| Freedom House Recovery Center, Inc. | |
|
355 S Madison Blvd Ste C1 Roxboro NC 27573-5485 | |
| (336) 599-8366 | |
| (336) 322-6168 |
| Full Name | Freedom House Recovery Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 355 S Madison Blvd, Roxboro, North Carolina |
| Authorized Official Name and Position | Joyce Harper (CEO) |
| Authorized Official Contact | 9199422803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom House Recovery Center, Inc. 104 New Stateside Dr Chapel Hill NC 27516-1165 Ph: (919) 942-2803 | Freedom House Recovery Center, Inc. 355 S Madison Blvd Ste C1 Roxboro NC 27573-5485 Ph: (336) 599-8366 |
| NPI Number | 1093986523 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 5193898229 |
|---|---|
| Medicare Enrollment ID | O20090619000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093986523 | NPI | - | NPPES |
| 8302253V | Medicaid | NC | |
| 8302253H | Medicaid | NC | |
| 6006409 | Medicaid | NC | |
| 8302253G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | John Duncan Mcewen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194813014 PECOS PAC ID: 1153226915 Enrollment ID: I20031204000584 |
| Provider Name | Kathryn Y Roundtree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447329289 PECOS PAC ID: 3779535588 Enrollment ID: I20050219000036 |
| Provider Name | Mary J Endres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407897077 PECOS PAC ID: 2860413770 Enrollment ID: I20051207000593 |
| Provider Name | Griffith Howard Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891878252 PECOS PAC ID: 3274556055 Enrollment ID: I20060106000598 |
| Provider Name | Ellen K Mcrae |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528018025 PECOS PAC ID: 6204848617 Enrollment ID: I20060630000147 |
| Provider Name | Brad R Heinz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467430348 PECOS PAC ID: 6608889258 Enrollment ID: I20060726000234 |
| Provider Name | James G Groce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811090566 PECOS PAC ID: 7911001425 Enrollment ID: I20070322000224 |
| Provider Name | Tracey Lee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396826830 PECOS PAC ID: 9032184866 Enrollment ID: I20070710000403 |
| Provider Name | Paula A Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982822748 PECOS PAC ID: 3375612120 Enrollment ID: I20080520000135 |
| Provider Name | Pamela S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508026535 PECOS PAC ID: 9335212570 Enrollment ID: I20080721000485 |
| Provider Name | Crystal D Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265532527 PECOS PAC ID: 1850426537 Enrollment ID: I20100319000414 |
| Provider Name | Debra A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285892588 PECOS PAC ID: 5092908111 Enrollment ID: I20101021000981 |
| Provider Name | Barry C Weed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568534485 PECOS PAC ID: 7113103680 Enrollment ID: I20110517000909 |
| Provider Name | Sandra Kirkpatrick Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679771711 PECOS PAC ID: 0840459582 Enrollment ID: I20120315000455 |
| Provider Name | Myron Falkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598196198 PECOS PAC ID: 6103059480 Enrollment ID: I20140513000731 |
| Provider Name | Kelly Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275819617 PECOS PAC ID: 1951626308 Enrollment ID: I20150206001204 |
| Provider Name | Melissa E Pellegrino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164748331 PECOS PAC ID: 9133432966 Enrollment ID: I20150722004287 |
| Provider Name | Shawtay Devonne Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245674605 PECOS PAC ID: 2961710637 Enrollment ID: I20150929002270 |
| Provider Name | Angela Lee Godt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235425612 PECOS PAC ID: 7810280617 Enrollment ID: I20160801000375 |
| Provider Name | Katherine Elizabeth Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902356256 PECOS PAC ID: 8123301272 Enrollment ID: I20170215001374 |
| Provider Name | Sarah White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942401930 PECOS PAC ID: 1658637855 Enrollment ID: I20171103001069 |
| Provider Name | Kimberly Ann Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811483480 PECOS PAC ID: 5092067207 Enrollment ID: I20181016001438 |
| Provider Name | Marlene A Hnilica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982170049 PECOS PAC ID: 3173861879 Enrollment ID: I20190205000247 |
| Provider Name | Chinwe Ibiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598289860 PECOS PAC ID: 3870846553 Enrollment ID: I20191219001580 |
| Provider Name | Augusta Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402910 PECOS PAC ID: 6901234384 Enrollment ID: I20200318000767 |
| Provider Name | Debbie A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689893810 PECOS PAC ID: 2567559370 Enrollment ID: I20200413003599 |
| Provider Name | Natalie D Haslem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164900551 PECOS PAC ID: 3375894314 Enrollment ID: I20200417001572 |
| Provider Name | Rashaun Milese Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20200618000185 |
| Provider Name | Darryl G Mccarroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851957203 PECOS PAC ID: 1153693346 Enrollment ID: I20210721000801 |
| Provider Name | Timeka E Harper Purcell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497210082 PECOS PAC ID: 0446653893 Enrollment ID: I20210723000517 |
| Provider Name | Lance Timothy Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033783998 PECOS PAC ID: 1658777362 Enrollment ID: I20210903001904 |
| Provider Name | Peter Ngosong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063839892 PECOS PAC ID: 8729472220 Enrollment ID: I20220228000082 |
| Provider Name | Adam Oluwaseun Jenrola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235880709 PECOS PAC ID: 5092100404 Enrollment ID: I20220322002448 |
| Provider Name | Brenda Mae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437807427 PECOS PAC ID: 6800263773 Enrollment ID: I20221105000031 |
| Provider Name | Olufadeke Oladeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598434623 PECOS PAC ID: 8022487974 Enrollment ID: I20221215001245 |
| Provider Name | Bonnie Louise Kell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245771914 PECOS PAC ID: 2961873377 Enrollment ID: I20230123002325 |
| Provider Name | Janie N Ugwuegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336855543 PECOS PAC ID: 1153796925 Enrollment ID: I20230408000109 |
| Provider Name | Grace Chelangat Korir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035248 PECOS PAC ID: 4486019007 Enrollment ID: I20230503001216 |
| Provider Name | Nevaid Luke Nyagwande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892801 PECOS PAC ID: 9032577325 Enrollment ID: I20230619001115 |
| Provider Name | Amanda Dianne Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952022543 PECOS PAC ID: 1355702622 Enrollment ID: I20230802003450 |
| Provider Name | Juliana Mutindi Mutua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689369464 PECOS PAC ID: 3173969060 Enrollment ID: I20240314000448 |
Person Health Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Ridge Rd, Roxboro, NC 27573 Phone: 336-503-5703 Fax: 336-322-1819 | |
Roxboro Medaccess Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Road, Roxboro, NC 27573 Phone: 336-330-0400 Fax: 336-330-0031 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Carehere A Premise Health Company Ehealth Center In Partnership With L Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10475 Boston Rd, Roxboro, NC 27574 Phone: 336-439-5480 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Rd, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 |