- Medicare Primary Care in Colerain, NC

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Colerain, North Carolina. The current practice location for is 109 W River St, Colerain, North Carolina. For appointments, you can reach them via phone at (252) 356-2404. The mailing address for is Po Box 669, Ahoskie, North Carolina and phone number is (252) 209-0237.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790851004. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (252) 356-2404.

Contact Information

109 W River St
Colerain
NC 27924-9006
(252) 356-2404
(252) 356-2899

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location109 W River St, Colerain, North Carolina
Authorized Official Name and PositionStephanie Wroten (INTERIM - CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2523323548
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 669
Ahoskie
NC 27910-0669

Ph: (252) 209-0237
109 W River St
Colerain
NC 27924-9006

Ph: (252) 356-2404

NPI Details:

NPI Number1790851004
Provider Enumeration Date11/28/2006
Last Update Date03/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7214983386
Medicare Enrollment IDO20050428001071

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790851004NPI-NPPES
018N8OtherNCBCBSNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMichael C Alston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326067224
PECOS PAC ID: 0345235032
Enrollment ID: I20040420001154
Provider NameVijay R Dhoopati
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619919230
PECOS PAC ID: 0446147904
Enrollment ID: I20050112000332
Provider NameColin D Jones
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1891722807
PECOS PAC ID: 5597704478
Enrollment ID: I20050429000467
Provider NameChristina G Griffiths
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609895580
PECOS PAC ID: 4385683283
Enrollment ID: I20050429000579
Provider NameMichelle W Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922172238
PECOS PAC ID: 6507800232
Enrollment ID: I20050614000781
Provider NameGilberto Pabalan Navarro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518945385
PECOS PAC ID: 7315979077
Enrollment ID: I20050909000411
Provider NameEmmie L Taylor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114064045
PECOS PAC ID: 5294754826
Enrollment ID: I20051114000396
Provider NameRobert L Venable
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1750336855
PECOS PAC ID: 1052340544
Enrollment ID: I20060214000287
Provider NameKathryn Lesiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831182724
PECOS PAC ID: 1254319973
Enrollment ID: I20081202000595
Provider NameTimothy J. Mcgrath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528085552
PECOS PAC ID: 4385778729
Enrollment ID: I20100819001240
Provider NameVenkata Ramanamba Jonnalagadda
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396945804
PECOS PAC ID: 1153509500
Enrollment ID: I20110707000207
Provider NameJamande Amin Jones
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003136383
PECOS PAC ID: 5799910733
Enrollment ID: I20131030000130
Provider NameGeniene Nicole Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568782845
PECOS PAC ID: 4284861527
Enrollment ID: I20131212001404
Provider NameLindsey Dale Phelps-copeland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053749820
PECOS PAC ID: 8820225915
Enrollment ID: I20131217000914
Provider NameTeresa Lanier Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366815052
PECOS PAC ID: 4789985110
Enrollment ID: I20151209000780
Provider NameCharlene Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841774841
PECOS PAC ID: 7214276351
Enrollment ID: I20190306003549
Provider NameWhitley Arvis Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932712163
PECOS PAC ID: 6204254568
Enrollment ID: I20200917003024
Provider NameKaren Brixon - Holloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629684642
PECOS PAC ID: 1557774866
Enrollment ID: I20210106000074
Provider NameRobert James Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336725050
PECOS PAC ID: 3870993637
Enrollment ID: I20210616000014
Provider NameCatherine Grimes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952799496
PECOS PAC ID: 0345567020
Enrollment ID: I20220323000471
Provider NameJordan Alexandra Conner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154056083
PECOS PAC ID: 0648656561
Enrollment ID: I20220929003726
Provider NameMackenzie Lesha Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215663737
PECOS PAC ID: 9830558188
Enrollment ID: I20230705000240
Provider NameChaquella Daughtry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902567928
PECOS PAC ID: 7911366612
Enrollment ID: I20231221001530
Provider NameMary Chester Morgan Wasko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598731945
PECOS PAC ID: 4789863077
Enrollment ID: I20240206001902
Provider NameRuthie Daniels Rowe
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1629770748
PECOS PAC ID: 2860836137
Enrollment ID: I20240215000821
Provider NameSusan T Hoggard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013079938
PECOS PAC ID: 8022458439
Enrollment ID: I20240502001872
Provider NameUrsula Knight Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942069943
PECOS PAC ID: 3678015880
Enrollment ID: I20240603004234
Provider NameJoshua Warren Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770843674
PECOS PAC ID: 3476873613
Enrollment ID: I20241112004386
Provider NameCharles Donald Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013756451
PECOS PAC ID: 7214462472
Enrollment ID: I20241125001774
Provider NameCarla Dee Cooper Eure
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245090059
PECOS PAC ID: 5698201044
Enrollment ID: I20241209001304

Reviews and Comments


Clinic/Center in Colerain, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.