Lincoln Community Health Center Incorporated | |
1301 Fayetteville St Durham NC 27707-2325 | |
(919) 956-4000 | |
Not Available |
Full Name | Lincoln Community Health Center Incorporated |
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Speciality | Clinic/Center |
Location | 1301 Fayetteville St, Durham, North Carolina |
Authorized Official Name and Position | Claretta Foye (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9199564022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lincoln Community Health Center Incorporated Po Box 52119 Durham NC 27717-2119 Ph: (919) 956-4000 | Lincoln Community Health Center Incorporated 1301 Fayetteville St Durham NC 27707-2325 Ph: (919) 956-4000 |
NPI Number | 1114978582 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 07/28/2022 |
Medicare PECOS PAC ID | 4587642590 |
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Medicare Enrollment ID | O20040707001353 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114978582 | NPI | - | NPPES |
03055 | Other | NC | GROUP BC/BS ID NUMBER |
344500A | Medicaid | NC | |
344500C | Medicaid | NC | |
344500D | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Anne L Derouin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417031246 PECOS PAC ID: 9335040559 Enrollment ID: I20040121000139 |
Provider Name | Holly R Biola |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134277304 PECOS PAC ID: 0446246078 Enrollment ID: I20040421000372 |
Provider Name | Kristin E Ito |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184652687 PECOS PAC ID: 2163495797 Enrollment ID: I20040812001502 |
Provider Name | Howard J Eisenson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497867808 PECOS PAC ID: 0840207478 Enrollment ID: I20060307000540 |
Provider Name | Cathleen M Melton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265470975 PECOS PAC ID: 2365459641 Enrollment ID: I20060310000462 |
Provider Name | Viviana Sandra Martinez Bianchi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194733980 PECOS PAC ID: 7810910213 Enrollment ID: I20061113000421 |
Provider Name | Paula A Sherman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982822748 PECOS PAC ID: 3375612120 Enrollment ID: I20080520000135 |
Provider Name | Virgil F Mosu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720080310 PECOS PAC ID: 4486678232 Enrollment ID: I20081115000111 |
Provider Name | John Howard Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922108828 PECOS PAC ID: 5496805871 Enrollment ID: I20090604000655 |
Provider Name | Philip M Rosoff |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649333428 PECOS PAC ID: 9638218019 Enrollment ID: I20091124000197 |
Provider Name | Veronica J Ray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659314573 PECOS PAC ID: 9032254164 Enrollment ID: I20100301000643 |
Provider Name | Faye T Banks |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366480923 PECOS PAC ID: 7719022375 Enrollment ID: I20100306000358 |
Provider Name | Leo T Barber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811930746 PECOS PAC ID: 0446395008 Enrollment ID: I20100306000362 |
Provider Name | Evan M Ferry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154653384 PECOS PAC ID: 6507901113 Enrollment ID: I20100308000390 |
Provider Name | Kathleen L Gest |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700833241 PECOS PAC ID: 7113109059 Enrollment ID: I20110314000524 |
Provider Name | Roxanne Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780756197 PECOS PAC ID: 4789766486 Enrollment ID: I20121102000576 |
Provider Name | Anjana Chandran |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275669848 PECOS PAC ID: 8527210087 Enrollment ID: I20121206000617 |
Provider Name | Maria Kathleen Corrao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588942601 PECOS PAC ID: 8729250097 Enrollment ID: I20140817000022 |
Provider Name | Teah M Bayless |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346567468 PECOS PAC ID: 2668690173 Enrollment ID: I20140825002801 |
Provider Name | Ashley Crews-lloyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245628221 PECOS PAC ID: 9830415819 Enrollment ID: I20150310002052 |
Provider Name | Jacob Brayboy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275732927 PECOS PAC ID: 9032250139 Enrollment ID: I20151203003297 |
Provider Name | Zane Stephen Gooding |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285920496 PECOS PAC ID: 3476858226 Enrollment ID: I20160216002705 |
Provider Name | Bahar Emily Esmaili |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205003274 PECOS PAC ID: 6709181423 Enrollment ID: I20160217002460 |
Provider Name | Alison Rees Polly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447618848 PECOS PAC ID: 9638474257 Enrollment ID: I20160219000521 |
Provider Name | Shannon Kathleen Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770826950 PECOS PAC ID: 1153629779 Enrollment ID: I20160415000481 |
Provider Name | Laura M Paye |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508202508 PECOS PAC ID: 0042506123 Enrollment ID: I20160916000249 |
Provider Name | Joshua M Lancaster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346683703 PECOS PAC ID: 6406143973 Enrollment ID: I20160927001895 |
Provider Name | Charita Kincy Mccollers |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326598558 PECOS PAC ID: 6002195096 Enrollment ID: I20161115001320 |
Provider Name | Blanca Iris Padilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245346170 PECOS PAC ID: 3274657705 Enrollment ID: I20170105000194 |
Provider Name | Elizabeth Helen Aronin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235676628 PECOS PAC ID: 1759667595 Enrollment ID: I20170411000945 |
Provider Name | Gina Marie Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831572734 PECOS PAC ID: 1951688480 Enrollment ID: I20170510000343 |
Provider Name | Jacob Paul Feigal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003173618 PECOS PAC ID: 2860764503 Enrollment ID: I20170816000287 |
Provider Name | Wajiha Tariq Siddiqui |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1497114839 PECOS PAC ID: 3779858808 Enrollment ID: I20170929000234 |
Provider Name | April L Buscher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609097708 PECOS PAC ID: 7618128950 Enrollment ID: I20171113000854 |
Provider Name | Milani Patel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366739120 PECOS PAC ID: 1052567765 Enrollment ID: I20180102000069 |
Provider Name | Jamie Lynn Carter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255751467 PECOS PAC ID: 8628368727 Enrollment ID: I20180911001124 |
Provider Name | Kiersten Denise Bethea |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1275195166 PECOS PAC ID: 8022345271 Enrollment ID: I20190809001892 |
Provider Name | Marion Monique Keeling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629058433 PECOS PAC ID: 7012155575 Enrollment ID: I20190812000999 |
Provider Name | Rosedelia Okoro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750929519 PECOS PAC ID: 2567890916 Enrollment ID: I20200317002487 |
Provider Name | Nicole L Helmke |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790170256 PECOS PAC ID: 4789006735 Enrollment ID: I20200619000583 |
Provider Name | Kathleen Atkinson Matthews |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831620921 PECOS PAC ID: 4981973880 Enrollment ID: I20200812000168 |
Provider Name | Ruhiyyih Kilgore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972959567 PECOS PAC ID: 7012201445 Enrollment ID: I20200814001435 |
Provider Name | Janaka Anand Lagoo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972882413 PECOS PAC ID: 8527205244 Enrollment ID: I20210315001337 |
Provider Name | Nicole Doreen Moore |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760968044 PECOS PAC ID: 6406253079 Enrollment ID: I20210923003157 |
Provider Name | Rhonda Ewing Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932362712 PECOS PAC ID: 4688734098 Enrollment ID: I20210928003488 |
Provider Name | Babafemi Sijabuliso Onabanjo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093129520 PECOS PAC ID: 6608184189 Enrollment ID: I20211020001040 |
Provider Name | Daniel James Tounsel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710635693 PECOS PAC ID: 0749676559 Enrollment ID: I20220404002190 |
Provider Name | Carlyn Michel Schwarz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992208755 PECOS PAC ID: 8224383963 Enrollment ID: I20220606000042 |
Provider Name | Andrew Gumpper Flynn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194389379 PECOS PAC ID: 1951782259 Enrollment ID: I20220718003405 |
Provider Name | Damilola F Jibowu |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184112559 PECOS PAC ID: 5991051435 Enrollment ID: I20220817000366 |
Provider Name | Gillian W Connolly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477997849 PECOS PAC ID: 3375779671 Enrollment ID: I20230329001165 |
Provider Name | Shruthi Shekar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629573621 PECOS PAC ID: 6608243324 Enrollment ID: I20230406000208 |
Provider Name | Samantha Wallis Bell-rushakoff |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932661659 PECOS PAC ID: 4880072537 Enrollment ID: I20230720002379 |
Provider Name | Carolyn Yvette Jacobs |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306825575 PECOS PAC ID: 0840218152 Enrollment ID: I20230823000132 |
Provider Name | Andrea Flores |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063040129 PECOS PAC ID: 6507229218 Enrollment ID: I20230829001881 |
Provider Name | Deborah Linda Owusu |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1124768288 PECOS PAC ID: 3577926799 Enrollment ID: I20230905003522 |
Provider Name | Justin Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497435663 PECOS PAC ID: 0042674640 Enrollment ID: I20230915000318 |
Provider Name | Logan Dale Adams |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1447719299 PECOS PAC ID: 7113256157 Enrollment ID: I20230920003676 |
Provider Name | Yesenia Noyola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871269605 PECOS PAC ID: 3173920865 Enrollment ID: I20231019000081 |
Provider Name | Peter Sandalio Callejo-black |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871122887 PECOS PAC ID: 8820406069 Enrollment ID: I20231219000762 |
Provider Name | Rose Cole Howell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568592509 PECOS PAC ID: 3072956812 Enrollment ID: I20240208000863 |
Provider Name | Nekoba Kahindo Mutima |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770932659 PECOS PAC ID: 2961846712 Enrollment ID: I20240220002357 |
Durham Recovery Response Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 | |
Durham Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 | |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
Duke Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
Novant Health Durham Internal Medicine Southpoint Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 | |
Shae Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55, Suite 105, Durham, NC 27713 Phone: 919-646-4858 Fax: 919-679-7112 |