| South Charlotte Primary Care | |
|
7030 Pineville Matthews Rd Charlotte NC 28226-8298 | |
| (704) 667-4150 | |
| Not Available |
| Full Name | South Charlotte Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 7030 Pineville Matthews Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Charlotte Primary Care Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | South Charlotte Primary Care 7030 Pineville Matthews Rd Charlotte NC 28226-8298 Ph: (704) 667-4150 |
| NPI Number | 1619904430 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 7517150378 |
|---|---|
| Medicare Enrollment ID | O20101025001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619904430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanessa Lee Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093740029 PECOS PAC ID: 8022033885 Enrollment ID: I20051011000355 |
| Provider Name | Lawrence Mark Fleishman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467471292 PECOS PAC ID: 5395932008 Enrollment ID: I20101207001038 |
| Provider Name | Sherryl A Mcphee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114946951 PECOS PAC ID: 3577752393 Enrollment ID: I20110110000879 |
| Provider Name | Anitha M Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255381117 PECOS PAC ID: 8325229115 Enrollment ID: I20110228000313 |
| Provider Name | Ashley C Coppage Honeycutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427029487 PECOS PAC ID: 4688842099 Enrollment ID: I20110729000009 |
| Provider Name | Kara A Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689693418 PECOS PAC ID: 8325214695 Enrollment ID: I20120109000499 |
| Provider Name | Larry T Glass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982623716 PECOS PAC ID: 0648415935 Enrollment ID: I20130313000544 |
| Provider Name | Dayna Denise Trivette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215953336 PECOS PAC ID: 5799921391 Enrollment ID: I20130427000070 |
| Provider Name | Mary B W Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861816134 PECOS PAC ID: 0648498550 Enrollment ID: I20140905000843 |
| Provider Name | Joseph C Loibissio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457381600 PECOS PAC ID: 9133497654 Enrollment ID: I20170623002071 |
| Provider Name | Melodie Cornique Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518279694 PECOS PAC ID: 9537469879 Enrollment ID: I20180116002000 |
| Provider Name | Vicky Leff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548259369 PECOS PAC ID: 0446413694 Enrollment ID: I20180226001733 |
| Provider Name | Hana Alqariab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306348081 PECOS PAC ID: 9234493040 Enrollment ID: I20180502002774 |
| Provider Name | Puja G Whitlow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356495881 PECOS PAC ID: 4880728245 Enrollment ID: I20180828000348 |
| Provider Name | Beth Christina Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295121754 PECOS PAC ID: 6103194394 Enrollment ID: I20180924003456 |
| Provider Name | Charles Vedder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588604201 PECOS PAC ID: 9234214784 Enrollment ID: I20200324003327 |
| Provider Name | Kimberly D Hunkele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386642270 PECOS PAC ID: 1850291519 Enrollment ID: I20230908003622 |
| Provider Name | Severo S Spradling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316567936 PECOS PAC ID: 9739533951 Enrollment ID: I20230921002744 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |