| Carolina Meadows Inc | |
|
500 Carolina Meadows Chapel Hill NC 27517-8471 | |
| (919) 370-7102 | |
| (919) 942-0377 |
| Full Name | Carolina Meadows Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Carolina Meadows, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Kevin A Mcleod (PRESIDENT AND CEO) |
| Authorized Official Contact | 9199424014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Meadows Inc 100 Carolina Meadows Chapel Hill NC 27517-8510 Ph: (919) 942-4014 | Carolina Meadows Inc 500 Carolina Meadows Chapel Hill NC 27517-8471 Ph: (919) 370-7102 |
| NPI Number | 1548304538 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 6406940444 |
|---|---|
| Medicare Enrollment ID | O20070920000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548304538 | NPI | - | NPPES |
| 147M6 | Other | NC | PARTNERS |
| 019V2 | Other | NC | BCBS NC |
| 232130 | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720339559 PECOS PAC ID: 1052560992 Enrollment ID: I20150605000955 |
| Provider Name | Ben Adam Blomberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1033554811 PECOS PAC ID: 1355567843 Enrollment ID: I20170828000585 |
| Provider Name | Aubrey N Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760421358 PECOS PAC ID: 8022095520 Enrollment ID: I20181010001176 |
| Provider Name | Donna L Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336253517 PECOS PAC ID: 2769431402 Enrollment ID: I20190218001864 |
| Provider Name | John A Batsis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124092812 PECOS PAC ID: 1759319429 Enrollment ID: I20200917000554 |
| Provider Name | Brianna C Harder |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1033609326 PECOS PAC ID: 0143575951 Enrollment ID: I20220729001864 |
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