| Chma Of Nc | |
|
6047 Tyvola Glen Cir Ste 100 Charlotte NC 28217-6431 | |
| (443) 383-9300 | |
| (855) 866-8710 |
| Full Name | Chma Of Nc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6047 Tyvola Glen Cir Ste 100, Charlotte, North Carolina |
| Authorized Official Name and Position | Matt Welik (CEO) |
| Authorized Official Contact | 4433839300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chma Of Nc 909 Ridgebrook Rd Ste 300 Sparks MD 21152-9477 Ph: (443) 383-9300 | Chma Of Nc 6047 Tyvola Glen Cir Ste 100 Charlotte NC 28217-6431 Ph: (443) 383-9300 |
| NPI Number | 1982364469 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 5092108605 |
|---|---|
| Medicare Enrollment ID | O20220203000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982364469 | NPI | - | NPPES |
| Provider Name | Ginger P Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790815454 PECOS PAC ID: 8325294911 Enrollment ID: I20160304001834 |
| Provider Name | Brandy L Rudin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154717098 PECOS PAC ID: 4284947425 Enrollment ID: I20190416000600 |
| Provider Name | Shamika Bryant Huskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245612506 PECOS PAC ID: 2769724590 Enrollment ID: I20190426002364 |
| Provider Name | Tiara Bianca Wiley-king |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780247932 PECOS PAC ID: 3173853769 Enrollment ID: I20190924003887 |
| Provider Name | Kayla Senf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538711478 PECOS PAC ID: 1658602008 Enrollment ID: I20220203000598 |
| Provider Name | Rebekah P Petriella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366197402 PECOS PAC ID: 0547656233 Enrollment ID: I20220405003175 |
| Provider Name | Lindsay Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346852522 PECOS PAC ID: 6507279841 Enrollment ID: I20220429000383 |
| Provider Name | Timothy James Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972251346 PECOS PAC ID: 8628456936 Enrollment ID: I20220527000291 |
| Provider Name | Mary K King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306226 PECOS PAC ID: 9032483615 Enrollment ID: I20220628002006 |
| Provider Name | Jamilia Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184122145 PECOS PAC ID: 6800144916 Enrollment ID: I20220805000516 |
| Provider Name | Emily Pellegrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003464157 PECOS PAC ID: 0244662914 Enrollment ID: I20220815001811 |
| Provider Name | Stephen Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063478733 PECOS PAC ID: 6305944166 Enrollment ID: I20221103002336 |
| Provider Name | Sydney Guyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164051231 PECOS PAC ID: 0749698629 Enrollment ID: I20230705000094 |
| Provider Name | Jaclyn Nicole Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750153631 PECOS PAC ID: 4981056082 Enrollment ID: I20240112004376 |
| Provider Name | Kandace Brittany Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902689920 PECOS PAC ID: 6709229941 Enrollment ID: I20240205003619 |
| Provider Name | Igor Shkolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503364 PECOS PAC ID: 6204079338 Enrollment ID: I20240423002171 |
| Provider Name | Archie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275071540 PECOS PAC ID: 7911275391 Enrollment ID: I20240425003371 |
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