOS PAC ID: 2163427394 Enrollment ID: I20081008000431 |
Provider Name | Thomas J Koewler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205801628 PECOS PAC ID: 1153309018 Enrollment ID: I20081229000642 |
Provider Name | James Philip Griggs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114936606 PECOS PAC ID: 9830249887 Enrollment ID: I20090612000137 |
Provider Name | Jerry W Withrow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942229661 PECOS PAC ID: 5890823660 Enrollment ID: I20100514000823 |
Provider Name | Yalonda Herndon |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215154331 PECOS PAC ID: 3072645126 Enrollment ID: I20100726000101 |
Provider Name | Diedra P Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972814754 PECOS PAC ID: 4284767997 Enrollment ID: I20100802000785 |
Provider Name | Kelly B St George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881900595 PECOS PAC ID: 3971628835 Enrollment ID: I20100915000649 |
Provider Name | Stacia K Tate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699089862 PECOS PAC ID: 4082800552 Enrollment ID: I20101123000326 |
Provider Name | Jane A Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487954962 PECOS PAC ID: 1557559929 Enrollment ID: I20101229000598 |
Provider Name | Dana Wolfe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053413773 PECOS PAC ID: 9537187729 Enrollment ID: I20110113000256 |
Provider Name | Ian B Wilds |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972711562 PECOS PAC ID: 0648344366 Enrollment ID: I20110124000162 |
Provider Name | Gregory V Collins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700810488 PECOS PAC ID: 8224217757 Enrollment ID: I20110128000846 |
Provider Name | Tina L Lovings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063731453 PECOS PAC ID: 4486837192 Enrollment ID: I20110317000572 |
Provider Name | Brad J Bissell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205026903 PECOS PAC ID: 3375674492 Enrollment ID: I20111006000618 |
Provider Name | Melchor Hernan Munoz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467601195 PECOS PAC ID: 5193840163 Enrollment ID: I20111012000719 |
Provider Name | Noelle Lynn Morningstar-culp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477835247 PECOS PAC ID: 6406029776 Enrollment ID: I20111101000792 |
Provider Name | Chellyn Williamson Hamrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457658593 PECOS PAC ID: 4284808155 Enrollment ID: I20111111000297 |
Provider Name | Ivan Savitsky |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225054067 PECOS PAC ID: 5799951117 Enrollment ID: I20120105000472 |
Provider Name | Catherine A Voci-holmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073811311 PECOS PAC ID: 9335316256 Enrollment ID: I20120118000263 |
Provider Name | Anthony Lee Fox |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669608709 PECOS PAC ID: 7315109618 Enrollment ID: I20120503000001 |
Provider Name | Shonda T Bowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205182359 PECOS PAC ID: 9638325020 Enrollment ID: I20120820000536 |
Provider Name | Benjamin Simmons |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548497381 PECOS PAC ID: 5092962985 Enrollment ID: I20120828000839 |
Provider Name | Lynda M Heintz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871734459 PECOS PAC ID: 0749338218 Enrollment ID: I20120904000209 |
Provider Name | Jill S Houser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881792752 PECOS PAC ID: 1759534951 Enrollment ID: I20130122000493 |
Provider Name | Elizabeth Asare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922385749 PECOS PAC ID: 3971758889 Enrollment ID: I20130226000504 |
Provider Name | Vicki Starlene Shipman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366780413 PECOS PAC ID: 2860630068 Enrollment ID: I20130530000009 |
Provider Name | Christopher Lander Drummond |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1619288529 PECOS PAC ID: 3870732704 Enrollment ID: I20130625000408 |
Provider Name | Laura N Sinai |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104922095 PECOS PAC ID: 4981839040 Enrollment ID: I20131025000137 |
Provider Name | Nancy Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376983700 PECOS PAC ID: 2163657792 Enrollment ID: I20131106001256 |
Provider Name | Melody M Mccutcheon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881940195 PECOS PAC ID: 3971739608 Enrollment ID: I20131202000413 |
Provider Name | Julia B Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912336645 PECOS PAC ID: 9234369927 Enrollment ID: I20140225000610 |
Provider Name | Dakeya D Logan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700015971 PECOS PAC ID: 7719137074 Enrollment ID: I20140514000369 |
Provider Name | Shakima Z Nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619389046 PECOS PAC ID: 7517183932 Enrollment ID: I20140721001991 |
Provider Name | Stephanie Marie Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740605666 PECOS PAC ID: 8123248069 Enrollment ID: I20140928000025 |
Provider Name | Sarah R Burgess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366859613 PECOS PAC ID: 9537380555 Enrollment ID: I20141016000778 |
Provider Name | Naomi Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407265937 PECOS PAC ID: 4789805755 Enrollment ID: I20141016002442 |
Provider Name | Casie Dionne Ussery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932518503 PECOS PAC ID: 6103047865 Enrollment ID: I20141021002596 |
Provider Name | Siobhan J Conley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407811433 PECOS PAC ID: 7113938473 Enrollment ID: I20141124000035 |
Provider Name | Tyffany M Nyland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639588189 PECOS PAC ID: 9931421443 Enrollment ID: I20141210002507 |
Provider Name | Gina B Prather |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831464270 PECOS PAC ID: 4880917996 Enrollment ID: I20141222001623 |
Provider Name | Rebecca L Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427062447 PECOS PAC ID: 4880640002 Enrollment ID: I20150109000847 |
Provider Name | Sara Yeager Grigston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700287554 PECOS PAC ID: 3577887165 Enrollment ID: I20150202000161 |
Provider Name | Larry Johann William Skeete |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1508854407 PECOS PAC ID: 4981684313 Enrollment ID: I20150311000476 |
Provider Name | Audia Leigh Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962786640 PECOS PAC ID: 0547434326 Enrollment ID: I20150807014517 |
Provider Name | Alyssa N Dedmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295116770 PECOS PAC ID: 5597070375 Enrollment ID: I20150824000976 |
Provider Name | Lauren Casat Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720470008 PECOS PAC ID: 8729394697 Enrollment ID: I20150909000544 |
Provider Name | Joseph M Zarembski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821477589 PECOS PAC ID: 3870801384 Enrollment ID: I20151002001320 |
Provider Name | Jay I Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245599117 PECOS PAC ID: 9133437411 Enrollment ID: I20151006002758 |
Provider Name | Lydia M Washington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033545272 PECOS PAC ID: 6305072224 Enrollment ID: I20151216001673 |
Provider Name | Stephanie N Lisenby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386013480 PECOS PAC ID: 9931400801 Enrollment ID: I20151217002396 |
Provider Name | Modupe A Cassandra Ogunjimi Popoola |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427074970 PECOS PAC ID: 5294770160 Enrollment ID: I20151218002071 |
Provider Name | Mary K Reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013391762 PECOS PAC ID: 9638472160 Enrollment ID: I20160115002384 |
Provider Name | Hajira Izhar Rana |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790942753 PECOS PAC ID: 1052595667 Enrollment ID: I20160331002209 |
Provider Name | Kealin J Coffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023474764 PECOS PAC ID: 0345549416 Enrollment ID: I20160425001908 |
Provider Name | Anita Brady Neville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942214093 PECOS PAC ID: 6204135775 Enrollment ID: I20160504002242 |
Provider Name | Alexa Carpenter Shull |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881069003 PECOS PAC ID: 9830480953 Enrollment ID: I20160621001852 |
Provider Name | Logan Breakfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144675547 PECOS PAC ID: 9931491404 Enrollment ID: I20160705000502 |
Provider Name | Penny Lingerfelt Hennessee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407207012 PECOS PAC ID: 5890080477 Enrollment ID: I20160822000817 |
Provider Name | Jennifer Lopez Statis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275562571 PECOS PAC ID: 8628364460 Enrollment ID: I20160906000411 |
Provider Name | David J Liberto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427408426 PECOS PAC ID: 5698062669 Enrollment ID: I20160920001464 |
Provider Name | Carlos R Bolden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437500329 PECOS PAC ID: 1557658937 Enrollment ID: I20160928002600 |
Provider Name | Lori Lovett Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003269606 PECOS PAC ID: 2668760349 Enrollment ID: I20161012001689 |
Provider Name | Sarah N Weihmiller |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1922180579 PECOS PAC ID: 1951301456 Enrollment ID: I20161024000196 |
Provider Name | Lakshmi Ganugapenta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770986879 PECOS PAC ID: 0345562153 Enrollment ID: I20161103001169 |
Provider Name | Leslie C Ingram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336564202 PECOS PAC ID: 7113206137 Enrollment ID: I20161115002662 |
Provider Name | Nisha J Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225387830 PECOS PAC ID: 0143500645 Enrollment ID: I20161129000479 |
Provider Name | Christina M Vincent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336430800 PECOS PAC ID: 6002075512 Enrollment ID: I20170315002112 |
Provider Name | Esther C Payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487030011 PECOS PAC ID: 5991014359 Enrollment ID: I20170426000136 |
Provider Name | Noreen Mian |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073849337 PECOS PAC ID: 9638356165 Enrollment ID: I20170502001322 |
Provider Name | Brenda L Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760479661 PECOS PAC ID: 2163437641 Enrollment ID: I20170519000255 |
Provider Name | Jennifer Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386182756 PECOS PAC ID: 5092084582 Enrollment ID: I20170626002599 |
Provider Name | Felice Noel Carlton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215450945 PECOS PAC ID: 0345513412 Enrollment ID: I20170912001930 |
Provider Name | Anika L Surratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326272139 PECOS PAC ID: 7911058318 Enrollment ID: I20170928001051 |
Provider Name | James Desimone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700312279 PECOS PAC ID: 6002181989 Enrollment ID: I20171003004642 |
Provider Name | Lourdes J James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821518325 PECOS PAC ID: 0042585499 Enrollment ID: I20171011000369 |
Provider Name | Meredith S Hirsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255853701 PECOS PAC ID: 4789959909 Enrollment ID: I20171013000854 |
Provider Name | Musue Kaneh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194006973 PECOS PAC ID: 9234369380 Enrollment ID: I20171018003507 |
Provider Name | Casey D Hankins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174958037 PECOS PAC ID: 3476784273 Enrollment ID: I20171101000333 |
Provider Name | Karen D Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891216214 PECOS PAC ID: 7315203338 Enrollment ID: I20171108000630 |
Provider Name | Margaret Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588188155 PECOS PAC ID: 4284990953 Enrollment ID: I20171113002788 |
Provider Name | Carrie Leigh Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225556939 PECOS PAC ID: 9931466265 Enrollment ID: I20171122000002 |
Provider Name | Erin E Tarquinio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831607415 PECOS PAC ID: 2466714043 Enrollment ID: I20180319001866 |
Provider Name | Kenneth L Dennis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760981666 PECOS PAC ID: 6204198633 Enrollment ID: I20180326000112 |
Provider Name | Andrea N Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417455809 PECOS PAC ID: 8729340849 Enrollment ID: I20180329000098 |
Provider Name | Ashley M Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487905329 PECOS PAC ID: 8022332816 Enrollment ID: I20180425001546 |
Provider Name | Ashley C Whittington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306340104 PECOS PAC ID: 7315202074 Enrollment ID: I20180530000378 |
Provider Name | Theresa Dianne Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871814160 PECOS PAC ID: 7618151317 Enrollment ID: I20180724001340 |
Provider Name | Jessica W Stamey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437651767 PECOS PAC ID: 4587913900 Enrollment ID: I20180817002926 |
Provider Name | Courtney A Fussell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568953099 PECOS PAC ID: 4981954153 Enrollment ID: I20180910001006 |
Provider Name | Jessica A Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518394527 PECOS PAC ID: 2668723164 Enrollment ID: I20180921002701 |
Provider Name | David Mendez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669853818 PECOS PAC ID: 9739430257 Enrollment ID: I20180924000174 |
Provider Name | Karen A Jaramillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427544477 PECOS PAC ID: 3173874500 Enrollment ID: I20180925002260 |
Provider Name | Suby Mammen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578041562 PECOS PAC ID: 9931451697 Enrollment ID: I20181008000631 |
Provider Name | Carshena M Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780930206 PECOS PAC ID: 9638446529 Enrollment ID: I20181016000232 |
Provider Name | Meghan B Fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114409836 PECOS PAC ID: 4082958178 Enrollment ID: I20181129003229 |
Provider Name | Kimberly L Spain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104312396 PECOS PAC ID: 0547505893 Enrollment ID: I20181214002028 |
Provider Name | Brandy Janae Fleurismond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366702649 PECOS PAC ID: 1658526157 Enrollment ID: I20190107000822 |
Provider Name | Theresa Coltey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649639493 PECOS PAC ID: 2163763954 Enrollment ID: I20190403003181 |
Provider Name | Kelly A Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649757360 PECOS PAC ID: 7315289295 Enrollment ID: I20190424001624 |
Provider Name | Stacy Lee Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659789105 PECOS PAC ID: 9931407079 Enrollment ID: I20190502001410 |
Provider Name | Kelly Taylor Eastergard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538628110 PECOS PAC ID: 0345573713 Enrollment ID: I20190618001280 |
Provider Name | Cynthia F Bohacek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780107367 PECOS PAC ID: 0345516845 Enrollment ID: I20190724003097 |
Provider Name | Douglas A Coran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972520526 PECOS PAC ID: 8729094453 Enrollment ID: I20190725003777 |
Provider Name | Samantha G Cappetto |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427430958 PECOS PAC ID: 3779879630 Enrollment ID: I20190808003037 |
Provider Name | Jean Russo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992023535 PECOS PAC ID: 3678801859 Enrollment ID: I20190826003329 |
Provider Name | Amy Cabaniss Clinton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114402245 PECOS PAC ID: 4789929183 Enrollment ID: I20191206001393 |
Provider Name | Elena Marie Higley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629626510 PECOS PAC ID: 3173956778 Enrollment ID: I20191212002873 |
Provider Name | Neera Khurana |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740240191 PECOS PAC ID: 0648231407 Enrollment ID: I20191223001556 |
Provider Name | Meredith Greene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629565403 PECOS PAC ID: 7810323433 Enrollment ID: I20200130000630 |
Provider Name | Fikile Mpofu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588220586 PECOS PAC ID: 8123457967 Enrollment ID: I20200331000628 |
Provider Name | Susannah K Short |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063044063 PECOS PAC ID: 3971932013 Enrollment ID: I20200410001753 |
Provider Name | Kevin Andrew West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669012761 PECOS PAC ID: 0941639017 Enrollment ID: I20200413000062 |
Provider Name | Heather Waleski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528694346 PECOS PAC ID: 2668803750 Enrollment ID: I20200505000835 |
Provider Name | Donald S Chapman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003934951 PECOS PAC ID: 1557446481 Enrollment ID: I20200514002388 |
Provider Name | Sandra L Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871995779 PECOS PAC ID: 3476875477 Enrollment ID: I20200514003184 |
Provider Name | Leonor Lourido |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326476540 PECOS PAC ID: 2961639190 Enrollment ID: I20200619000966 |
Provider Name | George C Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093280927 PECOS PAC ID: 9234551169 Enrollment ID: I20200623002708 |
Provider Name | Brittany Gaskins Timmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366991143 PECOS PAC ID: 4082996624 Enrollment ID: I20200727002890 |
Provider Name | Carrie Ann Baldwin |
---|---|
Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1861703183 PECOS PAC ID: 9032415526 Enrollment ID: I20201015002262 |
Provider Name | Tonya Burris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215544986 PECOS PAC ID: 1456761790 Enrollment ID: I20201028000235 |
Provider Name | Alisha Hudson Eudy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659834984 PECOS PAC ID: 2163832221 Enrollment ID: I20201102001282 |
Provider Name | Seiji R Borja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447857560 PECOS PAC ID: 4284041385 Enrollment ID: I20210407000707 |
Provider Name | Kristen Kubik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710543863 PECOS PAC ID: 4284043456 Enrollment ID: I20210429002822 |
Provider Name | Joseph Blackwell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962907857 PECOS PAC ID: 1153678784 Enrollment ID: I20210604002707 |
Provider Name | Misty Mae Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588252100 PECOS PAC ID: 5799749370 Enrollment ID: I20210827002369 |
Provider Name | Alisha R Tuning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124699814 PECOS PAC ID: 5496143166 Enrollment ID: I20211029000222 |
Provider Name | Lauren Smith Barnhardt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114694429 PECOS PAC ID: 9537558135 Enrollment ID: I20211122000958 |
Provider Name | Kristin A Kapeles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205504891 PECOS PAC ID: 3678962180 Enrollment ID: I20211122001689 |
Provider Name | Jaleesa Ruth Claytor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316446693 PECOS PAC ID: 2769733112 Enrollment ID: I20211122002558 |
Provider Name | Rebecca M Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053988592 PECOS PAC ID: 2365835519 Enrollment ID: I20220210000962 |
Provider Name | Scholastica Okwudi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912670571 PECOS PAC ID: 8224423942 Enrollment ID: I20220316001211 |
Provider Name | Kaitlin G Little |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144971987 PECOS PAC ID: 7012303548 Enrollment ID: I20220408000638 |
Provider Name | Jaimie L Mankiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194471748 PECOS PAC ID: 3274920335 Enrollment ID: I20220420002288 |
Provider Name | Charquise T Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952767923 PECOS PAC ID: 3779964531 Enrollment ID: I20220726000175 |
Provider Name | Christy D Holshouser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699051367 PECOS PAC ID: 6103084298 Enrollment ID: I20220922003706 |
Provider Name | Steven A Greenberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306307285 PECOS PAC ID: 3476889346 Enrollment ID: I20221012000583 |
Provider Name | Naomi E Velez Toro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326760364 PECOS PAC ID: 2668849738 Enrollment ID: I20221102000687 |
Provider Name | Markeshia Jenese Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538792320 PECOS PAC ID: 4385048503 Enrollment ID: I20221104002692 |
Provider Name | Martin Peter Cichon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548469224 PECOS PAC ID: 6608964010 Enrollment ID: I20221104002831 |
Provider Name | Kathryn A Fraccola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669193132 PECOS PAC ID: 3971970534 Enrollment ID: I20221110002325 |
Provider Name | David Owen Cress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730828658 PECOS PAC ID: 7911375258 Enrollment ID: I20221117002811 |
Provider Name | Kelly B Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861939266 PECOS PAC ID: 4789968082 Enrollment ID: I20230411000966 |
Provider Name | Delilah Rivera Rosario |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467180406 PECOS PAC ID: 5193190858 Enrollment ID: I20230411000988 |
Provider Name | Amy L Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023683745 PECOS PAC ID: 2264897628 Enrollment ID: I20230508002762 |
Provider Name | Darniya Powe Belton |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073521605 PECOS PAC ID: 2264449495 Enrollment ID: I20230712002705 |
Provider Name | Jessica M Mccain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528719747 PECOS PAC ID: 5597158998 Enrollment ID: I20230713003147 |
Provider Name | Lynne Le |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568097269 PECOS PAC ID: 5991166803 Enrollment ID: I20230725001694 |
Provider Name | Ashley Atkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477244549 PECOS PAC ID: 0345601985 Enrollment ID: I20230731001291 |
Provider Name | Nicole Elizabeth Longo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003541673 PECOS PAC ID: 9638553613 Enrollment ID: I20240207003388 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |