| Careconnect Health, Inc. | |
|
510 Alston St Ste B Richland GA 31825 | |
| (229) 887-3324 | |
| (229) 887-3919 |
| Full Name | Careconnect Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 Alston St Ste B, Richland, Georgia |
| Authorized Official Name and Position | Linda Young (SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Health, Inc. 510 Alston St Ste B Richland GA 31825-6012 Ph: (229) 887-3324 | Careconnect Health, Inc. 510 Alston St Ste B Richland GA 31825 Ph: (229) 887-3324 |
| NPI Number | 1063436624 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20040406001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063436624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Julie J Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942208111 PECOS PAC ID: 5496659849 Enrollment ID: I20031126000267 |
| Provider Name | Bankole S Asebiomo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841301884 PECOS PAC ID: 4587552765 Enrollment ID: I20040309000611 |
| Provider Name | James A Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427110915 PECOS PAC ID: 1052304540 Enrollment ID: I20040408000691 |
| Provider Name | Mohan Papudesu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356326961 PECOS PAC ID: 0547231243 Enrollment ID: I20040805000187 |
| Provider Name | Terry E Ham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306891650 PECOS PAC ID: 5092764761 Enrollment ID: I20050120000081 |
| Provider Name | Thomas Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457377525 PECOS PAC ID: 3971540766 Enrollment ID: I20050413000588 |
| Provider Name | Kenneth Wendell Healey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467457010 PECOS PAC ID: 6608843677 Enrollment ID: I20050823000875 |
| Provider Name | James C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326134826 PECOS PAC ID: 2163454786 Enrollment ID: I20050906000018 |
| Provider Name | Richard K Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699718411 PECOS PAC ID: 4486603321 Enrollment ID: I20060308000711 |
| Provider Name | Michael R Nulph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332787 PECOS PAC ID: 0941210090 Enrollment ID: I20060504000477 |
| Provider Name | Alan K Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275590481 PECOS PAC ID: 6608841580 Enrollment ID: I20060802000309 |
| Provider Name | Christopher S Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164475893 PECOS PAC ID: 3971509183 Enrollment ID: I20061011000563 |
| Provider Name | Christopher R Inhulsen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396788592 PECOS PAC ID: 6608962451 Enrollment ID: I20071010000244 |
| Provider Name | Emad Atta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851587505 PECOS PAC ID: 2961591623 Enrollment ID: I20071203000450 |
| Provider Name | Abdollati S Ghiathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839891 PECOS PAC ID: 7214918051 Enrollment ID: I20080304000466 |
| Provider Name | Tonya A Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104032325 PECOS PAC ID: 9931259975 Enrollment ID: I20090612000023 |
| Provider Name | Afolabi Tiamiyu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043472061 PECOS PAC ID: 0840341103 Enrollment ID: I20091110000509 |
| Provider Name | Gerald K Brantley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123920 PECOS PAC ID: 9335034990 Enrollment ID: I20100111000550 |
| Provider Name | Misty F Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053645697 PECOS PAC ID: 2567504236 Enrollment ID: I20100119000050 |
| Provider Name | George Mccaskill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689619678 PECOS PAC ID: 3971589656 Enrollment ID: I20100125000123 |
| Provider Name | Suzanne Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053406199 PECOS PAC ID: 7810012903 Enrollment ID: I20100913000902 |
| Provider Name | Appavuchetty Soundappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912951500 PECOS PAC ID: 9335152867 Enrollment ID: I20100922000156 |
| Provider Name | Samantha D Manderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588952063 PECOS PAC ID: 5698943173 Enrollment ID: I20110728000143 |
| Provider Name | Parviz Brahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578584421 PECOS PAC ID: 0648237776 Enrollment ID: I20110912000654 |
| Provider Name | Holly M Cross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992084263 PECOS PAC ID: 6103098561 Enrollment ID: I20111006000334 |
| Provider Name | Thomas A Hilsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922093665 PECOS PAC ID: 6608040647 Enrollment ID: I20111201000093 |
| Provider Name | Teresa F Yzenski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104182237 PECOS PAC ID: 0143482695 Enrollment ID: I20120430000729 |
| Provider Name | Patricia D Coussens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841382801 PECOS PAC ID: 5496911901 Enrollment ID: I20120727000764 |
| Provider Name | Aundre R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669754214 PECOS PAC ID: 5496911760 Enrollment ID: I20120801000159 |
| Provider Name | Holly K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790048023 PECOS PAC ID: 0941456149 Enrollment ID: I20120803000092 |
| Provider Name | Pamela C Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033173570 PECOS PAC ID: 7719137694 Enrollment ID: I20121031000209 |
| Provider Name | Vernita S Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093050734 PECOS PAC ID: 3971740036 Enrollment ID: I20130508000454 |
| Provider Name | Herschel L Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952612103 PECOS PAC ID: 3274773551 Enrollment ID: I20130710000178 |
| Provider Name | David J Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417102393 PECOS PAC ID: 3072665371 Enrollment ID: I20130723000647 |
| Provider Name | Tammy Albritton Duncan-singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154761740 PECOS PAC ID: 8224261813 Enrollment ID: I20140506001483 |
| Provider Name | Crystal Nicole Settle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508284654 PECOS PAC ID: 8527281815 Enrollment ID: I20140513001261 |
| Provider Name | John Chitoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497036842 PECOS PAC ID: 6406074202 Enrollment ID: I20140819002797 |
| Provider Name | Juan G Velazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891068227 PECOS PAC ID: 8022237049 Enrollment ID: I20140923002648 |
| Provider Name | Barry O Iguobadia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750671004 PECOS PAC ID: 2769603539 Enrollment ID: I20141020001401 |
| Provider Name | Amanda Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992126775 PECOS PAC ID: 9739318197 Enrollment ID: I20141118001144 |
| Provider Name | Karen Patricia Hatten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396704995 PECOS PAC ID: 3577701259 Enrollment ID: I20150108001246 |
| Provider Name | Jeremy W Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708984 PECOS PAC ID: 1951627744 Enrollment ID: I20150314000164 |
| Provider Name | Ashley S Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366848558 PECOS PAC ID: 5092032847 Enrollment ID: I20150316002503 |
| Provider Name | Israel Saucedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222191 PECOS PAC ID: 7719205541 Enrollment ID: I20150407002204 |
| Provider Name | Aretha Tinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235460833 PECOS PAC ID: 7810919370 Enrollment ID: I20150413001821 |
| Provider Name | Angela L Mcdowell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346442019 PECOS PAC ID: 1052630969 Enrollment ID: I20150427001893 |
| Provider Name | Rachel G Mcswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952795098 PECOS PAC ID: 4688994130 Enrollment ID: I20150522001657 |
| Provider Name | Melissa A Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457730038 PECOS PAC ID: 3971816950 Enrollment ID: I20150720002762 |
| Provider Name | Kyle Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316328214 PECOS PAC ID: 1355656497 Enrollment ID: I20150818005068 |
| Provider Name | Sherri J Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821473737 PECOS PAC ID: 0446566228 Enrollment ID: I20150825005256 |
| Provider Name | Jennifer L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786006 PECOS PAC ID: 2567770019 Enrollment ID: I20151001002731 |
| Provider Name | Linsey B Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566462 PECOS PAC ID: 6800196148 Enrollment ID: I20151118001967 |
| Provider Name | Sybil Jane Lew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301320 PECOS PAC ID: 5799086443 Enrollment ID: I20151222001492 |
| Provider Name | Leo Pouliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979753 PECOS PAC ID: 7315241924 Enrollment ID: I20160202001210 |
| Provider Name | Jennifer W Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245695782 PECOS PAC ID: 6406150887 Enrollment ID: I20160204001503 |
| Provider Name | Elizabeth Lewis Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093080541 PECOS PAC ID: 1153626056 Enrollment ID: I20160301000904 |
| Provider Name | Delta Meade Mayhue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225494651 PECOS PAC ID: 9436455623 Enrollment ID: I20160315001074 |
| Provider Name | Paul J Grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609841444 PECOS PAC ID: 6103821095 Enrollment ID: I20160422001701 |
| Provider Name | Mark Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003132754 PECOS PAC ID: 7911206453 Enrollment ID: I20160504001183 |
| Provider Name | Jessica Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164886545 PECOS PAC ID: 8123327400 Enrollment ID: I20160509001876 |
| Provider Name | Sharon N Pierce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740437623 PECOS PAC ID: 8022309350 Enrollment ID: I20160616001987 |
| Provider Name | Rachel Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373846 PECOS PAC ID: 2769777952 Enrollment ID: I20160826001896 |
| Provider Name | Casey C. Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609239938 PECOS PAC ID: 2264728922 Enrollment ID: I20160906001207 |
| Provider Name | Hannah Revell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346799574 PECOS PAC ID: 3577851807 Enrollment ID: I20161019001304 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023408291 PECOS PAC ID: 8325365943 Enrollment ID: I20161024001025 |
| Provider Name | Madelaine Santos-vega |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790752228 PECOS PAC ID: 2860772613 Enrollment ID: I20161213001677 |
| Provider Name | Gail Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245680487 PECOS PAC ID: 4183905664 Enrollment ID: I20161220002357 |
| Provider Name | Mary Heather Netrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386189280 PECOS PAC ID: 3173807096 Enrollment ID: I20170221001159 |
| Provider Name | Barbara P Orange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679013908 PECOS PAC ID: 8729364880 Enrollment ID: I20170404002578 |
| Provider Name | Derrick Railey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891237814 PECOS PAC ID: 3577849876 Enrollment ID: I20170422000054 |
| Provider Name | Erin Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780112227 PECOS PAC ID: 6305117102 Enrollment ID: I20170811001050 |
| Provider Name | Lauren Eschmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316475734 PECOS PAC ID: 7810269958 Enrollment ID: I20170823004079 |
| Provider Name | Sarah B Exum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932622438 PECOS PAC ID: 7517230428 Enrollment ID: I20170828004758 |
| Provider Name | Lauren Milligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538689757 PECOS PAC ID: 4587937172 Enrollment ID: I20170901001459 |
| Provider Name | Doriann T Stempinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417477811 PECOS PAC ID: 0547533622 Enrollment ID: I20170912002370 |
| Provider Name | Ryan Monti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629496880 PECOS PAC ID: 7214201037 Enrollment ID: I20170918002337 |
| Provider Name | Rebecca Shepherd O'hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205364783 PECOS PAC ID: 0840564084 Enrollment ID: I20170926004227 |
| Provider Name | Amy Carter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053838193 PECOS PAC ID: 6406122282 Enrollment ID: I20171023001833 |
| Provider Name | Rebecca Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466162 PECOS PAC ID: 3678849213 Enrollment ID: I20171025002995 |
| Provider Name | Tammy Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508311283 PECOS PAC ID: 0547527293 Enrollment ID: I20171205001319 |
| Provider Name | Reuben S Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669477295 PECOS PAC ID: 8123399870 Enrollment ID: I20180110000697 |
| Provider Name | Derrick Deandre Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386167112 PECOS PAC ID: 7315206737 Enrollment ID: I20180110002816 |
| Provider Name | Minh N Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073012308 PECOS PAC ID: 6103187232 Enrollment ID: I20180306000381 |
| Provider Name | Starla K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629463880 PECOS PAC ID: 7214249234 Enrollment ID: I20180517001060 |
| Provider Name | Kelly Taylor Wilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477062008 PECOS PAC ID: 9931464559 Enrollment ID: I20180601001865 |
| Provider Name | Sherri F Mcbrayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386149730 PECOS PAC ID: 2769738228 Enrollment ID: I20180713000740 |
| Provider Name | Kimberly H Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659738995 PECOS PAC ID: 3971850934 Enrollment ID: I20180720003050 |
| Provider Name | Addie B Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003317090 PECOS PAC ID: 9234488701 Enrollment ID: I20180815004063 |
| Provider Name | Heather B Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134624455 PECOS PAC ID: 2961751235 Enrollment ID: I20180820002007 |
| Provider Name | Angela Kennedy Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681495 PECOS PAC ID: 1355691155 Enrollment ID: I20180828003651 |
| Provider Name | Whittnye Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578059150 PECOS PAC ID: 1254681232 Enrollment ID: I20180912003488 |
| Provider Name | Jodi Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235621897 PECOS PAC ID: 6002167509 Enrollment ID: I20180921002806 |
| Provider Name | Charlotte Coggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871976589 PECOS PAC ID: 3173812468 Enrollment ID: I20180924003751 |
| Provider Name | Mathew Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649766155 PECOS PAC ID: 2466705611 Enrollment ID: I20181105003085 |
| Provider Name | Heather Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881191344 PECOS PAC ID: 5698026755 Enrollment ID: I20181107003794 |
| Provider Name | Keegan T Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615517 PECOS PAC ID: 6103160254 Enrollment ID: I20181130001779 |
| Provider Name | Mary Lacy Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639665698 PECOS PAC ID: 6305180324 Enrollment ID: I20181203001288 |
| Provider Name | Sandra Dee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154826410 PECOS PAC ID: 8325383771 Enrollment ID: I20181213001154 |
| Provider Name | Catherine Michelle Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346747664 PECOS PAC ID: 2062757271 Enrollment ID: I20181217001529 |
| Provider Name | Mark A Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689664674 PECOS PAC ID: 9537197801 Enrollment ID: I20190110002415 |
| Provider Name | Ryan Monti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629496880 PECOS PAC ID: 7214201037 Enrollment ID: I20190128002275 |
| Provider Name | Marjorie Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790261535 PECOS PAC ID: 5698012607 Enrollment ID: I20190129003711 |
| Provider Name | Calvin Edward Defenbau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265927362 PECOS PAC ID: 2769721471 Enrollment ID: I20190225001193 |
| Provider Name | Sarah Simmons Mikell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023589744 PECOS PAC ID: 7911246970 Enrollment ID: I20190308001899 |
| Provider Name | Heather Marie Pickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831667948 PECOS PAC ID: 4688914179 Enrollment ID: I20190320000809 |
| Provider Name | Alyssa Megan Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093209835 PECOS PAC ID: 0345580494 Enrollment ID: I20190327002117 |
| Provider Name | Shaune I Fuller-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386127744 PECOS PAC ID: 6103166111 Enrollment ID: I20190328001601 |
| Provider Name | Qamar U Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003879412 PECOS PAC ID: 6305099037 Enrollment ID: I20190403001769 |
| Provider Name | Krista L Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124585880 PECOS PAC ID: 0840531166 Enrollment ID: I20190412001959 |
| Provider Name | Kayla D Bernardoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493121 PECOS PAC ID: 0345582433 Enrollment ID: I20190418002312 |
| Provider Name | Melissa Goodbread Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326601071 PECOS PAC ID: 0244516888 Enrollment ID: I20190603000385 |
| Provider Name | Amanda Bethany Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902463284 PECOS PAC ID: 2365776937 Enrollment ID: I20190702000985 |
| Provider Name | Carolyn Joy Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679073464 PECOS PAC ID: 9537495858 Enrollment ID: I20190724003327 |
| Provider Name | Leslie Darlene Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467019315 PECOS PAC ID: 5395071575 Enrollment ID: I20190725001870 |
| Provider Name | Tiffani Nichole Barnett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164081048 PECOS PAC ID: 2860728847 Enrollment ID: I20190729003385 |
| Provider Name | Jessica Lauren Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255983466 PECOS PAC ID: 8820325590 Enrollment ID: I20190805001159 |
| Provider Name | Rachel Lewis Cofield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063073088 PECOS PAC ID: 8820326069 Enrollment ID: I20190826001869 |
| Provider Name | Cynthia Renae Beeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400336 PECOS PAC ID: 5597094979 Enrollment ID: I20190910002962 |
| Provider Name | Ana Alicia Gomez Nova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003371790 PECOS PAC ID: 4183953235 Enrollment ID: I20190916000415 |
| Provider Name | Kristen Lynn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972156057 PECOS PAC ID: 5698005908 Enrollment ID: I20190930003342 |
| Provider Name | Amanda Rose Westbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275189714 PECOS PAC ID: 2163752221 Enrollment ID: I20191002003815 |
| Provider Name | Morgan Jane Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811545833 PECOS PAC ID: 1850623604 Enrollment ID: I20191028001113 |
| Provider Name | Lori Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264626 PECOS PAC ID: 1658603311 Enrollment ID: I20191029003449 |
| Provider Name | Jacqueline Alford Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376104802 PECOS PAC ID: 8123350535 Enrollment ID: I20191104001350 |
| Provider Name | Brandi Nichole Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467014167 PECOS PAC ID: 4688006158 Enrollment ID: I20191121001894 |
| Provider Name | Gloria Lucille Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387645 PECOS PAC ID: 5890127245 Enrollment ID: I20191122002622 |
| Provider Name | Adetokunbo Awojulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194081851 PECOS PAC ID: 2466755475 Enrollment ID: I20200303000939 |
| Provider Name | William J Kinnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194383075 PECOS PAC ID: 9638507882 Enrollment ID: I20200321000321 |
| Provider Name | Sumer Shaye Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538794763 PECOS PAC ID: 5294164463 Enrollment ID: I20200409001265 |
| Provider Name | Brynn Morseman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932730090 PECOS PAC ID: 9830528975 Enrollment ID: I20200410001306 |
| Provider Name | Jennifer Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790312304 PECOS PAC ID: 0840620274 Enrollment ID: I20200424002680 |
| Provider Name | John Childree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821501 PECOS PAC ID: 9335570753 Enrollment ID: I20200518003102 |
| Provider Name | Lynette Marie Talley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265686083 PECOS PAC ID: 5193146306 Enrollment ID: I20200526001356 |
| Provider Name | Haley Ellis Pullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932748894 PECOS PAC ID: 9537580618 Enrollment ID: I20200527001872 |
| Provider Name | Elizabeth Cupp Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184240939 PECOS PAC ID: 7012330129 Enrollment ID: I20200708001957 |
| Provider Name | Kayla Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164041927 PECOS PAC ID: 9830517986 Enrollment ID: I20200922001408 |
| Provider Name | America Rae Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588273403 PECOS PAC ID: 6406266436 Enrollment ID: I20201103002012 |
| Provider Name | Heather Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538768866 PECOS PAC ID: 8325459365 Enrollment ID: I20201124001723 |
| Provider Name | Monica Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700485745 PECOS PAC ID: 3072925452 Enrollment ID: I20201208001961 |
| Provider Name | Shannon Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783455 PECOS PAC ID: 0547691271 Enrollment ID: I20201218001066 |
| Provider Name | Tyechia Lewis Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093284440 PECOS PAC ID: 4880990647 Enrollment ID: I20210113001301 |
| Provider Name | Tekoa Meshawn Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588252647 PECOS PAC ID: 2264846856 Enrollment ID: I20210121002100 |
| Provider Name | Antonio G Remollino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811040629 PECOS PAC ID: 6305099342 Enrollment ID: I20210202003154 |
| Provider Name | Rebecca L. Lockwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295922482 PECOS PAC ID: 7810982899 Enrollment ID: I20210226000014 |
| Provider Name | Joanne B Hembree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588243927 PECOS PAC ID: 7911315874 Enrollment ID: I20210414002869 |
| Provider Name | Lauren Ashley Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730762592 PECOS PAC ID: 9335558030 Enrollment ID: I20210510002756 |
| Provider Name | Lauren Goforth Faulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720683055 PECOS PAC ID: 6800205220 Enrollment ID: I20210514000001 |
| Provider Name | Taylor Tenbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134797731 PECOS PAC ID: 5193125649 Enrollment ID: I20210621001957 |
| Provider Name | Kristen Nicole Selph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982239836 PECOS PAC ID: 2961803416 Enrollment ID: I20210622002572 |
| Provider Name | Carri Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740875368 PECOS PAC ID: 0042611139 Enrollment ID: I20210628000475 |
| Provider Name | Catherine Elyse Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137570 PECOS PAC ID: 4880095819 Enrollment ID: I20210629001208 |
| Provider Name | Hannah Taylor Wooldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457921355 PECOS PAC ID: 6507268562 Enrollment ID: I20210713002796 |
| Provider Name | Donicia Railey Mabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962072017 PECOS PAC ID: 7810390424 Enrollment ID: I20210720002324 |
| Provider Name | Megan Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144997313 PECOS PAC ID: 8628474558 Enrollment ID: I20210901001373 |
| Provider Name | Lori Alexandra Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639753882 PECOS PAC ID: 6800293374 Enrollment ID: I20210927000446 |
| Provider Name | Jennifer Michelle Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891369120 PECOS PAC ID: 9133527740 Enrollment ID: I20211013000249 |
| Provider Name | Julie Faircloth Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811668197 PECOS PAC ID: 4082002647 Enrollment ID: I20211101001549 |
| Provider Name | Thomas Mcswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366106429 PECOS PAC ID: 9032509401 Enrollment ID: I20211130000860 |
| Provider Name | Marjorie P Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447565635 PECOS PAC ID: 8123372695 Enrollment ID: I20211206002486 |
| Provider Name | Jacqueline Mclatchy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811239403 PECOS PAC ID: 7618239047 Enrollment ID: I20211208002650 |
| Provider Name | Melissa Richelle Penton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301398 PECOS PAC ID: 7618368242 Enrollment ID: I20211215001768 |
| Provider Name | Erin E Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710646088 PECOS PAC ID: 9032500152 Enrollment ID: I20211229000063 |
| Provider Name | Chelsey Paige Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457012569 PECOS PAC ID: 2365834363 Enrollment ID: I20220125002845 |
| Provider Name | Lindsay Danielle Yasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124694211 PECOS PAC ID: 0143614099 Enrollment ID: I20220218001884 |
| Provider Name | Brandi Leann Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124602404 PECOS PAC ID: 2163816034 Enrollment ID: I20220221000014 |
| Provider Name | Jaimee Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861151995 PECOS PAC ID: 2062806755 Enrollment ID: I20220223000082 |
| Provider Name | Barbara Fallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730476169 PECOS PAC ID: 4082904982 Enrollment ID: I20220315000474 |
| Provider Name | Whitney Ward Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407597818 PECOS PAC ID: 5294122461 Enrollment ID: I20220419001007 |
| Provider Name | Kaitlyn Anna Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609519586 PECOS PAC ID: 4183003254 Enrollment ID: I20220620001813 |
| Provider Name | Carson Farrell Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366174807 PECOS PAC ID: 1850771791 Enrollment ID: I20220708002373 |
| Provider Name | Katherine Elizabeth Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093444614 PECOS PAC ID: 1456732015 Enrollment ID: I20220714000916 |
| Provider Name | Ryan Randolph Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467195024 PECOS PAC ID: 0446631394 Enrollment ID: I20220722002671 |
| Provider Name | Lori Angelina Slocumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730829912 PECOS PAC ID: 2860874880 Enrollment ID: I20220808000087 |
| Provider Name | Chelsea Megan Hayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013548494 PECOS PAC ID: 1850773888 Enrollment ID: I20220808000481 |
| Provider Name | Bibina Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629707773 PECOS PAC ID: 9739562588 Enrollment ID: I20220811003050 |
| Provider Name | Ashley Elizabeth Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356075527 PECOS PAC ID: 4587040787 Enrollment ID: I20220926000920 |
| Provider Name | Latisha Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821769878 PECOS PAC ID: 9335525450 Enrollment ID: I20220927002793 |
| Provider Name | Stephanie Hillsman Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528780996 PECOS PAC ID: 0345626347 Enrollment ID: I20220928002221 |
| Provider Name | Brianna Alexandria Pittman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700510815 PECOS PAC ID: 7810373354 Enrollment ID: I20221006000413 |
| Provider Name | Diondria Sanders |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205493194 PECOS PAC ID: 0941607865 Enrollment ID: I20221128000916 |
| Provider Name | Kristy Neumans Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568173912 PECOS PAC ID: 5496125585 Enrollment ID: I20230106000245 |
| Provider Name | Jaycee Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710508353 PECOS PAC ID: 9133540131 Enrollment ID: I20230109000500 |
| Provider Name | Kylie Rae Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194438010 PECOS PAC ID: 3779954037 Enrollment ID: I20230124001818 |
| Provider Name | Elisabeth Hope Howard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972229615 PECOS PAC ID: 6608248372 Enrollment ID: I20230206001257 |
| Provider Name | Sara Melissa Lovette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174249759 PECOS PAC ID: 0042682353 Enrollment ID: I20230215001248 |
| Provider Name | Brigitte Locke Jarrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568178994 PECOS PAC ID: 9830561059 Enrollment ID: I20230215002326 |
| Provider Name | Joshua Douglas Peugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528771458 PECOS PAC ID: 4981076080 Enrollment ID: I20230220000966 |
| Provider Name | Madeline Mock Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619690112 PECOS PAC ID: 3870966344 Enrollment ID: I20230302002983 |
| Provider Name | Dana Vanessa Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942914957 PECOS PAC ID: 9739552241 Enrollment ID: I20230303001422 |
| Provider Name | Diana Lynn Weaver |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376003186 PECOS PAC ID: 2860866738 Enrollment ID: I20230315001826 |
| Provider Name | Shelby Paige Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821791484 PECOS PAC ID: 4486010501 Enrollment ID: I20230516001808 |
| Provider Name | Antonio V. Spaventa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851081657 PECOS PAC ID: 7618334178 Enrollment ID: I20230530000487 |
| Provider Name | Joaquin Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336837368 PECOS PAC ID: 3476910795 Enrollment ID: I20230601000756 |
| Provider Name | Alana Renee Kester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255024121 PECOS PAC ID: 7214396431 Enrollment ID: I20230706003005 |
| Provider Name | Heather M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346931789 PECOS PAC ID: 7315309200 Enrollment ID: I20230809001217 |
| Provider Name | Monae Cost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255996088 PECOS PAC ID: 2860720463 Enrollment ID: I20230814003000 |
| Provider Name | William Odie Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386336105 PECOS PAC ID: 6800240128 Enrollment ID: I20230920002584 |
| Provider Name | Charles Kenneth Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851174783 PECOS PAC ID: 8820442817 Enrollment ID: I20230925002409 |
| Provider Name | Marla Gwen Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952953689 PECOS PAC ID: 5991133480 Enrollment ID: I20231007000758 |
| Provider Name | Melanie Henson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295054393 PECOS PAC ID: 9830546696 Enrollment ID: I20231115003578 |
| Provider Name | Ashley Nicole Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750044236 PECOS PAC ID: 4284082413 Enrollment ID: I20231129001957 |
| Provider Name | Lance Michael Henson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174794911 PECOS PAC ID: 9133571409 Enrollment ID: I20240123001051 |
| Provider Name | Melissa Gwyn Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194595520 PECOS PAC ID: 1557713831 Enrollment ID: I20240123001657 |
| Provider Name | Christine Paulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245091198 PECOS PAC ID: 8820431711 Enrollment ID: I20240207003331 |
| Provider Name | Kinsey Brooke Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669234506 PECOS PAC ID: 3577906932 Enrollment ID: I20240213002237 |
| Provider Name | Morgan Olivia Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487423448 PECOS PAC ID: 8820433873 Enrollment ID: I20240229000825 |
| Provider Name | James Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780441477 PECOS PAC ID: 9234576927 Enrollment ID: I20240318000293 |
| Provider Name | Brittany Sanders Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255195350 PECOS PAC ID: 0840637336 Enrollment ID: I20240320000110 |
| Provider Name | Erin Nicole English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020377 PECOS PAC ID: 5597102483 Enrollment ID: I20240327003031 |
| Provider Name | Roxann Elaine Deen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972356061 PECOS PAC ID: 0941641997 Enrollment ID: I20240508003368 |
| Provider Name | Kristie Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740880640 PECOS PAC ID: 9032529961 Enrollment ID: I20240530000744 |
| Provider Name | Emily Lauran Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477309458 PECOS PAC ID: 6901248301 Enrollment ID: I20240530004231 |
Careconnect Family Practice And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Alston St Ste A, Richland, GA 31825 Phone: 229-887-3324 Fax: 229-887-2559 |