| The Cognitive Connection | |
|
929 15th St Ne Ste 100 Hickory NC 28601-4162 | |
| (828) 327-6026 | |
| (828) 327-8796 |
| Full Name | The Cognitive Connection |
|---|---|
| Speciality | Family Medicine |
| Location | 929 15th St Ne Ste 100, Hickory, North Carolina |
| Authorized Official Name and Position | Julie Walker (CEO) |
| Authorized Official Contact | 8282563436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Cognitive Connection 4330 Viola Sipe Dr Conover NC 28613-8839 Ph: (828) 256-3436 | The Cognitive Connection 929 15th St Ne Ste 100 Hickory NC 28601-4162 Ph: (828) 327-6026 |
| NPI Number | 1194351536 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 5890100143 |
|---|---|
| Medicare Enrollment ID | O20210218000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194351536 | NPI | - | NPPES |
| 6005415 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Thomas E Meek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083713812 PECOS PAC ID: 7618973546 Enrollment ID: I20130212000231 |
| Provider Name | Katherine M Tadlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952952830 PECOS PAC ID: 5890132799 Enrollment ID: I20240327003334 |
| Provider Name | Kristen R Seese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689197923 PECOS PAC ID: 4880032242 Enrollment ID: I20240403003982 |
| Provider Name | Deana P Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073388054 PECOS PAC ID: 9032557400 Enrollment ID: I20240404000068 |
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