| Fryecare Lincolnton Medical Group | |
|
1470 E Gaston St Ste 300 Lincolnton NC 28092-4433 | |
| (704) 735-7474 | |
| (704) 735-8788 |
| Full Name | Fryecare Lincolnton Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1470 E Gaston St Ste 300, Lincolnton, North Carolina |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fryecare Lincolnton Medical Group 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Fryecare Lincolnton Medical Group 1470 E Gaston St Ste 300 Lincolnton NC 28092-4433 Ph: (704) 735-7474 |
| NPI Number | 1154005965 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 8123397601 |
|---|---|
| Medicare Enrollment ID | O20170627003051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154005965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Reginald Graham Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272339 PECOS PAC ID: 9739072422 Enrollment ID: I20040205001055 |
| Provider Name | Gregory A Pisel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528065604 PECOS PAC ID: 8921997206 Enrollment ID: I20040313000742 |
| Provider Name | Phillip A Paspa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184625188 PECOS PAC ID: 3577453851 Enrollment ID: I20040504000464 |
| Provider Name | Melinda C Daves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689779837 PECOS PAC ID: 9234129438 Enrollment ID: I20040518000313 |
| Provider Name | Dale A Menard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629031323 PECOS PAC ID: 4981689429 Enrollment ID: I20040621000396 |
| Provider Name | Maria Carmen E Espiritu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538135942 PECOS PAC ID: 4284618653 Enrollment ID: I20040621001803 |
| Provider Name | Patience Ekuatinne Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246566 PECOS PAC ID: 9638155765 Enrollment ID: I20040628001516 |
| Provider Name | Bruce M Goodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366403578 PECOS PAC ID: 8729059498 Enrollment ID: I20040804001885 |
| Provider Name | Gregory Bracewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316997497 PECOS PAC ID: 3173583309 Enrollment ID: I20041013000121 |
| Provider Name | David A Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023014339 PECOS PAC ID: 6002871811 Enrollment ID: I20041122000220 |
| Provider Name | Daniel E Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831154244 PECOS PAC ID: 6103879556 Enrollment ID: I20050224000996 |
| Provider Name | Milton Lee Mcpherson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760577548 PECOS PAC ID: 8123074606 Enrollment ID: I20050328000885 |
| Provider Name | Robert A Yapundich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417996695 PECOS PAC ID: 4981643814 Enrollment ID: I20050428001269 |
| Provider Name | John A Morrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457342263 PECOS PAC ID: 5799717369 Enrollment ID: I20050902000485 |
| Provider Name | Steven M Isserman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518920271 PECOS PAC ID: 1850321316 Enrollment ID: I20050915000882 |
| Provider Name | Josephine R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235138462 PECOS PAC ID: 6709810690 Enrollment ID: I20050920001204 |
| Provider Name | Franklin Riley Mcguire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467419358 PECOS PAC ID: 7517983315 Enrollment ID: I20051020000946 |
| Provider Name | Thomas Michael Wiley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144285123 PECOS PAC ID: 1850314626 Enrollment ID: I20060106000561 |
| Provider Name | Neveen M Habashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356395628 PECOS PAC ID: 6002868080 Enrollment ID: I20060123000965 |
| Provider Name | Ismo M Kaariainen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615058 PECOS PAC ID: 3173535739 Enrollment ID: I20060622000252 |
| Provider Name | John R Carson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477580199 PECOS PAC ID: 1355346503 Enrollment ID: I20060922000251 |
| Provider Name | Lauri Patrice Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841253135 PECOS PAC ID: 0244235950 Enrollment ID: I20060930000016 |
| Provider Name | Steven Tomski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083666135 PECOS PAC ID: 8820048630 Enrollment ID: I20061013000470 |
| Provider Name | Pairoj Rerkpattanapipat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306857883 PECOS PAC ID: 5698877918 Enrollment ID: I20070216000334 |
| Provider Name | Richard G Lupton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326035353 PECOS PAC ID: 2961410337 Enrollment ID: I20070330000590 |
| Provider Name | Dana L Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790706224 PECOS PAC ID: 0244334050 Enrollment ID: I20070404000370 |
| Provider Name | Susan Renee Garwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053381921 PECOS PAC ID: 0840399309 Enrollment ID: I20070625000117 |
| Provider Name | Payton G Fennell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306906086 PECOS PAC ID: 1153422175 Enrollment ID: I20070720000562 |
| Provider Name | Christopher Lynn Polen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087760 PECOS PAC ID: 9830188218 Enrollment ID: I20070807000420 |
| Provider Name | Leverne Smith Fox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629036488 PECOS PAC ID: 1052403300 Enrollment ID: I20070816000609 |
| Provider Name | James Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016355 PECOS PAC ID: 6103734439 Enrollment ID: I20070912000322 |
| Provider Name | Jamal M Kalala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114931409 PECOS PAC ID: 6800965567 Enrollment ID: I20080521000087 |
| Provider Name | Twilla M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770756512 PECOS PAC ID: 8628148764 Enrollment ID: I20080602000700 |
| Provider Name | Ailisa Hipp Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356479828 PECOS PAC ID: 3577633007 Enrollment ID: I20080610000248 |
| Provider Name | Walter C Pearcy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003873530 PECOS PAC ID: 6204909278 Enrollment ID: I20080724000061 |
| Provider Name | James R Goins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134133259 PECOS PAC ID: 7012081391 Enrollment ID: I20080828000035 |
| Provider Name | Virginia Fredericka Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023211489 PECOS PAC ID: 3870669740 Enrollment ID: I20080829000504 |
| Provider Name | Patricia T Amoako |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770610370 PECOS PAC ID: 1951344415 Enrollment ID: I20081027000454 |
| Provider Name | Stephen Mcneil Coarsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205815222 PECOS PAC ID: 7416017504 Enrollment ID: I20081119000451 |
| Provider Name | Mark R Harter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518946078 PECOS PAC ID: 3577627025 Enrollment ID: I20090203000756 |
| Provider Name | Cassaundra Houston Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306081468 PECOS PAC ID: 6507922861 Enrollment ID: I20090311000661 |
| Provider Name | Sonya C Golini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518130186 PECOS PAC ID: 4082761960 Enrollment ID: I20090409000711 |
| Provider Name | Sebastine Elendu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073536074 PECOS PAC ID: 1658336979 Enrollment ID: I20090423000637 |
| Provider Name | David W Kirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225088727 PECOS PAC ID: 1355490400 Enrollment ID: I20090519000542 |
| Provider Name | Murthy Venkata Madduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750498515 PECOS PAC ID: 2264414127 Enrollment ID: I20090521000607 |
| Provider Name | Kelly Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740422351 PECOS PAC ID: 6507915147 Enrollment ID: I20090601000318 |
| Provider Name | Allen R Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821001652 PECOS PAC ID: 3971657156 Enrollment ID: I20090822000187 |
| Provider Name | Brian Paul Hearon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437112836 PECOS PAC ID: 1355374877 Enrollment ID: I20100111000123 |
| Provider Name | Sanjay Kumar Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326001603 PECOS PAC ID: 4688715725 Enrollment ID: I20100111000744 |
| Provider Name | Donald F Bias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174517221 PECOS PAC ID: 1951306232 Enrollment ID: I20100113000760 |
| Provider Name | Daniel N Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700845062 PECOS PAC ID: 2769524024 Enrollment ID: I20100125000479 |
| Provider Name | Ghassan Alkoutami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508867516 PECOS PAC ID: 0345382362 Enrollment ID: I20100128000474 |
| Provider Name | Catherine Ann Weymann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518923069 PECOS PAC ID: 6204978240 Enrollment ID: I20100128000622 |
| Provider Name | Richard D Schultz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124029137 PECOS PAC ID: 0547267098 Enrollment ID: I20100201000554 |
| Provider Name | Indira D Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245484211 PECOS PAC ID: 6103969993 Enrollment ID: I20100202000400 |
| Provider Name | George C Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497775597 PECOS PAC ID: 3476547522 Enrollment ID: I20100213000125 |
| Provider Name | F Alice Bishopric |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225024532 PECOS PAC ID: 3375618119 Enrollment ID: I20100309000360 |
| Provider Name | Cemil Mehmet Purut |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013978279 PECOS PAC ID: 7911033949 Enrollment ID: I20100330000365 |
| Provider Name | Richard A Carlton |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104887850 PECOS PAC ID: 6305818568 Enrollment ID: I20100331000780 |
| Provider Name | Vincent Joseph Patrone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124029129 PECOS PAC ID: 8921134578 Enrollment ID: I20100407000389 |
| Provider Name | Daniel Spurgeon Hey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285667790 PECOS PAC ID: 1557343001 Enrollment ID: I20100420000562 |
| Provider Name | Karol Annetta Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639200025 PECOS PAC ID: 2163486754 Enrollment ID: I20100517000522 |
| Provider Name | Ralph Norman Mcdonald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609839901 PECOS PAC ID: 2365475886 Enrollment ID: I20100517000890 |
| Provider Name | Makondo Shimukowa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730389982 PECOS PAC ID: 6002970332 Enrollment ID: I20100708000249 |
| Provider Name | Mark Douglas Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023157229 PECOS PAC ID: 8820112410 Enrollment ID: I20100903000218 |
| Provider Name | Benjamin M Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831391945 PECOS PAC ID: 2466645965 Enrollment ID: I20101015001006 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20110119000379 |
| Provider Name | Thomas Elliott Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669770723 PECOS PAC ID: 5991980104 Enrollment ID: I20110504000346 |
| Provider Name | Larry Terrell Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134121221 PECOS PAC ID: 9032165121 Enrollment ID: I20110606000760 |
| Provider Name | Mary J Britton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053318246 PECOS PAC ID: 0143499186 Enrollment ID: I20110809000631 |
| Provider Name | Michael L Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822196 PECOS PAC ID: 0345412110 Enrollment ID: I20111021000001 |
| Provider Name | Katherine Anne Hemby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851698195 PECOS PAC ID: 7214101609 Enrollment ID: I20111121000781 |
| Provider Name | Daniel Russell Hatcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518953769 PECOS PAC ID: 6406816883 Enrollment ID: I20120710000076 |
| Provider Name | Julie Farrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447243142 PECOS PAC ID: 2365513926 Enrollment ID: I20120717000036 |
| Provider Name | Srinivas S Mikkilineni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558595108 PECOS PAC ID: 9133378540 Enrollment ID: I20120928000451 |
| Provider Name | Allison I Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134496672 PECOS PAC ID: 0143471268 Enrollment ID: I20121119000012 |
| Provider Name | Naveena Mainampati Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770751869 PECOS PAC ID: 6305989740 Enrollment ID: I20130227000623 |
| Provider Name | Samer A Zeayter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578543047 PECOS PAC ID: 5395777627 Enrollment ID: I20130409000034 |
| Provider Name | Marie J Polynice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738371 PECOS PAC ID: 5294973210 Enrollment ID: I20130604000342 |
| Provider Name | Mariely Castellanos Nouel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649506494 PECOS PAC ID: 0648313924 Enrollment ID: I20130717000769 |
| Provider Name | Adaorah Elizabeth Okafor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205156858 PECOS PAC ID: 8628219938 Enrollment ID: I20130730000363 |
| Provider Name | Azra S Ayubi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316937030 PECOS PAC ID: 6002995198 Enrollment ID: I20130805000932 |
| Provider Name | Christin C Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104105337 PECOS PAC ID: 1052587417 Enrollment ID: I20130903000606 |
| Provider Name | Anupama Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033341565 PECOS PAC ID: 0840427514 Enrollment ID: I20131230001612 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20140602001825 |
| Provider Name | Kenneth T Piercy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295793016 PECOS PAC ID: 0042213159 Enrollment ID: I20140702000717 |
| Provider Name | Quiana D Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932513314 PECOS PAC ID: 4486871332 Enrollment ID: I20140816000036 |
| Provider Name | Donald Jeffrey Neal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558561670 PECOS PAC ID: 3779772793 Enrollment ID: I20140818002208 |
| Provider Name | Karin D Looper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508161274 PECOS PAC ID: 9830317544 Enrollment ID: I20140821001093 |
| Provider Name | Joshua Lee Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366858946 PECOS PAC ID: 7315166063 Enrollment ID: I20140911002228 |
| Provider Name | John Joseph Dugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346200359 PECOS PAC ID: 3870529092 Enrollment ID: I20141010000746 |
| Provider Name | Mina Saher Mekhael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639460884 PECOS PAC ID: 2961625926 Enrollment ID: I20141103001994 |
| Provider Name | Askin Uysal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568441210 PECOS PAC ID: 0749220796 Enrollment ID: I20150508002366 |
| Provider Name | Sarah K Galloway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598045825 PECOS PAC ID: 9436320181 Enrollment ID: I20150512001459 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20150527001208 |
| Provider Name | Sharmeen A Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417242017 PECOS PAC ID: 1557673092 Enrollment ID: I20150711000008 |
| Provider Name | Valencia Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604875 PECOS PAC ID: 1153626593 Enrollment ID: I20160224000001 |
| Provider Name | Nicole Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447620364 PECOS PAC ID: 8628374634 Enrollment ID: I20160316001799 |
| Provider Name | Andrew Torre Healy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699949669 PECOS PAC ID: 6204074776 Enrollment ID: I20160711001309 |
| Provider Name | Joshua Earl Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447516315 PECOS PAC ID: 4587963657 Enrollment ID: I20160824002485 |
| Provider Name | Justin David Jonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972950723 PECOS PAC ID: 8325333743 Enrollment ID: I20160824002611 |
| Provider Name | Ashlie Susanne Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710339270 PECOS PAC ID: 9133414212 Enrollment ID: I20160829001542 |
| Provider Name | Kathy Lynn Silvers-mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396897401 PECOS PAC ID: 1850686817 Enrollment ID: I20160830000979 |
| Provider Name | Carrie C Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023467313 PECOS PAC ID: 0648566349 Enrollment ID: I20160907000002 |
| Provider Name | Megan Elizabeth Philyaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294849 PECOS PAC ID: 6103105010 Enrollment ID: I20161117000711 |
| Provider Name | Deanna Lynn Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760424 PECOS PAC ID: 4385925700 Enrollment ID: I20161227000005 |
| Provider Name | Brenda L Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366703696 PECOS PAC ID: 8628206588 Enrollment ID: I20170206000544 |
| Provider Name | Michelle Bruce Nobles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777007 PECOS PAC ID: 1153343363 Enrollment ID: I20170210001460 |
| Provider Name | Lisa Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144365628 PECOS PAC ID: 7113027541 Enrollment ID: I20170426000888 |
| Provider Name | Carrie Anne Mcshane |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063850105 PECOS PAC ID: 6709184096 Enrollment ID: I20170919000004 |
| Provider Name | Mary O Polk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427158104 PECOS PAC ID: 2860412384 Enrollment ID: I20170926004321 |
| Provider Name | Tyler Brett Thurman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150462 PECOS PAC ID: 3971878083 Enrollment ID: I20170928003491 |
| Provider Name | Amanda W Du Sablon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851701593 PECOS PAC ID: 5799008132 Enrollment ID: I20171103000292 |
| Provider Name | Crystal Lail Mull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912058462 PECOS PAC ID: 7517224207 Enrollment ID: I20171205003337 |
| Provider Name | Patty Susan Vandergrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497955470 PECOS PAC ID: 5395002968 Enrollment ID: I20171206003432 |
| Provider Name | Terry L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356594360 PECOS PAC ID: 7911265327 Enrollment ID: I20171212002470 |
| Provider Name | Jill Katherine Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124463336 PECOS PAC ID: 6901187046 Enrollment ID: I20171218002588 |
| Provider Name | Joshua Q Crocker Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427575638 PECOS PAC ID: 1456612548 Enrollment ID: I20180306002982 |
| Provider Name | Heather Elizabeth Portaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619470325 PECOS PAC ID: 7517215742 Enrollment ID: I20180806000069 |
| Provider Name | Kara Hawk Clemmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548749021 PECOS PAC ID: 2769734193 Enrollment ID: I20181011002191 |
| Provider Name | Debra Kay Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144261249 PECOS PAC ID: 9133033715 Enrollment ID: I20181120002754 |
| Provider Name | Joan Diane Brugman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760540306 PECOS PAC ID: 4486999844 Enrollment ID: I20181213001329 |
| Provider Name | Melanie Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881161602 PECOS PAC ID: 6406192558 Enrollment ID: I20190109003199 |
| Provider Name | Michael L Wolak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235323981 PECOS PAC ID: 6204997786 Enrollment ID: I20190515001978 |
| Provider Name | Saurav Pokharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811135379 PECOS PAC ID: 1951520774 Enrollment ID: I20190703000039 |
| Provider Name | Cynthia F Bohacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780107367 PECOS PAC ID: 0345516845 Enrollment ID: I20190724003097 |
| Provider Name | Charles Scott Mahan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235226507 PECOS PAC ID: 0749388361 Enrollment ID: I20190726001065 |
| Provider Name | Sean G Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881856102 PECOS PAC ID: 2668537770 Enrollment ID: I20190925004042 |
| Provider Name | Tina Lum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588180806 PECOS PAC ID: 0840556445 Enrollment ID: I20191009002225 |
| Provider Name | Scott Dryzer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20191009003582 |
| Provider Name | Anne Marie Monte-parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518514025 PECOS PAC ID: 6406280973 Enrollment ID: I20191217001309 |
| Provider Name | Jamie L Fultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780077768 PECOS PAC ID: 2961799978 Enrollment ID: I20200121002262 |
| Provider Name | Denise Lepage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076238 PECOS PAC ID: 1658708987 Enrollment ID: I20200227000488 |
| Provider Name | Amr Sherif Mohamed Rifaat El Haraki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003171539 PECOS PAC ID: 4587899406 Enrollment ID: I20200721003550 |
| Provider Name | Dong Vien Dang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275875551 PECOS PAC ID: 3375864192 Enrollment ID: I20200731002806 |
| Provider Name | John M Tuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447614607 PECOS PAC ID: 3577858778 Enrollment ID: I20200806000551 |
| Provider Name | Kimberly A Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730333840 PECOS PAC ID: 9335578608 Enrollment ID: I20210105001464 |
| Provider Name | Mark-mina M Ishak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356682652 PECOS PAC ID: 3870822513 Enrollment ID: I20210112001354 |
| Provider Name | Arianna Hawn Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700472156 PECOS PAC ID: 7911312855 Enrollment ID: I20210226000933 |
| Provider Name | Brett Starr |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538579701 PECOS PAC ID: 0244539138 Enrollment ID: I20210729003485 |
| Provider Name | Lakshmi Kallur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073992343 PECOS PAC ID: 9234487661 Enrollment ID: I20210804001800 |
| Provider Name | Sandra Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319806 PECOS PAC ID: 0244635985 Enrollment ID: I20210819000019 |
| Provider Name | Reid R Russell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770965899 PECOS PAC ID: 4789994922 Enrollment ID: I20210819002970 |
| Provider Name | Korsica Lassiter Mebane |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689093361 PECOS PAC ID: 2163828716 Enrollment ID: I20210907000998 |
| Provider Name | Jesse Gullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043881253 PECOS PAC ID: 8921405135 Enrollment ID: I20210930000128 |
| Provider Name | Angela Nicole Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790458875 PECOS PAC ID: 4688072788 Enrollment ID: I20211004002080 |
| Provider Name | Melissa Benson Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629741640 PECOS PAC ID: 3971901786 Enrollment ID: I20211008001538 |
| Provider Name | Charles Daniel Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174917173 PECOS PAC ID: 6002118189 Enrollment ID: I20211012002169 |
| Provider Name | Ankur Tiwari |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508090929 PECOS PAC ID: 9032438452 Enrollment ID: I20211118002833 |
| Provider Name | Jessica Ann Lentscher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134563422 PECOS PAC ID: 2062734973 Enrollment ID: I20211206000376 |
| Provider Name | Brandi Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063666287 PECOS PAC ID: 3678963311 Enrollment ID: I20211211000147 |
| Provider Name | Flor Andrea Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336802115 PECOS PAC ID: 4789075805 Enrollment ID: I20211229000036 |
| Provider Name | Nicholas Jay Slager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429078 PECOS PAC ID: 6103218979 Enrollment ID: I20220128000855 |
| Provider Name | Michael J Seel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902814114 PECOS PAC ID: 4082710405 Enrollment ID: I20220411000836 |
| Provider Name | Jessica Trivette Prevette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750036547 PECOS PAC ID: 9537555842 Enrollment ID: I20220412002981 |
| Provider Name | Martina Gad Gabra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336594423 PECOS PAC ID: 5092006064 Enrollment ID: I20220429002147 |
| Provider Name | Uday Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508886540 PECOS PAC ID: 3577573088 Enrollment ID: I20220503001610 |
| Provider Name | Hassan Yousaf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851754170 PECOS PAC ID: 9032403191 Enrollment ID: I20220607002968 |
| Provider Name | Shareene Lindquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265894448 PECOS PAC ID: 4486032901 Enrollment ID: I20220610002614 |
| Provider Name | Anastasia Solovieva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437134335 PECOS PAC ID: 5092758540 Enrollment ID: I20220727001812 |
| Provider Name | Barry Jon Kaplan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548358385 PECOS PAC ID: 5698660660 Enrollment ID: I20220822000406 |
| Provider Name | Cynthia Attaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427708767 PECOS PAC ID: 2466836820 Enrollment ID: I20220902000437 |
| Provider Name | Arjun Ohri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760955611 PECOS PAC ID: 4981089984 Enrollment ID: I20220912001732 |
| Provider Name | Sarah Livsey Buff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346971843 PECOS PAC ID: 9830574730 Enrollment ID: I20220913002344 |
| Provider Name | Lori Joan Honeyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376214338 PECOS PAC ID: 6305235763 Enrollment ID: I20221018001771 |
| Provider Name | Joseph Lamar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073928883 PECOS PAC ID: 7618193913 Enrollment ID: I20221215000424 |
| Provider Name | Bridgette Blaire Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457892531 PECOS PAC ID: 5496126831 Enrollment ID: I20230124000456 |
| Provider Name | Muhammad Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992227953 PECOS PAC ID: 2567736192 Enrollment ID: I20230714002753 |
| Provider Name | Jennifer L Goldby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730535881 PECOS PAC ID: 4385934314 Enrollment ID: I20230726000039 |
| Provider Name | Michael Simhachalam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841857331 PECOS PAC ID: 6901228212 Enrollment ID: I20230814002995 |
| Provider Name | James Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114373784 PECOS PAC ID: 5193019693 Enrollment ID: I20231114001148 |
| Provider Name | Rebecca Jo Steele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023893609 PECOS PAC ID: 4486001229 Enrollment ID: I20231115003233 |
| Provider Name | Kelsey Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669158010 PECOS PAC ID: 1557719135 Enrollment ID: I20231120002284 |
| Provider Name | Christina Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902285315 PECOS PAC ID: 5395054704 Enrollment ID: I20231211002229 |
| Provider Name | Billie J Woodham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851564884 PECOS PAC ID: 6608992102 Enrollment ID: I20240122001347 |
| Provider Name | Tooba Munawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134649817 PECOS PAC ID: 8820361132 Enrollment ID: I20240123001525 |
| Provider Name | Charles Joseph Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894189 PECOS PAC ID: 2264875665 Enrollment ID: I20240212004478 |
| Provider Name | Raelynn M Jakkola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548792476 PECOS PAC ID: 2961788534 Enrollment ID: I20240402002825 |
| Provider Name | Muthukumar Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104104330 PECOS PAC ID: 1658590245 Enrollment ID: I20240502003048 |
| Provider Name | Haley C Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528822251 PECOS PAC ID: 0446692644 Enrollment ID: I20240520001715 |
Kintegra Mobile Dentistry-south Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Gamble Dr, Lincolnton, NC 28092 Phone: 704-853-5191 Fax: 704-671-1404 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Kennedy Dr, Lincolnton, NC 28092 Phone: 704-735-2741 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 Mcalister Rd, Suite 2200, Lincolnton, NC 28092 Phone: 980-212-7080 | |
Integrated Care Of Greater Hickory, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1228 N Flint St, Lincolnton, NC 28092 Phone: 828-322-5915 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Newbold St, Lincolnton, NC 28092 Phone: 704-735-2322 | |
Lincoln Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 Mcalister Rd, Ste 2400, Lincolnton, NC 28092 Phone: 980-212-6500 |