| Firsthealth Richmond Medical Group Internal Medicine | |
|
809 S Long Dr Ste H Rockingham NC 28379-4317 | |
| (910) 417-4005 | |
| (910) 417-4014 |
| Full Name | Firsthealth Richmond Medical Group Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 809 S Long Dr Ste H, Rockingham, North Carolina |
| Authorized Official Name and Position | Mickey Foster (CEO) |
| Authorized Official Contact | 9107151443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthealth Richmond Medical Group Internal Medicine Po Box 896208 Charlotte NC 28289-6208 Ph: (910) 715-1010 | Firsthealth Richmond Medical Group Internal Medicine 809 S Long Dr Ste H Rockingham NC 28379-4317 Ph: (910) 417-4005 |
| NPI Number | 1962737452 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 09/15/2021 |
| Medicare PECOS PAC ID | 1254473630 |
|---|---|
| Medicare Enrollment ID | O20100122000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962737452 | NPI | - | NPPES |
| NPB344 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jolena Beth Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518018688 PECOS PAC ID: 5597736603 Enrollment ID: I20040803000850 |
| Provider Name | Charlita R Mangrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693826 PECOS PAC ID: 8820046394 Enrollment ID: I20050111000774 |
| Provider Name | William Lee Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619971694 PECOS PAC ID: 7315038353 Enrollment ID: I20070806000755 |
| Provider Name | John E. Flannery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134164197 PECOS PAC ID: 1153410626 Enrollment ID: I20071205000735 |
| Provider Name | Tonya E Eteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134562382 PECOS PAC ID: 0547408502 Enrollment ID: I20130603000385 |
| Provider Name | Gleybis Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952682973 PECOS PAC ID: 2567689649 Enrollment ID: I20150430000015 |
| Provider Name | Joseph Eisele Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053624296 PECOS PAC ID: 7214204221 Enrollment ID: I20170523001428 |
| Provider Name | Ann Marie T Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942611280 PECOS PAC ID: 6305062332 Enrollment ID: I20171013002214 |
| Provider Name | Logan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548763428 PECOS PAC ID: 4981969839 Enrollment ID: I20180702000139 |
| Provider Name | Lisa Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508850892 PECOS PAC ID: 0648463869 Enrollment ID: I20200709002065 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578084927 PECOS PAC ID: 6800162603 Enrollment ID: I20201008000670 |
| Provider Name | Laura Grant Snead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772132 PECOS PAC ID: 1850702945 Enrollment ID: I20201120001612 |
| Provider Name | Tammy Lynn Brigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578142543 PECOS PAC ID: 3072922798 Enrollment ID: I20210511000610 |
| Provider Name | Samantha Craven Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918422 PECOS PAC ID: 3678970969 Enrollment ID: I20210929002640 |
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