| Oic Family Medical Center At Happy Hill | |
|
300 N Grace St Rocky Mount NC 27804-5345 | |
| (252) 210-9856 | |
| (252) 212-3497 |
| Full Name | Oic Family Medical Center At Happy Hill |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 N Grace St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Reuben Blackwell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2522123480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oic Family Medical Center At Happy Hill Po Box 2723 Rocky Mount NC 27802-2723 Ph: (252) 210-9856 | Oic Family Medical Center At Happy Hill 300 N Grace St Rocky Mount NC 27804-5345 Ph: (252) 210-9856 |
| NPI Number | 1528478237 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 07/28/2015 |
| Medicare PECOS PAC ID | 3173563590 |
|---|---|
| Medicare Enrollment ID | O20140921000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528478237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Primary |
| Provider Name | Rita K Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316957319 PECOS PAC ID: 1456327469 Enrollment ID: I20040909000887 |
| Provider Name | Stacey Rawls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043249774 PECOS PAC ID: 6901903327 Enrollment ID: I20070521000100 |
| Provider Name | Tisa O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942342159 PECOS PAC ID: 7719088624 Enrollment ID: I20070723000339 |
| Provider Name | Tiffany D Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497071153 PECOS PAC ID: 3173652997 Enrollment ID: I20100603000321 |
| Provider Name | Patti Greening Sperling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639147812 PECOS PAC ID: 2062303001 Enrollment ID: I20110411000697 |
| Provider Name | Michelle D Highsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184963704 PECOS PAC ID: 1658514898 Enrollment ID: I20130906000748 |
| Provider Name | Katrina G Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942626445 PECOS PAC ID: 2264756030 Enrollment ID: I20150127001057 |
| Provider Name | Katrina Mccourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063810711 PECOS PAC ID: 5799098356 Enrollment ID: I20150725012649 |
| Provider Name | Angela Nicole Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609126168 PECOS PAC ID: 1254640014 Enrollment ID: I20151016001280 |
| Provider Name | Earic R Bonner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548526411 PECOS PAC ID: 4789984758 Enrollment ID: I20151123002005 |
| Provider Name | Suzanne F Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982070512 PECOS PAC ID: 8820398217 Enrollment ID: I20151208002262 |
| Provider Name | Tania Janei Stack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639505621 PECOS PAC ID: 4082992128 Enrollment ID: I20161025001818 |
| Provider Name | Shameca D Ricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205278298 PECOS PAC ID: 8426337833 Enrollment ID: I20161107002437 |
| Provider Name | Maisha Pesante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326242397 PECOS PAC ID: 8820271307 Enrollment ID: I20170119002621 |
| Provider Name | Davneatra Shonta Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154707446 PECOS PAC ID: 9931466448 Enrollment ID: I20171207002170 |
| Provider Name | Karen Reyes Lavieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900898 PECOS PAC ID: 8224393582 Enrollment ID: I20180607001898 |
| Provider Name | Lisa R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760774772 PECOS PAC ID: 6608093398 Enrollment ID: I20180709000059 |
| Provider Name | Evelyn Majachani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134647688 PECOS PAC ID: 2769732536 Enrollment ID: I20180829002535 |
| Provider Name | Gregory W Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528360450 PECOS PAC ID: 2668716424 Enrollment ID: I20181205000598 |
| Provider Name | Tina Nnenna Ohuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659847564 PECOS PAC ID: 5597004614 Enrollment ID: I20190306002513 |
| Provider Name | Erin Tinuviel Graney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093107831 PECOS PAC ID: 0941634463 Enrollment ID: I20191216002527 |
| Provider Name | Theodora Desronvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902394067 PECOS PAC ID: 1951739085 Enrollment ID: I20200323003571 |
| Provider Name | Glenda Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952871055 PECOS PAC ID: 4082882139 Enrollment ID: I20200514001493 |
| Provider Name | Karen B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679195440 PECOS PAC ID: 2961821624 Enrollment ID: I20200929002629 |
| Provider Name | Joy Frances Hinnant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932864949 PECOS PAC ID: 2668865403 Enrollment ID: I20220131001539 |
| Provider Name | Geoffrey M Oroko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881346443 PECOS PAC ID: 9638566433 Enrollment ID: I20220426001656 |
| Provider Name | Denise Allison Dunn-cerja |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184101123 PECOS PAC ID: 4587044268 Enrollment ID: I20220712002514 |
| Provider Name | Lavonne Hairston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710272323 PECOS PAC ID: 6507083532 Enrollment ID: I20221011002985 |
| Provider Name | Tonya Denise Hasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346965324 PECOS PAC ID: 1759759087 Enrollment ID: I20221117002225 |
Mdfamily Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Sunset Ave, Rocky Mount, NC 27804 Phone: 704-527-6322 | |
Kroncke Wound Management Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Candlewood Rd, Rocky Mount, NC 27804 Phone: 252-903-3124 | |
Better Days Ahead Of Rocky Mount Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 N Fairview Rd, Rocky Mount, NC 27801 Phone: 252-972-4080 Fax: 252-972-3380 | |
Eastern North Carolina Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 N Wesleyan Blvd, Rocky Mount, NC 27804 Phone: 252-985-5187 Fax: 252-451-2702 | |
Kumar Internal Medicine Assoc. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Englewood Dr, Rocky Mount, NC 27804 Phone: 252-443-1126 Fax: 252-443-1126 | |
Oic Williford School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Williford St, Rocky Mount, NC 27803 Phone: 252-210-9856 Fax: 252-822-5065 | |
Nettoc Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3661 Sunset Ave, Rocky Mount, NC 27804 Phone: 888-671-5273 Fax: 800-604-5503 |