| Mt Olive Family Medicine Center Inc | |
|
201 N Breazeale Ave Mount Olive NC 28365-1603 | |
| (919) 658-4954 | |
| (919) 658-5754 |
| Full Name | Mt Olive Family Medicine Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Breazeale Ave, Mount Olive, North Carolina |
| Authorized Official Name and Position | Carol Dunn Dilda (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9195814960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Olive Family Medicine Center Inc 201 N Breazeale Ave Mount Olive NC 28365-1603 Ph: (919) 658-4954 | Mt Olive Family Medicine Center Inc 201 N Breazeale Ave Mount Olive NC 28365-1603 Ph: (919) 658-4954 |
| NPI Number | 1467481762 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 12/18/2012 |
| Medicare PECOS PAC ID | 3870547227 |
|---|---|
| Medicare Enrollment ID | O20050310000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467481762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas S Draughon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518934082 PECOS PAC ID: 4284628876 Enrollment ID: I20040414001593 |
| Provider Name | Sascha Frey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154398501 PECOS PAC ID: 8527012970 Enrollment ID: I20050308001137 |
| Provider Name | Robert K Talton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318828 PECOS PAC ID: 5496774028 Enrollment ID: I20051129000502 |
| Provider Name | Humayun Mohammad Kadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427074616 PECOS PAC ID: 6204830664 Enrollment ID: I20060828000248 |
| Provider Name | Sufia Siddique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265531339 PECOS PAC ID: 2062413198 Enrollment ID: I20070116000465 |
| Provider Name | Bryon Geer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942426507 PECOS PAC ID: 8628160686 Enrollment ID: I20070822000578 |
| Provider Name | Phillip W Moye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184761868 PECOS PAC ID: 3072606631 Enrollment ID: I20070912000681 |
| Provider Name | Catherine F Noonan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215186481 PECOS PAC ID: 4284795204 Enrollment ID: I20081210000085 |
| Provider Name | Vincent Paul Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609820463 PECOS PAC ID: 5799819629 Enrollment ID: I20121107000470 |
| Provider Name | Meghan S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435987 PECOS PAC ID: 5496006454 Enrollment ID: I20181001003484 |
| Provider Name | Jennifer Elliott Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707548 PECOS PAC ID: 5991059636 Enrollment ID: I20181114003511 |
| Provider Name | Carie M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750849758 PECOS PAC ID: 8921335068 Enrollment ID: I20190812002641 |
| Provider Name | Mark Ashford Blizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945041 PECOS PAC ID: 7517323116 Enrollment ID: I20230620002509 |
Goshen Medical Center Lamberts Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Ne Center St, Mount Olive, NC 28365 Phone: 919-658-2505 Fax: 919-658-0549 | |
Talton Physician Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Crest Dr, Mount Olive, NC 28365 Phone: 919-222-5908 | |
Goshen Medical Center - Mount Olive Mobile Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 Nc Highway 55 W, Mount Olive, NC 28365 Phone: 919-658-5900 Fax: 919-658-0101 | |
Visavis Health Care Medical Group Of Nc Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 929-491-7333 |