| Harbin Clinic | |
|
221 Technology Pkwy Nw Rome GA 30165-1369 | |
| (762) 235-1000 | |
| Not Available |
| Full Name | Harbin Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 Technology Pkwy Nw, Rome, Georgia |
| Authorized Official Name and Position | Thomas Diehl (CFO) |
| Authorized Official Contact | 7622351166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbin Clinic 221 Technology Pkwy Nw Rome GA 30165-1369 Ph: (762) 235-1000 | Harbin Clinic 221 Technology Pkwy Nw Rome GA 30165-1369 Ph: (762) 235-1000 |
| NPI Number | 1679599088 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/29/2021 |
| Medicare PECOS PAC ID | 0446154231 |
|---|---|
| Medicare Enrollment ID | O20031124000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679599088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Robert P Styperek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225193303 PECOS PAC ID: 7315841947 Enrollment ID: I20031125000034 |
| Provider Name | James C Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457345936 PECOS PAC ID: 5890683957 Enrollment ID: I20040309001182 |
| Provider Name | Poonam Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457346496 PECOS PAC ID: 0345139119 Enrollment ID: I20040311000660 |
| Provider Name | Amar K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669467601 PECOS PAC ID: 5890684567 Enrollment ID: I20040311000715 |
| Provider Name | Hailu Demissachew |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356401616 PECOS PAC ID: 2264322411 Enrollment ID: I20040319000423 |
| Provider Name | William F Hunter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770644585 PECOS PAC ID: 5890776983 Enrollment ID: I20040525001479 |
| Provider Name | William H Hudgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134150824 PECOS PAC ID: 0840274924 Enrollment ID: I20040616000388 |
| Provider Name | Todd R Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023179777 PECOS PAC ID: 1557341641 Enrollment ID: I20040721000021 |
| Provider Name | Robert E King |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164584025 PECOS PAC ID: 0941280085 Enrollment ID: I20040721000291 |
| Provider Name | Melissa S Dillmon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790845071 PECOS PAC ID: 7517947674 Enrollment ID: I20040721000423 |
| Provider Name | James C Merritt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649332420 PECOS PAC ID: 2668452418 Enrollment ID: I20040722000309 |
| Provider Name | Gregory P Mcdonald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689736456 PECOS PAC ID: 9335119577 Enrollment ID: I20040727000722 |
| Provider Name | Shalini G Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982770 PECOS PAC ID: 2062482052 Enrollment ID: I20040728000149 |
| Provider Name | Stephen F Finn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932269453 PECOS PAC ID: 8022088707 Enrollment ID: I20040729000716 |
| Provider Name | Jonathon R Molnar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902968647 PECOS PAC ID: 3173596053 Enrollment ID: I20040818000702 |
| Provider Name | Henaro C Sabino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194763789 PECOS PAC ID: 1355314147 Enrollment ID: I20040819000106 |
| Provider Name | Alice C Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811987969 PECOS PAC ID: 9133193592 Enrollment ID: I20040823000028 |
| Provider Name | Philip Baptiste |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992745855 PECOS PAC ID: 5698749893 Enrollment ID: I20040824000249 |
| Provider Name | Christopher P Piller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598820813 PECOS PAC ID: 7517955511 Enrollment ID: I20040824001234 |
| Provider Name | Courtney Perez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447207782 PECOS PAC ID: 2163498924 Enrollment ID: I20040903000112 |
| Provider Name | Robersteen C Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932260734 PECOS PAC ID: 7214904614 Enrollment ID: I20040915000194 |
| Provider Name | John S Kirkland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801958772 PECOS PAC ID: 3476520594 Enrollment ID: I20040916000646 |
| Provider Name | Steven A Spivey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922092436 PECOS PAC ID: 0648230268 Enrollment ID: I20041018000489 |
| Provider Name | Roger A Hiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528064581 PECOS PAC ID: 9537124219 Enrollment ID: I20041122000772 |
| Provider Name | Anthony M Martino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841238011 PECOS PAC ID: 4385548106 Enrollment ID: I20041206000755 |
| Provider Name | Delmar M Rogers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194880351 PECOS PAC ID: 6709835036 Enrollment ID: I20050113000689 |
| Provider Name | Matthew P Mumber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053473793 PECOS PAC ID: 0547213605 Enrollment ID: I20050301000406 |
| Provider Name | John R Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336204544 PECOS PAC ID: 7113971763 Enrollment ID: I20050308000358 |
| Provider Name | Anthony D Warden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720165681 PECOS PAC ID: 9234104837 Enrollment ID: I20050429000563 |
| Provider Name | Margaret K Williamson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649320391 PECOS PAC ID: 0042250300 Enrollment ID: I20050505000592 |
| Provider Name | John C Abdou |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194885434 PECOS PAC ID: 7810930674 Enrollment ID: I20050603000047 |
| Provider Name | Russell Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548342843 PECOS PAC ID: 1658315775 Enrollment ID: I20050620000121 |
| Provider Name | Katharine M Ammons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962562207 PECOS PAC ID: 1052356037 Enrollment ID: I20050621000331 |
| Provider Name | Rahul Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326109851 PECOS PAC ID: 6901898436 Enrollment ID: I20050623000057 |
| Provider Name | Nonyelum E Ejieke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578623856 PECOS PAC ID: 1850320854 Enrollment ID: I20050810000533 |
| Provider Name | Ritu K Khurana |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134281199 PECOS PAC ID: 1557390556 Enrollment ID: I20050810000557 |
| Provider Name | Robert W Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396730222 PECOS PAC ID: 3173542909 Enrollment ID: I20051122000065 |
| Provider Name | James D Riley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285799536 PECOS PAC ID: 4183647779 Enrollment ID: I20060110000465 |
| Provider Name | Thomas P Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174684690 PECOS PAC ID: 5890718480 Enrollment ID: I20060110000479 |
| Provider Name | Clarence R Mckemie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962564732 PECOS PAC ID: 3476576075 Enrollment ID: I20060110000544 |
| Provider Name | James M Ware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275698235 PECOS PAC ID: 4486677093 Enrollment ID: I20060110000640 |
| Provider Name | Hector Picon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457416869 PECOS PAC ID: 1759312911 Enrollment ID: I20060110000685 |
| Provider Name | George H Myers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982766630 PECOS PAC ID: 3779506399 Enrollment ID: I20060110000712 |
| Provider Name | Julia G Girard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689735029 PECOS PAC ID: 8224051750 Enrollment ID: I20060110000906 |
| Provider Name | Jeffrey S Peller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497810808 PECOS PAC ID: 3577467398 Enrollment ID: I20060110000926 |
| Provider Name | Jayson W Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376603654 PECOS PAC ID: 0244253789 Enrollment ID: I20060110000976 |
| Provider Name | Robert C Pyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093870313 PECOS PAC ID: 6406879949 Enrollment ID: I20060110000986 |
| Provider Name | Kenneth J Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447311238 PECOS PAC ID: 3476576836 Enrollment ID: I20060111000829 |
| Provider Name | Lisa S Sward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174688279 PECOS PAC ID: 3173546538 Enrollment ID: I20060111000861 |
| Provider Name | Christopher E Sward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164587267 PECOS PAC ID: 0345263703 Enrollment ID: I20060111000876 |
| Provider Name | Glenn P Hittel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215098090 PECOS PAC ID: 7416970876 Enrollment ID: I20060111000889 |
| Provider Name | Todd H Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093870354 PECOS PAC ID: 4284657560 Enrollment ID: I20060112000707 |
| Provider Name | Kate R Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093870479 PECOS PAC ID: 2365465648 Enrollment ID: I20060112000723 |
| Provider Name | George F Goldin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295896660 PECOS PAC ID: 9335162627 Enrollment ID: I20060112000759 |
| Provider Name | Joseph W Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396805644 PECOS PAC ID: 3072536275 Enrollment ID: I20060112000915 |
| Provider Name | Barry N Brass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528128873 PECOS PAC ID: 8921902743 Enrollment ID: I20060117000694 |
| Provider Name | Raymond R Jarvis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083775894 PECOS PAC ID: 9931123924 Enrollment ID: I20060117001062 |
| Provider Name | Robert Lester Harbin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417018367 PECOS PAC ID: 9638193634 Enrollment ID: I20060117001097 |
| Provider Name | Paul James Harton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205997160 PECOS PAC ID: 6709800709 Enrollment ID: I20060117001115 |
| Provider Name | Randall M Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053471300 PECOS PAC ID: 2163446055 Enrollment ID: I20060118000704 |
| Provider Name | Stephen C Klasson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194887075 PECOS PAC ID: 5698799583 Enrollment ID: I20060118000716 |
| Provider Name | Frank G Russo Alesi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003971276 PECOS PAC ID: 1759305642 Enrollment ID: I20060118000750 |
| Provider Name | Paul B Brock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790845048 PECOS PAC ID: 6507760329 Enrollment ID: I20060119000468 |
| Provider Name | Raul A Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366503773 PECOS PAC ID: 9436173226 Enrollment ID: I20060119000535 |
| Provider Name | Richard J Donadio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417017799 PECOS PAC ID: 9537100573 Enrollment ID: I20060123000802 |
| Provider Name | Shereef F Girgis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861553216 PECOS PAC ID: 0345264875 Enrollment ID: I20060123000819 |
| Provider Name | James W Moseley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407928864 PECOS PAC ID: 6204850548 Enrollment ID: I20060125000448 |
| Provider Name | Joseph J. Burch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376623512 PECOS PAC ID: 0446264576 Enrollment ID: I20060127000625 |
| Provider Name | Joe Maxwell Hulsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992876700 PECOS PAC ID: 5395759328 Enrollment ID: I20060130000507 |
| Provider Name | Allan M. Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932269578 PECOS PAC ID: 6800800830 Enrollment ID: I20060130000542 |
| Provider Name | William B Gilbert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487715801 PECOS PAC ID: 3577577519 Enrollment ID: I20060130000611 |
| Provider Name | Forrest Schrum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336204528 PECOS PAC ID: 6204867476 Enrollment ID: I20060130000621 |
| Provider Name | Joshua B Donner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760542047 PECOS PAC ID: 7517971476 Enrollment ID: I20060130000845 |
| Provider Name | Katherine J Fields |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184784464 PECOS PAC ID: 9133133978 Enrollment ID: I20060131000642 |
| Provider Name | Tammy Watkins Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629134606 PECOS PAC ID: 6204840044 Enrollment ID: I20060131000659 |
| Provider Name | Caroline D Yaphockun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396801387 PECOS PAC ID: 9830103670 Enrollment ID: I20060131000673 |
| Provider Name | John S Hostetler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871654657 PECOS PAC ID: 8022023480 Enrollment ID: I20060207000598 |
| Provider Name | Ahed Mansoura |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952463895 PECOS PAC ID: 4082629449 Enrollment ID: I20060207000624 |
| Provider Name | Hollie T Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952408130 PECOS PAC ID: 2163437526 Enrollment ID: I20060207000642 |
| Provider Name | Amelia R Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073679734 PECOS PAC ID: 5991710378 Enrollment ID: I20060207000816 |
| Provider Name | Katrina C Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073663811 PECOS PAC ID: 2163437443 Enrollment ID: I20060207000846 |
| Provider Name | Frank R Harbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699836957 PECOS PAC ID: 7214942481 Enrollment ID: I20060208000696 |
| Provider Name | Marc Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821092669 PECOS PAC ID: 9436166550 Enrollment ID: I20060315000370 |
| Provider Name | Mary M Beauchamp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366496903 PECOS PAC ID: 1052322385 Enrollment ID: I20060525000124 |
| Provider Name | Matthew B Mcclain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801838867 PECOS PAC ID: 1355370818 Enrollment ID: I20060714000017 |
| Provider Name | Himanshu M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972523603 PECOS PAC ID: 5193728426 Enrollment ID: I20060807000107 |
| Provider Name | Katherine M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295719383 PECOS PAC ID: 0345243812 Enrollment ID: I20060823000278 |
| Provider Name | Frank L Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912993569 PECOS PAC ID: 7911901475 Enrollment ID: I20060914000386 |
| Provider Name | Mary K Barfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184647984 PECOS PAC ID: 0244235869 Enrollment ID: I20061003000349 |
| Provider Name | Rita S Mezzatesta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265538797 PECOS PAC ID: 0840296760 Enrollment ID: I20061016000447 |
| Provider Name | Kathryn K Gnann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720078876 PECOS PAC ID: 8426154410 Enrollment ID: I20070508000645 |
| Provider Name | Charles E Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033142187 PECOS PAC ID: 2567560329 Enrollment ID: I20070604000059 |
| Provider Name | Trent L Prault |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992746747 PECOS PAC ID: 4688657265 Enrollment ID: I20070605000400 |
| Provider Name | Heather A Pryor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588697635 PECOS PAC ID: 7416056304 Enrollment ID: I20070618000303 |
| Provider Name | Margaret T Marion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386763282 PECOS PAC ID: 9436259249 Enrollment ID: I20070710000158 |
| Provider Name | Darshak K Pandya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124248802 PECOS PAC ID: 5698875409 Enrollment ID: I20070710000172 |
| Provider Name | John K Mayfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356407878 PECOS PAC ID: 7315047123 Enrollment ID: I20070710000188 |
| Provider Name | Melissa D Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649499583 PECOS PAC ID: 5496855108 Enrollment ID: I20070711000083 |
| Provider Name | Kevin D Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285661926 PECOS PAC ID: 1355354804 Enrollment ID: I20070712000032 |
| Provider Name | Randolph P Sumner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871555 PECOS PAC ID: 3971695404 Enrollment ID: I20070828000785 |
| Provider Name | Diana M Vallecilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639211188 PECOS PAC ID: 3072607613 Enrollment ID: I20070913000486 |
| Provider Name | Cynthia L Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891984761 PECOS PAC ID: 6406938505 Enrollment ID: I20080129000218 |
| Provider Name | Sarah A Whitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104036805 PECOS PAC ID: 9032296041 Enrollment ID: I20080401000633 |
| Provider Name | Tonya Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235347055 PECOS PAC ID: 0042380024 Enrollment ID: I20080603000245 |
| Provider Name | Leslie A Kaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285847558 PECOS PAC ID: 1658442736 Enrollment ID: I20080617000480 |
| Provider Name | Roman L Galysh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235348004 PECOS PAC ID: 9032281845 Enrollment ID: I20080710000256 |
| Provider Name | Brian C Hard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225216864 PECOS PAC ID: 7012080872 Enrollment ID: I20080728000050 |
| Provider Name | Muhammad R Ishaque |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255528949 PECOS PAC ID: 9739260464 Enrollment ID: I20080829000228 |
| Provider Name | Mohammed Singapuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619195732 PECOS PAC ID: 0749360261 Enrollment ID: I20080904000100 |
| Provider Name | Benjamin C Jessie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700062825 PECOS PAC ID: 5294803540 Enrollment ID: I20081014000272 |
| Provider Name | Andrea B Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255510020 PECOS PAC ID: 4688732225 Enrollment ID: I20081025000052 |
| Provider Name | Leverett C Neville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659552792 PECOS PAC ID: 3779642137 Enrollment ID: I20090715000408 |
| Provider Name | David A Hale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952523375 PECOS PAC ID: 8426101700 Enrollment ID: I20090804000486 |
| Provider Name | Brandon Bushnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770704629 PECOS PAC ID: 3072688340 Enrollment ID: I20090804000713 |
| Provider Name | Kimberly D Millsap |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881838225 PECOS PAC ID: 6406901529 Enrollment ID: I20090826000002 |
| Provider Name | Jennifer D Barbieri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902849110 PECOS PAC ID: 9335180637 Enrollment ID: I20090831000341 |
| Provider Name | Billy G Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861552127 PECOS PAC ID: 7315940616 Enrollment ID: I20100127000026 |
| Provider Name | Robert J Puckett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508835661 PECOS PAC ID: 6305897117 Enrollment ID: I20100127000030 |
| Provider Name | Dilawar Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588725188 PECOS PAC ID: 4688716871 Enrollment ID: I20100127000036 |
| Provider Name | Mary C Lumpkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144545146 PECOS PAC ID: 8426189713 Enrollment ID: I20100630000697 |
| Provider Name | Daniel Gober |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679751606 PECOS PAC ID: 5092847731 Enrollment ID: I20100716000095 |
| Provider Name | Charles B Baggett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336357060 PECOS PAC ID: 3274692462 Enrollment ID: I20100811000797 |
| Provider Name | Maxwell A Prempeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992867592 PECOS PAC ID: 0547394686 Enrollment ID: I20100811000919 |
| Provider Name | David B Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043272651 PECOS PAC ID: 6709980873 Enrollment ID: I20100823000654 |
| Provider Name | Lisa Dawn Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255654158 PECOS PAC ID: 5799809919 Enrollment ID: I20100825000331 |
| Provider Name | Darin M Brummett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447222476 PECOS PAC ID: 1658382775 Enrollment ID: I20100827000430 |
| Provider Name | Tammy M Hairel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851312680 PECOS PAC ID: 0840297792 Enrollment ID: I20100830000537 |
| Provider Name | Dana M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093012957 PECOS PAC ID: 4789867110 Enrollment ID: I20110323000236 |
| Provider Name | Ashley Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013209717 PECOS PAC ID: 9830376284 Enrollment ID: I20110610000631 |
| Provider Name | Michael K Kizziah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124108923 PECOS PAC ID: 5092849505 Enrollment ID: I20110624000417 |
| Provider Name | Jonathan D. Pewitt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912198979 PECOS PAC ID: 7719155902 Enrollment ID: I20110713000589 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619947017 PECOS PAC ID: 5698711240 Enrollment ID: I20110801000730 |
| Provider Name | Kathy A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578382 PECOS PAC ID: 7012187743 Enrollment ID: I20110907000909 |
| Provider Name | Sara Harbin Pickett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104099274 PECOS PAC ID: 7113197708 Enrollment ID: I20110909002802 |
| Provider Name | Cyrus Parsa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235396110 PECOS PAC ID: 7315012770 Enrollment ID: I20111219000283 |
| Provider Name | Walter M Burt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811982036 PECOS PAC ID: 8426054388 Enrollment ID: I20120111000455 |
| Provider Name | James A Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669441903 PECOS PAC ID: 9931376399 Enrollment ID: I20120125000760 |
| Provider Name | Mourad Nessim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275582058 PECOS PAC ID: 4688799273 Enrollment ID: I20120131000536 |
| Provider Name | Eugene Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922099746 PECOS PAC ID: 8527243328 Enrollment ID: I20120516000217 |
| Provider Name | Charles F Jackson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629252184 PECOS PAC ID: 4486818523 Enrollment ID: I20120621000052 |
| Provider Name | Michael Paul Holcombe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922299957 PECOS PAC ID: 9436335312 Enrollment ID: I20120703000616 |
| Provider Name | Melissa D Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114277324 PECOS PAC ID: 4284883257 Enrollment ID: I20121008000124 |
| Provider Name | Lee Caroline Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417281999 PECOS PAC ID: 0244354199 Enrollment ID: I20121023000679 |
| Provider Name | Stacey L Pullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568714210 PECOS PAC ID: 6002067865 Enrollment ID: I20121105000252 |
| Provider Name | Dimple Modi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205032844 PECOS PAC ID: 8123298346 Enrollment ID: I20121205000295 |
| Provider Name | Cala E Dittmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881944213 PECOS PAC ID: 7315199726 Enrollment ID: I20121211000511 |
| Provider Name | Douglas L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437408663 PECOS PAC ID: 9830341940 Enrollment ID: I20121218000035 |
| Provider Name | Sara A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326389495 PECOS PAC ID: 2961648852 Enrollment ID: I20130419000328 |
| Provider Name | Christi R Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205177383 PECOS PAC ID: 4284870189 Enrollment ID: I20130419000399 |
| Provider Name | Sheri C Marshall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710981345 PECOS PAC ID: 9032357645 Enrollment ID: I20130521000182 |
| Provider Name | Daniel Barnes Webb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033310552 PECOS PAC ID: 3375782519 Enrollment ID: I20130618000846 |
| Provider Name | Satoya L Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649817 PECOS PAC ID: 1153558325 Enrollment ID: I20131213000657 |
| Provider Name | Christopher K Knitig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447543657 PECOS PAC ID: 4486885381 Enrollment ID: I20140318000538 |
| Provider Name | Bayle Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730506148 PECOS PAC ID: 6709009699 Enrollment ID: I20140521002592 |
| Provider Name | Tara M Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699191130 PECOS PAC ID: 4587888912 Enrollment ID: I20140605000135 |
| Provider Name | Alison Nicole Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780098046 PECOS PAC ID: 3173741584 Enrollment ID: I20140827000849 |
| Provider Name | Mark William Floyd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811158249 PECOS PAC ID: 2668614736 Enrollment ID: I20140912001404 |
| Provider Name | Monal B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891065546 PECOS PAC ID: 7214157239 Enrollment ID: I20140925001077 |
| Provider Name | Kunal P Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720428329 PECOS PAC ID: 6406077288 Enrollment ID: I20141020001817 |
| Provider Name | Brian D Mcniece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255626024 PECOS PAC ID: 5496976029 Enrollment ID: I20141024001156 |
| Provider Name | John Caleb Landrum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679980445 PECOS PAC ID: 9537381751 Enrollment ID: I20141103002447 |
| Provider Name | Christopher R Inhulsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124324967 PECOS PAC ID: 8729234653 Enrollment ID: I20141120000579 |
| Provider Name | Luticia M Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528464864 PECOS PAC ID: 7416274238 Enrollment ID: I20150316001254 |
| Provider Name | Karen A Eberhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649539040 PECOS PAC ID: 7416274873 Enrollment ID: I20150323002260 |
| Provider Name | Jennifer C Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205854460 PECOS PAC ID: 0749593077 Enrollment ID: I20150716000078 |
| Provider Name | Howard W Jennings |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649404344 PECOS PAC ID: 8921253253 Enrollment ID: I20151008000837 |
| Provider Name | Misty G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669767844 PECOS PAC ID: 3476862632 Enrollment ID: I20151029000664 |
| Provider Name | Riaz Q Gill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063442044 PECOS PAC ID: 1951384569 Enrollment ID: I20151030001434 |
| Provider Name | Lauren Taylor Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689043010 PECOS PAC ID: 6204146285 Enrollment ID: I20151103001486 |
| Provider Name | Kenneth Wessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659740017 PECOS PAC ID: 3173833779 Enrollment ID: I20151111001838 |
| Provider Name | Jessica N Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871965368 PECOS PAC ID: 5991005175 Enrollment ID: I20151119000405 |
| Provider Name | Rebecca M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699823302 PECOS PAC ID: 4587968631 Enrollment ID: I20160210000548 |
| Provider Name | Kathryn J Stockton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457588949 PECOS PAC ID: 1153593033 Enrollment ID: I20160314002031 |
| Provider Name | Gina E Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093175143 PECOS PAC ID: 4284931304 Enrollment ID: I20160404001830 |
| Provider Name | Tiffany Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730570870 PECOS PAC ID: 8426348889 Enrollment ID: I20160526001685 |
| Provider Name | David J Herren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194083451 PECOS PAC ID: 4082851910 Enrollment ID: I20160617001140 |
| Provider Name | Erica Lockliear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611686 PECOS PAC ID: 9032401005 Enrollment ID: I20160712001840 |
| Provider Name | Brandon L Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720375132 PECOS PAC ID: 7618291303 Enrollment ID: I20160713002672 |
| Provider Name | Kipp Slicker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891922498 PECOS PAC ID: 2365734266 Enrollment ID: I20160713002741 |
| Provider Name | Laura Elizabeth Bruton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219742 PECOS PAC ID: 8527353986 Enrollment ID: I20160824000833 |
| Provider Name | Tamsen Latrelle Beasley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497757371 PECOS PAC ID: 6406848928 Enrollment ID: I20160908000732 |
| Provider Name | Shelly Stein Peller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124029780 PECOS PAC ID: 6608163027 Enrollment ID: I20160928000600 |
| Provider Name | Sara Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316494792 PECOS PAC ID: 4183911514 Enrollment ID: I20160928000874 |
| Provider Name | Sara L Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215321898 PECOS PAC ID: 7810284064 Enrollment ID: I20161003000857 |
| Provider Name | Lara M Ranic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518417641 PECOS PAC ID: 2567740954 Enrollment ID: I20161107001382 |
| Provider Name | Amanda J Woller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632322 PECOS PAC ID: 0143501486 Enrollment ID: I20161229000357 |
| Provider Name | John W Simmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386840874 PECOS PAC ID: 6204150246 Enrollment ID: I20170607001703 |
| Provider Name | Lari Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770021750 PECOS PAC ID: 7214205640 Enrollment ID: I20170607003108 |
| Provider Name | Spencer Maddox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518385830 PECOS PAC ID: 4183926256 Enrollment ID: I20170614001747 |
| Provider Name | Lindsey B Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043614894 PECOS PAC ID: 6709156094 Enrollment ID: I20170719002003 |
| Provider Name | Nina Nguimbous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316470867 PECOS PAC ID: 2668743386 Enrollment ID: I20170728003292 |
| Provider Name | Andrew A Mccue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851719116 PECOS PAC ID: 9931470416 Enrollment ID: I20170801003397 |
| Provider Name | Peter Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083843627 PECOS PAC ID: 1052543246 Enrollment ID: I20170807001544 |
| Provider Name | Frank D Stegall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285950055 PECOS PAC ID: 1557645991 Enrollment ID: I20170814001347 |
| Provider Name | Azeem A. Mohammed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124258843 PECOS PAC ID: 3476787029 Enrollment ID: I20170815001740 |
| Provider Name | Tricia L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025955 PECOS PAC ID: 1658644463 Enrollment ID: I20170830000492 |
| Provider Name | Sarah E Merrell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134642564 PECOS PAC ID: 9638442189 Enrollment ID: I20170905001017 |
| Provider Name | Digant Bhatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902045495 PECOS PAC ID: 7810152808 Enrollment ID: I20170905001471 |
| Provider Name | Haley Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962925545 PECOS PAC ID: 3678847621 Enrollment ID: I20170914002909 |
| Provider Name | Afu Mohammad Abdul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285834838 PECOS PAC ID: 8123267812 Enrollment ID: I20171016002748 |
| Provider Name | Rajeeve Subbiah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619280237 PECOS PAC ID: 0648577114 Enrollment ID: I20171023001035 |
| Provider Name | Tiffany E Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509183 PECOS PAC ID: 4587922554 Enrollment ID: I20171220002412 |
| Provider Name | Ashley Pritchett Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610185 PECOS PAC ID: 0143588038 Enrollment ID: I20171226000876 |
| Provider Name | Jason Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285000976 PECOS PAC ID: 0143580530 Enrollment ID: I20180202001333 |
| Provider Name | Takeya Renee Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306351911 PECOS PAC ID: 1355606419 Enrollment ID: I20180521002682 |
| Provider Name | Nzeadibenma Uzochukwu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265654164 PECOS PAC ID: 1850357161 Enrollment ID: I20180724002676 |
| Provider Name | Donna Watters Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013987650 PECOS PAC ID: 8921356403 Enrollment ID: I20180731000887 |
| Provider Name | Whitney Leigh Worthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074387 PECOS PAC ID: 8921376369 Enrollment ID: I20180806001417 |
| Provider Name | Gregory Everett Harris |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568789261 PECOS PAC ID: 5698901411 Enrollment ID: I20180821001589 |
| Provider Name | Jaime Elaine Pesl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386136539 PECOS PAC ID: 8325398803 Enrollment ID: I20180904001732 |
| Provider Name | Kathryn F Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982086880 PECOS PAC ID: 9537473228 Enrollment ID: I20181010003668 |
| Provider Name | John-scott Austen Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144603978 PECOS PAC ID: 7911210679 Enrollment ID: I20181107000095 |
| Provider Name | Lacy Holland Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346725264 PECOS PAC ID: 6800140724 Enrollment ID: I20181113001400 |
| Provider Name | Macie Lane Goff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265621999 PECOS PAC ID: 5395099113 Enrollment ID: I20181114002419 |
| Provider Name | Lisa Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275000721 PECOS PAC ID: 6800140120 Enrollment ID: I20181126001094 |
| Provider Name | Samantha Danielle Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053876391 PECOS PAC ID: 3274873690 Enrollment ID: I20190321003089 |
| Provider Name | Zachary Carl Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124688270 PECOS PAC ID: 1850628538 Enrollment ID: I20190805001493 |
| Provider Name | Allison Heidi Pledger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498118 PECOS PAC ID: 5597095372 Enrollment ID: I20190920000699 |
| Provider Name | Jarrad Alexander Barber |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962739037 PECOS PAC ID: 6002043593 Enrollment ID: I20190924001385 |
| Provider Name | Ricardo Postigo-alarcon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902060155 PECOS PAC ID: 7719111574 Enrollment ID: I20191007000182 |
| Provider Name | Melissa Kelly Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578990297 PECOS PAC ID: 3274768379 Enrollment ID: I20191110000032 |
| Provider Name | Monica Renea Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972092583 PECOS PAC ID: 6305279415 Enrollment ID: I20191203003230 |
| Provider Name | Christopher Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558911552 PECOS PAC ID: 3476986597 Enrollment ID: I20191204000494 |
| Provider Name | Sherri Kim Asbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073047643 PECOS PAC ID: 0749613586 Enrollment ID: I20191209001255 |
| Provider Name | Wendy Wade Pone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548810310 PECOS PAC ID: 5294168050 Enrollment ID: I20191209001735 |
| Provider Name | Preston Heath Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699068973 PECOS PAC ID: 3173957859 Enrollment ID: I20200106002235 |
| Provider Name | Timothy L Stoner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790764959 PECOS PAC ID: 0042280653 Enrollment ID: I20200108001219 |
| Provider Name | Julie Goulding Shrewsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301180 PECOS PAC ID: 3072941350 Enrollment ID: I20200319002892 |
| Provider Name | Jack Anthony Miceli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821623232 PECOS PAC ID: 6305275439 Enrollment ID: I20200410001201 |
| Provider Name | Ronald Seth Van Dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013543990 PECOS PAC ID: 9830520303 Enrollment ID: I20200518000457 |
| Provider Name | Margaret Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902437239 PECOS PAC ID: 2567884794 Enrollment ID: I20200617000836 |
| Provider Name | Amine Bourbia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295141927 PECOS PAC ID: 6103116793 Enrollment ID: I20200624000382 |
| Provider Name | Harsha Banavasi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265843353 PECOS PAC ID: 2062713639 Enrollment ID: I20200624000985 |
| Provider Name | Heather Bowman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346868775 PECOS PAC ID: 3779900584 Enrollment ID: I20200825002211 |
| Provider Name | Phebe Nicole Hagins Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689299000 PECOS PAC ID: 5294152898 Enrollment ID: I20200827001930 |
| Provider Name | Lori Patricia Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831738368 PECOS PAC ID: 4082041124 Enrollment ID: I20200918000488 |
| Provider Name | Emily Adams Thornberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508479536 PECOS PAC ID: 6103244355 Enrollment ID: I20200921000606 |
| Provider Name | Carol Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399475 PECOS PAC ID: 2860812104 Enrollment ID: I20201026002349 |
| Provider Name | Eamon Dowling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861003337 PECOS PAC ID: 0648680116 Enrollment ID: I20201112000772 |
| Provider Name | Deanna Barge Cordle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508406117 PECOS PAC ID: 2668883984 Enrollment ID: I20201117002989 |
| Provider Name | Lucie E Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861887804 PECOS PAC ID: 9436445483 Enrollment ID: I20201119001591 |
| Provider Name | Jennifer Lynne Broome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500071 PECOS PAC ID: 6305257007 Enrollment ID: I20201202000829 |
| Provider Name | Lauryn Goss Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922605401 PECOS PAC ID: 0941611404 Enrollment ID: I20201204001736 |
| Provider Name | Stephen Elmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588226518 PECOS PAC ID: 9234469214 Enrollment ID: I20201217002636 |
| Provider Name | Courtney Danielle Hann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285229427 PECOS PAC ID: 6901213578 Enrollment ID: I20210326000119 |
| Provider Name | Dylan Sara Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065926 PECOS PAC ID: 7719394931 Enrollment ID: I20210405001719 |
| Provider Name | Amanda Marie Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730772807 PECOS PAC ID: 8820406622 Enrollment ID: I20210415001812 |
| Provider Name | Chelsea B Tehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154554392 PECOS PAC ID: 7315193901 Enrollment ID: I20210429000319 |
| Provider Name | Brittany Ann Maes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306433149 PECOS PAC ID: 9537578976 Enrollment ID: I20210514000771 |
| Provider Name | Trevor Riley Perry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790323673 PECOS PAC ID: 1759780612 Enrollment ID: I20210525003135 |
| Provider Name | Anandita Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154731925 PECOS PAC ID: 2769783331 Enrollment ID: I20210625001963 |
| Provider Name | Chad Harple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114286572 PECOS PAC ID: 9335453521 Enrollment ID: I20210628001481 |
| Provider Name | Gregory Justin Tanner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336587203 PECOS PAC ID: 1153642350 Enrollment ID: I20210809001620 |
| Provider Name | Paul Bennett Brock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811384373 PECOS PAC ID: 1153748066 Enrollment ID: I20210810002300 |
| Provider Name | Daniel Nathan Grant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114377207 PECOS PAC ID: 3577855394 Enrollment ID: I20210816002407 |
| Provider Name | Tharmathai Ramanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366730145 PECOS PAC ID: 1658513882 Enrollment ID: I20210908001732 |
| Provider Name | Kimberly E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982370029 PECOS PAC ID: 8628475472 Enrollment ID: I20210922001240 |
| Provider Name | Charlee Jenna Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376218073 PECOS PAC ID: 5395143465 Enrollment ID: I20211005001426 |
| Provider Name | Nykya Kiera Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942870373 PECOS PAC ID: 9638577703 Enrollment ID: I20211005001525 |
| Provider Name | Kelsey Michelle Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134736432 PECOS PAC ID: 5991103673 Enrollment ID: I20211011001372 |
| Provider Name | Tori Jordan Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952071482 PECOS PAC ID: 4284032863 Enrollment ID: I20211012002667 |
| Provider Name | Raquel Minka Maltsberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702747 PECOS PAC ID: 1153712500 Enrollment ID: I20211220001833 |
| Provider Name | Whitney Leann O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346905114 PECOS PAC ID: 5799178513 Enrollment ID: I20220131000933 |
| Provider Name | Halyn Cade Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346914629 PECOS PAC ID: 7719370493 Enrollment ID: I20220201000691 |
| Provider Name | Kristin Michelle Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740843101 PECOS PAC ID: 5193103083 Enrollment ID: I20220606001106 |
| Provider Name | Bradley Cagle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518317569 PECOS PAC ID: 5991093510 Enrollment ID: I20220609001021 |
| Provider Name | Vera Lee Francisco Branton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760131973 PECOS PAC ID: 2567840044 Enrollment ID: I20220613001535 |
| Provider Name | Ayush Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447773676 PECOS PAC ID: 2860871068 Enrollment ID: I20220617002059 |
| Provider Name | Lacy Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821729252 PECOS PAC ID: 4183005903 Enrollment ID: I20220725002241 |
| Provider Name | William Mallon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578982716 PECOS PAC ID: 8224453659 Enrollment ID: I20220726000466 |
| Provider Name | Gustavo Olmedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376282061 PECOS PAC ID: 8123400918 Enrollment ID: I20220726001902 |
| Provider Name | Britton B Carter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790784684 PECOS PAC ID: 3577548619 Enrollment ID: I20220808003349 |
| Provider Name | Robert D Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003250689 PECOS PAC ID: 4981845807 Enrollment ID: I20220812001821 |
| Provider Name | Celisa J Paine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644190 PECOS PAC ID: 8426432527 Enrollment ID: I20220908000287 |
| Provider Name | Amy B Riley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417531500 PECOS PAC ID: 8921409038 Enrollment ID: I20220908001574 |
| Provider Name | Wittstatt Alexandra Whitaker-lea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124414701 PECOS PAC ID: 9638483456 Enrollment ID: I20221008000463 |
| Provider Name | Candice Marie Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316428527 PECOS PAC ID: 4082090394 Enrollment ID: I20221010001473 |
| Provider Name | Sandra Beverley Burrell-spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033678792 PECOS PAC ID: 9032585419 Enrollment ID: I20221026003190 |
| Provider Name | Mackenzie Leigh Weiss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497483341 PECOS PAC ID: 3476920810 Enrollment ID: I20221027002652 |
| Provider Name | Caroline Elizabeth Dent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396325726 PECOS PAC ID: 2668849340 Enrollment ID: I20221109002208 |
| Provider Name | Megan Manning Sims |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558086223 PECOS PAC ID: 5991174534 Enrollment ID: I20221203000374 |
| Provider Name | Jordyn N Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447908702 PECOS PAC ID: 8628447158 Enrollment ID: I20221206000572 |
| Provider Name | Molly Van Wert Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891395505 PECOS PAC ID: 0244609790 Enrollment ID: I20221206001574 |
| Provider Name | Jill Marie Jewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023571973 PECOS PAC ID: 8820467087 Enrollment ID: I20221209000862 |
| Provider Name | Donna Michele Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699400283 PECOS PAC ID: 0648649715 Enrollment ID: I20221212002154 |
| Provider Name | Lindsey Cole Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689201519 PECOS PAC ID: 8022488527 Enrollment ID: I20221227001970 |
| Provider Name | Abby Yearous Skeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750089389 PECOS PAC ID: 8224493093 Enrollment ID: I20230501000429 |
| Provider Name | Matthew Forest Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609966522 PECOS PAC ID: 9537291596 Enrollment ID: I20230522001022 |
| Provider Name | Stevie Ann Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366945867 PECOS PAC ID: 9234595950 Enrollment ID: I20230522002313 |
| Provider Name | Sonia Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093405169 PECOS PAC ID: 3274990312 Enrollment ID: I20230606001752 |
| Provider Name | Ashley E Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255028270 PECOS PAC ID: 9830557115 Enrollment ID: I20230619000755 |
| Provider Name | Courtney Wheeling Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205522158 PECOS PAC ID: 3870955412 Enrollment ID: I20230815001295 |
| Provider Name | Katherine M Rogers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265956916 PECOS PAC ID: 0547505422 Enrollment ID: I20231002001038 |
| Provider Name | Alaina Candice Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619750486 PECOS PAC ID: 0244685451 Enrollment ID: I20231009000668 |
| Provider Name | Brittany Shereece Sublett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811694342 PECOS PAC ID: 5597111211 Enrollment ID: I20231031003276 |
| Provider Name | Sydney Wagner Garst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942087853 PECOS PAC ID: 2668820986 Enrollment ID: I20231128001020 |
| Provider Name | Caitlin Noelani Balawender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356887426 PECOS PAC ID: 6305120536 Enrollment ID: I20231129001235 |
| Provider Name | Stacy Nicole Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225819006 PECOS PAC ID: 1850749946 Enrollment ID: I20231130000424 |
| Provider Name | Alexia Shiron Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730968462 PECOS PAC ID: 8527416320 Enrollment ID: I20231204001934 |
| Provider Name | Lucinda Oluwayemisi Afolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568145811 PECOS PAC ID: 1850734112 Enrollment ID: I20240205000262 |
| Provider Name | Nancy Sue Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487429957 PECOS PAC ID: 6901241439 Enrollment ID: I20240223003128 |
| Provider Name | Mckenzi Paige Brumby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003536517 PECOS PAC ID: 3274979109 Enrollment ID: I20240313002513 |
| Provider Name | Colleen M Sekkat |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932965381 PECOS PAC ID: 9234578451 Enrollment ID: I20240419001758 |
Coosa Valley Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Alabama Hwy Nw Ste 2, Rome, GA 30165 Phone: 904-302-3202 Fax: 706-739-7276 | |
Redmond Family Care Center At East Rome Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-235-1102 Fax: 706-235-7188 | |
Floyd County Regional Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 E 12th St Sw, Rome, GA 30161 Phone: 706-802-5343 Fax: 706-802-5681 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Crane St Sw, Rome, GA 30161 Phone: 706-756-6133 Fax: 706-657-2958 | |
Northwest Georgia Medical Clinic 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N 5th Ave Ne, Rome, GA 30165 Phone: 404-943-0205 | |
Wilson's Wellness Clinical Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14b Professional Ct Sw, Rome, GA 30165 Phone: 404-981-3936 Fax: 404-393-4038 | |
Floyd Healthcare Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw Ste 101, Rome, GA 30165 Phone: 706-509-5740 Fax: 706-509-5741 |