| Mednorth Health Center | |
|
925 N 4th St Wilmington NC 28401-3450 | |
| (910) 343-0270 | |
| (910) 251-1540 |
| Full Name | Mednorth Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 925 N 4th St, Wilmington, North Carolina |
| Authorized Official Name and Position | Althea Johnson (CEO) |
| Authorized Official Contact | 9102028623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mednorth Health Center 925 N 4th St Wilmington NC 28401-3450 Ph: (910) 343-0270 | Mednorth Health Center 925 N 4th St Wilmington NC 28401-3450 Ph: (910) 343-0270 |
| NPI Number | 1912954090 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 1153220215 |
|---|---|
| Medicare Enrollment ID | O20040107000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954090 | NPI | - | NPPES |
| 344555 | Medicaid | NC | |
| 0155P | Other | NC | BLUECROSS BLUESHIELD |
| 8700429 | Other | NC | MEDICAID (HIV CASE MGMT) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Laura Rosenthall Schultz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457418246 PECOS PAC ID: 0941280028 Enrollment ID: I20040720001609 |
| Provider Name | Kevin Gregory Bachman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497722672 PECOS PAC ID: 7315940491 Enrollment ID: I20060809000473 |
| Provider Name | Cynthia K Pierson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952452567 PECOS PAC ID: 2860584299 Enrollment ID: I20070815000468 |
| Provider Name | Erin D Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326270430 PECOS PAC ID: 3476609629 Enrollment ID: I20090914000370 |
| Provider Name | Sarah P Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619049681 PECOS PAC ID: 2062311467 Enrollment ID: I20120427000568 |
| Provider Name | Saka A Salami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457518524 PECOS PAC ID: 4880747120 Enrollment ID: I20130927000605 |
| Provider Name | Mayra A. Overstreet Galeano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376833004 PECOS PAC ID: 1658516505 Enrollment ID: I20160329002029 |
| Provider Name | Carli Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114362480 PECOS PAC ID: 6103069810 Enrollment ID: I20160803002984 |
| Provider Name | Jordan E Gibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782354 PECOS PAC ID: 7618245978 Enrollment ID: I20170612000234 |
| Provider Name | Shalane Beth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497285696 PECOS PAC ID: 6709151228 Enrollment ID: I20171010002026 |
| Provider Name | Heather Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407207657 PECOS PAC ID: 8426302373 Enrollment ID: I20181113002385 |
| Provider Name | Barry Joseph Politi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104813625 PECOS PAC ID: 6608978333 Enrollment ID: I20181231000703 |
| Provider Name | Evie Schulz Nicklas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568720258 PECOS PAC ID: 2860729670 Enrollment ID: I20190815002789 |
| Provider Name | Brendan T Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548622657 PECOS PAC ID: 4082965330 Enrollment ID: I20190916003558 |
| Provider Name | Melanie Ann Opack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194356378 PECOS PAC ID: 3173944683 Enrollment ID: I20200608002569 |
| Provider Name | Laura Pica Akerley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083259212 PECOS PAC ID: 3274937156 Enrollment ID: I20210816000315 |
| Provider Name | Sylvia J Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801383708 PECOS PAC ID: 8224369152 Enrollment ID: I20211210001458 |
| Provider Name | Elena M Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982008553 PECOS PAC ID: 0941504252 Enrollment ID: I20220103000384 |
| Provider Name | Alexandra B. Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972999720 PECOS PAC ID: 1456641760 Enrollment ID: I20220801002128 |
| Provider Name | Rebecca A Deardorff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053735142 PECOS PAC ID: 5991180580 Enrollment ID: I20220919000563 |
| Provider Name | Jonathan David Melo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437737715 PECOS PAC ID: 1759783160 Enrollment ID: I20230306001509 |
| Provider Name | Raul Andres Zamora-duprey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184211021 PECOS PAC ID: 5698111656 Enrollment ID: I20240312004136 |
| Provider Name | Dawn Marie Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902080690 PECOS PAC ID: 4183899610 Enrollment ID: I20240426000427 |
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