Premier Geriatric Solutions Pllc | |
6701 Peters Creek Rd Ste 110 Roanoke VA 24019-4060 | |
(800) 765-7130 | |
(201) 228-9980 |
Full Name | Premier Geriatric Solutions Pllc |
---|---|
Speciality | Internal Medicine |
Location | 6701 Peters Creek Rd Ste 110, Roanoke, Virginia |
Authorized Official Name and Position | Bradley Jackson Goad (OWNER) |
Authorized Official Contact | 5404882200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Geriatric Solutions Pllc 6701 Peters Creek Rd Ste 110 Roanoke VA 24019-4060 Ph: (800) 765-7130 | Premier Geriatric Solutions Pllc 6701 Peters Creek Rd Ste 110 Roanoke VA 24019-4060 Ph: (800) 765-7130 |
NPI Number | 1568093672 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 02/09/2021 |
Medicare PECOS PAC ID | 3072940279 |
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Medicare Enrollment ID | O20200228001800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568093672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Bradley J Goad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20040205000124 |
Provider Name | Vanessa Jean Sturgill Fant |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225013428 PECOS PAC ID: 1052205473 Enrollment ID: I20040209000404 |
Provider Name | David B Trinkle |
---|---|
Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1598749632 PECOS PAC ID: 6901798412 Enrollment ID: I20040329000949 |
Provider Name | Arneda F Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033119078 PECOS PAC ID: 6901885417 Enrollment ID: I20040719000254 |
Provider Name | David Wayne Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003884966 PECOS PAC ID: 0840259941 Enrollment ID: I20041005000803 |
Provider Name | Victor H Bell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558369827 PECOS PAC ID: 0941248660 Enrollment ID: I20050422000550 |
Provider Name | Uzma Manzar Ali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003828724 PECOS PAC ID: 0547298614 Enrollment ID: I20050729000752 |
Provider Name | George Pearis Damewood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346278611 PECOS PAC ID: 4183640501 Enrollment ID: I20051014000679 |
Provider Name | Susan Kinnison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568441046 PECOS PAC ID: 3476573825 Enrollment ID: I20051130000172 |
Provider Name | Christy A Andrews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942491865 PECOS PAC ID: 0749376598 Enrollment ID: I20071010000197 |
Provider Name | Keith Long |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417933870 PECOS PAC ID: 3577631043 Enrollment ID: I20081010000220 |
Provider Name | Stacy J Gambill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457436008 PECOS PAC ID: 5092883355 Enrollment ID: I20081014000413 |
Provider Name | William C Ward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740252998 PECOS PAC ID: 0547322232 Enrollment ID: I20081213000262 |
Provider Name | Jonathan D Shenk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568432706 PECOS PAC ID: 1557455318 Enrollment ID: I20081222000659 |
Provider Name | John M Stauffer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538190434 PECOS PAC ID: 5890849418 Enrollment ID: I20090817000732 |
Provider Name | Nevin Daniel Yoder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154552388 PECOS PAC ID: 1759436603 Enrollment ID: I20090828000571 |
Provider Name | William C Mitchell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699773531 PECOS PAC ID: 1850429903 Enrollment ID: I20100511000180 |
Provider Name | Kenneth E Fore |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407059637 PECOS PAC ID: 4688798655 Enrollment ID: I20100826001213 |
Provider Name | Latania Michelle Akers-white |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750571691 PECOS PAC ID: 4688854383 Enrollment ID: I20110214000215 |
Provider Name | Lisa E Curtis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649239021 PECOS PAC ID: 7517148380 Enrollment ID: I20110228000167 |
Provider Name | Patrick E Baroco |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1558341248 PECOS PAC ID: 4688856917 Enrollment ID: I20110308000828 |
Provider Name | Elizabeth D Saum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932497674 PECOS PAC ID: 9234308271 Enrollment ID: I20110809000629 |
Provider Name | Jessica D Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558556076 PECOS PAC ID: 9931293719 Enrollment ID: I20120225000176 |
Provider Name | Marla Norris Alger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992067987 PECOS PAC ID: 3072760305 Enrollment ID: I20120821001136 |
Provider Name | Crystal K Blosser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225375520 PECOS PAC ID: 1658516752 Enrollment ID: I20130320000313 |
Provider Name | Jonathan M Boring |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093039489 PECOS PAC ID: 9234372434 Enrollment ID: I20130906000221 |
Provider Name | Jamie Wood Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184063315 PECOS PAC ID: 0345484408 Enrollment ID: I20130912000095 |
Provider Name | Sarah E Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881027373 PECOS PAC ID: 2264676295 Enrollment ID: I20130913000122 |
Provider Name | Amaris Irina Tanasescu-koga |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275830796 PECOS PAC ID: 8224269287 Enrollment ID: I20140806001571 |
Provider Name | Jessica S Terry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780941831 PECOS PAC ID: 2365604790 Enrollment ID: I20140825000344 |
Provider Name | Melanie Greer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902237985 PECOS PAC ID: 4082846480 Enrollment ID: I20140918000907 |
Provider Name | Kirsten L Hinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255615233 PECOS PAC ID: 0446572762 Enrollment ID: I20141122000272 |
Provider Name | Natasha Ballentine Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992181085 PECOS PAC ID: 8628386554 Enrollment ID: I20150925002691 |
Provider Name | Jessica Lauren Van Auken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598134173 PECOS PAC ID: 1951601491 Enrollment ID: I20151204001844 |
Provider Name | Ryan A Carlton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710378195 PECOS PAC ID: 4981923455 Enrollment ID: I20160112001221 |
Provider Name | Kimberly A Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457720039 PECOS PAC ID: 3971808734 Enrollment ID: I20160217000281 |
Provider Name | Rachel A Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154736288 PECOS PAC ID: 3779801543 Enrollment ID: I20160325000756 |
Provider Name | Jessica Marie Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881148732 PECOS PAC ID: 3678860764 Enrollment ID: I20160916000981 |
Provider Name | Viola L Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912369489 PECOS PAC ID: 0941588545 Enrollment ID: I20161102002119 |
Provider Name | Ashley Renee Cupp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417309907 PECOS PAC ID: 7517246937 Enrollment ID: I20161108000157 |
Provider Name | Farrah Vaughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881146694 PECOS PAC ID: 9931481959 Enrollment ID: I20170126000687 |
Provider Name | Michie Armell Bolden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659815736 PECOS PAC ID: 8224313762 Enrollment ID: I20170323000733 |
Provider Name | Michael T Pittmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255865333 PECOS PAC ID: 5294002143 Enrollment ID: I20170524000731 |
Provider Name | Caroline M Chisholm |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134546070 PECOS PAC ID: 8426342593 Enrollment ID: I20170712002210 |
Provider Name | Candace Marie Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821513771 PECOS PAC ID: 2466719026 Enrollment ID: I20171206003039 |
Provider Name | Sara M Swanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689188864 PECOS PAC ID: 9931460730 Enrollment ID: I20180219000224 |
Provider Name | Jessica C Roes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407332117 PECOS PAC ID: 0941551766 Enrollment ID: I20180918002689 |
Provider Name | Rhonda Gail Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831655703 PECOS PAC ID: 2264774991 Enrollment ID: I20190430001255 |
Provider Name | Angela E Shearer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154930022 PECOS PAC ID: 9739508276 Enrollment ID: I20201001002228 |
Provider Name | David Majure |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578536074 PECOS PAC ID: 5799765871 Enrollment ID: I20201117000953 |
Provider Name | Hannah M Beam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528685120 PECOS PAC ID: 0446669451 Enrollment ID: I20210504000797 |
Provider Name | Crystal Leigh O'connor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902478365 PECOS PAC ID: 0345646014 Enrollment ID: I20210903000294 |
Provider Name | Chelsey L Burnette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801569041 PECOS PAC ID: 2769880723 Enrollment ID: I20211006001818 |
Provider Name | Emily Rebecca Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659942043 PECOS PAC ID: 0345648796 Enrollment ID: I20211014003295 |
Provider Name | Karissa Lynn Hare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275105132 PECOS PAC ID: 7618365735 Enrollment ID: I20211022000481 |
Provider Name | Leanna Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760051676 PECOS PAC ID: 1658760798 Enrollment ID: I20211111001767 |
Provider Name | Alyssa Huston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275296477 PECOS PAC ID: 5597154054 Enrollment ID: I20211123000415 |
Provider Name | Branda Best Pounds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265197388 PECOS PAC ID: 2567854904 Enrollment ID: I20220118000073 |
Provider Name | Cozetta Lee Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306506985 PECOS PAC ID: 1951797851 Enrollment ID: I20220401000155 |
Provider Name | Jessica R Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750023875 PECOS PAC ID: 1951798602 Enrollment ID: I20220427000848 |
Provider Name | Penny Marie Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083357099 PECOS PAC ID: 8325435662 Enrollment ID: I20220505000042 |
Provider Name | Stephen M Colvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295484681 PECOS PAC ID: 2062890775 Enrollment ID: I20220609000275 |
Provider Name | Chen Peter Chou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568196020 PECOS PAC ID: 5597146613 Enrollment ID: I20220721000760 |
Provider Name | Michael Saval |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407483894 PECOS PAC ID: 6204748866 Enrollment ID: I20220929001736 |
Provider Name | Sharee Birkett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528782356 PECOS PAC ID: 1254708647 Enrollment ID: I20221027000593 |
Provider Name | Molly Langston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629780010 PECOS PAC ID: 0244601086 Enrollment ID: I20230113001997 |
Provider Name | Rhonda L Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255050209 PECOS PAC ID: 6901270040 Enrollment ID: I20230313002052 |
Provider Name | Mohammad Alhalabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194427328 PECOS PAC ID: 9335514892 Enrollment ID: I20230414000685 |
Provider Name | Xiaofang Ingram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912604737 PECOS PAC ID: 2961877386 Enrollment ID: I20230417000838 |
Provider Name | Samantha Amos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154824498 PECOS PAC ID: 5799030862 Enrollment ID: I20230503002240 |
Provider Name | Whitney Bowles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881390524 PECOS PAC ID: 3072979954 Enrollment ID: I20230518002579 |
Provider Name | Nauras Hwig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396237582 PECOS PAC ID: 6406109529 Enrollment ID: I20230614003958 |
Provider Name | Megan Suzanne Abbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20230928001949 |
Provider Name | Elaine M Dunnivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639944531 PECOS PAC ID: 8527417419 Enrollment ID: I20231218003504 |
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The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |