Goshen Medical Center - Fairview | |
408 Fairview St Clinton NC 28328-2312 | |
(910) 596-2400 | |
(910) 267-8933 |
Full Name | Goshen Medical Center - Fairview |
---|---|
Speciality | Clinic/Center |
Location | 408 Fairview St, Clinton, North Carolina |
Authorized Official Name and Position | Rebecca M Brown (CREDENTIALING) |
Authorized Official Contact | 9102678252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Goshen Medical Center - Fairview Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | Goshen Medical Center - Fairview 408 Fairview St Clinton NC 28328-2312 Ph: (910) 596-2400 |
NPI Number | 1023424686 |
---|---|
Provider Enumeration Date | 07/03/2014 |
Last Update Date | 09/20/2022 |
Medicare PECOS PAC ID | 3173434479 |
---|---|
Medicare Enrollment ID | O20040102000726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023424686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Ann A Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578563201 PECOS PAC ID: 2163320862 Enrollment ID: I20031219000262 |
Provider Name | Carl Daniel Pate |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346323375 PECOS PAC ID: 1355239823 Enrollment ID: I20040306000169 |
Provider Name | Marshall K Quinn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154404176 PECOS PAC ID: 7719876234 Enrollment ID: I20040312000851 |
Provider Name | Andre K Tse |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871591644 PECOS PAC ID: 6103816574 Enrollment ID: I20040517000904 |
Provider Name | Susan Lill Craven |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003079450 PECOS PAC ID: 5294716395 Enrollment ID: I20040525001532 |
Provider Name | David R Parker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376547356 PECOS PAC ID: 7416920111 Enrollment ID: I20040819000213 |
Provider Name | Gary James Robinson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457416778 PECOS PAC ID: 9537122049 Enrollment ID: I20041110000841 |
Provider Name | Pamela Pope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467411215 PECOS PAC ID: 3274584743 Enrollment ID: I20050202000699 |
Provider Name | Robert A Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629189279 PECOS PAC ID: 6507817863 Enrollment ID: I20050203000319 |
Provider Name | John D Mcallister |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184689382 PECOS PAC ID: 8729039722 Enrollment ID: I20050208000183 |
Provider Name | Earlie T Johnson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275594079 PECOS PAC ID: 0840241204 Enrollment ID: I20050208000874 |
Provider Name | Tina B Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922125087 PECOS PAC ID: 2668498031 Enrollment ID: I20051015000139 |
Provider Name | Paul Ziomek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548357908 PECOS PAC ID: 7719955343 Enrollment ID: I20051206000961 |
Provider Name | Thomas John Calogero |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528138245 PECOS PAC ID: 6608846720 Enrollment ID: I20060106000185 |
Provider Name | Najibullah Muradi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164467775 PECOS PAC ID: 4880617208 Enrollment ID: I20060111000490 |
Provider Name | Michael Mundy Ward |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013912229 PECOS PAC ID: 4981619525 Enrollment ID: I20060217000398 |
Provider Name | John David Beaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255382354 PECOS PAC ID: 8527082981 Enrollment ID: I20060221000039 |
Provider Name | Susan Freeland Paparazo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609974468 PECOS PAC ID: 4587661335 Enrollment ID: I20061108000619 |
Provider Name | Randall G Richards |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073684015 PECOS PAC ID: 7911908793 Enrollment ID: I20070122000306 |
Provider Name | Paula H Ivey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891854311 PECOS PAC ID: 6901907294 Enrollment ID: I20070731000521 |
Provider Name | Steven Millen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710182209 PECOS PAC ID: 8325131535 Enrollment ID: I20070904000729 |
Provider Name | Peggy Sue Barnhill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407858301 PECOS PAC ID: 5991886681 Enrollment ID: I20080119000041 |
Provider Name | Coy R Matthews |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528028149 PECOS PAC ID: 0143303537 Enrollment ID: I20080207000662 |
Provider Name | Tina Bumgarner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598932683 PECOS PAC ID: 9032280797 Enrollment ID: I20080624000351 |
Provider Name | Teresa Ann Holland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861697310 PECOS PAC ID: 3274695630 Enrollment ID: I20081218000238 |
Provider Name | Corazon Ngo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740264084 PECOS PAC ID: 7810022191 Enrollment ID: I20100312000346 |
Provider Name | Keith Carmack |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609813146 PECOS PAC ID: 4587791124 Enrollment ID: I20100429001124 |
Provider Name | Sandra L Krantz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215071865 PECOS PAC ID: 1850325275 Enrollment ID: I20101026000148 |
Provider Name | Linda K Flowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649397357 PECOS PAC ID: 0648464982 Enrollment ID: I20101101001057 |
Provider Name | Thomas L Kirtley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710977087 PECOS PAC ID: 0840267746 Enrollment ID: I20110131000827 |
Provider Name | John Robert Nordin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700827706 PECOS PAC ID: 5597889030 Enrollment ID: I20120308000074 |
Provider Name | Marlene Whaley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609205442 PECOS PAC ID: 1254569643 Enrollment ID: I20140109001467 |
Provider Name | Cynthia Anne Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295824910 PECOS PAC ID: 5890923239 Enrollment ID: I20140110001465 |
Provider Name | Lois J Iiams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982037172 PECOS PAC ID: 9537382841 Enrollment ID: I20140513002015 |
Provider Name | Tenesa Yashica Shevon Mccaskill-gainey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225454689 PECOS PAC ID: 3072737204 Enrollment ID: I20140610000814 |
Provider Name | Sarah Young |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861683260 PECOS PAC ID: 9830251883 Enrollment ID: I20140721001422 |
Provider Name | Lisa R Lafata |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639586704 PECOS PAC ID: 6901027994 Enrollment ID: I20141015002189 |
Provider Name | Mark E Hollingsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871787549 PECOS PAC ID: 9830310788 Enrollment ID: I20141020000260 |
Provider Name | Philip Ralph Gould |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821030792 PECOS PAC ID: 9638327778 Enrollment ID: I20150115001527 |
Provider Name | Patti Jordan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629465505 PECOS PAC ID: 0345552774 Enrollment ID: I20150629000015 |
Provider Name | Elizabeth Elizabeth Mcveigh |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1285683524 PECOS PAC ID: 3173689171 Enrollment ID: I20150825003999 |
Provider Name | David Henry Gremillion |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710159454 PECOS PAC ID: 2062720402 Enrollment ID: I20151005000210 |
Provider Name | Douglas C Keith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063444198 PECOS PAC ID: 6406166487 Enrollment ID: I20151103001390 |
Provider Name | Stephanie B Mckithan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467823179 PECOS PAC ID: 6709181415 Enrollment ID: I20160217002128 |
Provider Name | Brittney A Copeland Best |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275884306 PECOS PAC ID: 2062703861 Enrollment ID: I20160627000773 |
Provider Name | Elizabeth Kleinfelder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134580442 PECOS PAC ID: 2961795497 Enrollment ID: I20160721001294 |
Provider Name | Kendall Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558817072 PECOS PAC ID: 5698053817 Enrollment ID: I20161024000230 |
Provider Name | Virginia C Hancock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457750267 PECOS PAC ID: 3870873771 Enrollment ID: I20161212001455 |
Provider Name | Audy G Whitman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962812156 PECOS PAC ID: 1658660774 Enrollment ID: I20170825001830 |
Provider Name | Brittany Batten Canady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336677699 PECOS PAC ID: 5193097079 Enrollment ID: I20170828002944 |
Provider Name | Marina Igorevna Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679096945 PECOS PAC ID: 7517232960 Enrollment ID: I20171011000188 |
Provider Name | Lorena Dunbar Mauney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508376484 PECOS PAC ID: 5991062937 Enrollment ID: I20171130000848 |
Provider Name | Nilima H Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669985461 PECOS PAC ID: 4880956481 Enrollment ID: I20180320000145 |
Provider Name | Paul Alan Rhodes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558887463 PECOS PAC ID: 4183979560 Enrollment ID: I20180626003561 |
Provider Name | Caroline T Brewster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356720296 PECOS PAC ID: 1052601317 Enrollment ID: I20180910002602 |
Provider Name | Isaac Yaw Boadi Nuamah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093280117 PECOS PAC ID: 1658625306 Enrollment ID: I20181115000415 |
Provider Name | Kayla Sholar Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548745359 PECOS PAC ID: 9739423468 Enrollment ID: I20181206000234 |
Provider Name | Susan M Kirwan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447461314 PECOS PAC ID: 8820287618 Enrollment ID: I20190806001421 |
Provider Name | Carie M Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750849758 PECOS PAC ID: 8921335068 Enrollment ID: I20190812002641 |
Provider Name | Katie Lynn Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609435684 PECOS PAC ID: 2860729654 Enrollment ID: I20190816002124 |
Provider Name | Brittany Leigh Spence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740836485 PECOS PAC ID: 5294066122 Enrollment ID: I20191008001568 |
Provider Name | Denise Evans Gallops |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376199125 PECOS PAC ID: 8527390327 Enrollment ID: I20191029000094 |
Provider Name | Candace H Beddard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962050047 PECOS PAC ID: 8123450236 Enrollment ID: I20191112000013 |
Provider Name | Amaryllis Maldonado Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831740604 PECOS PAC ID: 9436582244 Enrollment ID: I20191210001046 |
Provider Name | Kari Leanne Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275174401 PECOS PAC ID: 7012343221 Enrollment ID: I20200206002856 |
Provider Name | Cora Shante King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023654068 PECOS PAC ID: 1759719784 Enrollment ID: I20200325001101 |
Provider Name | Aixa Nieves Kimes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699313452 PECOS PAC ID: 4789013566 Enrollment ID: I20200330001989 |
Provider Name | Karen Ann Chavis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881247708 PECOS PAC ID: 5799114831 Enrollment ID: I20200410001775 |
Provider Name | Michelle Stroup |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174155683 PECOS PAC ID: 2466882451 Enrollment ID: I20200414003846 |
Provider Name | Krista Marie Welch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174159529 PECOS PAC ID: 9638500978 Enrollment ID: I20200520002511 |
Provider Name | Samantha Ruth Ferguson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174151658 PECOS PAC ID: 2961823646 Enrollment ID: I20200604002301 |
Provider Name | Sheila Love Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346863537 PECOS PAC ID: 0840612883 Enrollment ID: I20200622001708 |
Provider Name | Carolyn Danielle Battle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114540036 PECOS PAC ID: 6406271758 Enrollment ID: I20200803002356 |
Provider Name | Karley Elizabeth Bastien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609499771 PECOS PAC ID: 2769807056 Enrollment ID: I20200804000851 |
Provider Name | Lydia A. Teague |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467075440 PECOS PAC ID: 8729403985 Enrollment ID: I20200804003793 |
Provider Name | Natasha Kenan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013530013 PECOS PAC ID: 8325464134 Enrollment ID: I20200811002329 |
Provider Name | Jordan Kate Bullard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245862424 PECOS PAC ID: 2567889561 Enrollment ID: I20200903003335 |
Provider Name | Shykiya Lee Tillman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902429673 PECOS PAC ID: 8628496619 Enrollment ID: I20200908000907 |
Provider Name | Chelcie Kaluzny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356816854 PECOS PAC ID: 1951733369 Enrollment ID: I20200911001593 |
Provider Name | Pamela Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265055271 PECOS PAC ID: 8123446853 Enrollment ID: I20200914000174 |
Provider Name | Kathy Lynn Mckenzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356967368 PECOS PAC ID: 6507286507 Enrollment ID: I20201013001735 |
Provider Name | Linda K Winner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790391472 PECOS PAC ID: 1052731080 Enrollment ID: I20201013003088 |
Provider Name | Sital Dilip Jethwa |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942591565 PECOS PAC ID: 9335551878 Enrollment ID: I20201207003173 |
Provider Name | Jamie Jones Avery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053913483 PECOS PAC ID: 9739591165 Enrollment ID: I20201209000918 |
Provider Name | Bridget Akwetey Quaye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548863004 PECOS PAC ID: 8022420777 Enrollment ID: I20201222000706 |
Provider Name | Kayla Noel Andrews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053917831 PECOS PAC ID: 1557775897 Enrollment ID: I20210128001601 |
Provider Name | Angel D Bowden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619567666 PECOS PAC ID: 4587079967 Enrollment ID: I20210217000715 |
Provider Name | Cheryl Holland Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447867148 PECOS PAC ID: 9234545542 Enrollment ID: I20210311001695 |
Provider Name | Crystal Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750971628 PECOS PAC ID: 4587071204 Enrollment ID: I20210325000540 |
Provider Name | Mary Ann Todd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326665142 PECOS PAC ID: 1254740186 Enrollment ID: I20210506000252 |
Provider Name | Deborah Jean Sides |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952983785 PECOS PAC ID: 5890194963 Enrollment ID: I20210521000132 |
Provider Name | Caitlin Maureen Casey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861069486 PECOS PAC ID: 3072917475 Enrollment ID: I20210806002184 |
Provider Name | Carl Hurd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346914256 PECOS PAC ID: 3375954084 Enrollment ID: I20210909002088 |
Provider Name | Johnny Moyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962825000 PECOS PAC ID: 4587987748 Enrollment ID: I20211117000051 |
Provider Name | Selena P Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336813195 PECOS PAC ID: 8628467339 Enrollment ID: I20211118002863 |
Provider Name | Amber M Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699446401 PECOS PAC ID: 5991195208 Enrollment ID: I20211130002881 |
Provider Name | Stephanie Turpin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760669758 PECOS PAC ID: 9436224623 Enrollment ID: I20220216002011 |
Provider Name | Heather Fulghum Weeks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447902614 PECOS PAC ID: 0749675767 Enrollment ID: I20220309002012 |
Provider Name | Russell J Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720739881 PECOS PAC ID: 6406241926 Enrollment ID: I20220321001154 |
Provider Name | Pamela Langley Driver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902429053 PECOS PAC ID: 1153717277 Enrollment ID: I20220329002314 |
Provider Name | Angela Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518610997 PECOS PAC ID: 4880080316 Enrollment ID: I20220408000507 |
Provider Name | Albertina D Smith-banks |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386759108 PECOS PAC ID: 5597152280 Enrollment ID: I20220427002728 |
Provider Name | Michael T Futrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497328140 PECOS PAC ID: 8921485137 Enrollment ID: I20220509001950 |
Provider Name | Kimberly Suzanne Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871163626 PECOS PAC ID: 8527440064 Enrollment ID: I20220801001837 |
Provider Name | Amity Storm Hines |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639790876 PECOS PAC ID: 7911389184 Enrollment ID: I20220804000811 |
Provider Name | Cassandra Lancaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568195030 PECOS PAC ID: 1153705462 Enrollment ID: I20220906002973 |
Provider Name | Stephanie Benson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689303679 PECOS PAC ID: 4688050487 Enrollment ID: I20221003000396 |
Provider Name | Colleen Decato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679207153 PECOS PAC ID: 9133505449 Enrollment ID: I20221010001644 |
Provider Name | Lynn Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821599473 PECOS PAC ID: 3870839780 Enrollment ID: I20221116001466 |
Provider Name | Whitney B Pruitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104543545 PECOS PAC ID: 8820467418 Enrollment ID: I20221202001170 |
Provider Name | Obiageli Okoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083384804 PECOS PAC ID: 8224407762 Enrollment ID: I20221206000779 |
Provider Name | Kimberly Jane Sinclair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649898966 PECOS PAC ID: 3577932789 Enrollment ID: I20221210000097 |
Provider Name | Caroline Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871206987 PECOS PAC ID: 5193196376 Enrollment ID: I20230126000715 |
Provider Name | Hannah Deanes Ziebol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760175657 PECOS PAC ID: 8123487766 Enrollment ID: I20230629003268 |
Provider Name | Viola Elizabeth Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538858246 PECOS PAC ID: 0648639716 Enrollment ID: I20230707000713 |
Provider Name | Kaitlyn Averitt Tyndall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700560653 PECOS PAC ID: 4082075395 Enrollment ID: I20230803000627 |
Provider Name | Kimberly Ann Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659050946 PECOS PAC ID: 3274995394 Enrollment ID: I20230821003391 |
Provider Name | Alice Petersen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902405665 PECOS PAC ID: 6507229614 Enrollment ID: I20230822003702 |
Provider Name | Tammy L Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063106284 PECOS PAC ID: 0648633883 Enrollment ID: I20230905004178 |
Provider Name | Alexandra Mcclenahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922627991 PECOS PAC ID: 5092136911 Enrollment ID: I20230906000535 |
Provider Name | Rebecca Banks Gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386325116 PECOS PAC ID: 1355705161 Enrollment ID: I20230913000301 |
Provider Name | Jonathan Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316646557 PECOS PAC ID: 2163888124 Enrollment ID: I20231018001445 |
Provider Name | Catherine Orji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255958385 PECOS PAC ID: 7214383751 Enrollment ID: I20231019002449 |
Provider Name | Agatha Zofia Ambrozy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922637693 PECOS PAC ID: 3072935360 Enrollment ID: I20231227002845 |
Provider Name | Vida Kena-dankwah Gyamfi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124808894 PECOS PAC ID: 0042662199 Enrollment ID: I20240115000505 |
Provider Name | Morgan Klokow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548035595 PECOS PAC ID: 0840642286 Enrollment ID: I20240122001180 |
Provider Name | April Rutledge Grady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275395949 PECOS PAC ID: 0840636882 Enrollment ID: I20240312003444 |
Provider Name | Brandi Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992571442 PECOS PAC ID: 7113365594 Enrollment ID: I20240404000566 |
Provider Name | Heather Elaine Watkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316701394 PECOS PAC ID: 4880035179 Enrollment ID: I20240517001149 |
Provider Name | Melissa Dawn Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891556122 PECOS PAC ID: 8123460284 Enrollment ID: I20240521004582 |
Goshen Medical Center - Clinton Mobile Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 906 Us Highway 421, Clinton, NC 28328 Phone: 910-592-1462 Fax: 919-364-8367 | |
Commwell Health Of Building Bridges Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Vance St Unit B, Clinton, NC 28328 Phone: 910-567-7107 Fax: 910-299-0486 | |
Clinton Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811 | |
Sampson County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 County Complex Rd, Clinton, NC 28328 Phone: 910-592-1131 Fax: 910-592-1901 | |
Sampson Regional Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 Fax: 910-596-5430 | |
Total Health Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Beaman St, Unit 606, Clinton, NC 28328 Phone: 910-596-0061 Fax: 910-596-0062 |