| The Neil Group, Inc | |
|
1399 Ashleybrook Ln Ste 100 Winston Salem NC 27103-2961 | |
| (336) 774-2194 | |
| (336) 774-2195 |
| Full Name | The Neil Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1399 Ashleybrook Ln Ste 100, Winston Salem, North Carolina |
| Authorized Official Name and Position | Ransford Authurbury Neil (PRESIDENT) |
| Authorized Official Contact | 3367742194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neil Group, Inc 1399 Ashleybrook Ln Ste 100 Winston Salem NC 27103-2961 Ph: (336) 774-2194 | The Neil Group, Inc 1399 Ashleybrook Ln Ste 100 Winston Salem NC 27103-2961 Ph: (336) 774-2194 |
| NPI Number | 1518142280 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 2365581196 |
|---|---|
| Medicare Enrollment ID | O20200513003275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518142280 | NPI | - | NPPES |
| 5907831 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005-01450 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James A Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467498600 PECOS PAC ID: 9335156124 Enrollment ID: I20060320000648 |
| Provider Name | Granada S Neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609845478 PECOS PAC ID: 0648281329 Enrollment ID: I20060509000590 |
| Provider Name | Lasean Bost Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225045602 PECOS PAC ID: 8527164896 Enrollment ID: I20070502000487 |
| Provider Name | Janice Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528021177 PECOS PAC ID: 4587734520 Enrollment ID: I20080603000675 |
| Provider Name | Kelly Nmn Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720314420 PECOS PAC ID: 2163561226 Enrollment ID: I20091202000457 |
| Provider Name | Charles D Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288459 PECOS PAC ID: 9032344353 Enrollment ID: I20131022001990 |
| Provider Name | Vickie P Whitley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770963639 PECOS PAC ID: 7517229313 Enrollment ID: I20180314001285 |
| Provider Name | Tabitha W Koerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356823033 PECOS PAC ID: 9931443736 Enrollment ID: I20181205001896 |
| Provider Name | Cambria Collins James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356504146 PECOS PAC ID: 7315359700 Enrollment ID: I20201208002554 |
| Provider Name | Mathilda Rose Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225547631 PECOS PAC ID: 5890171433 Enrollment ID: I20221004003706 |
| Provider Name | Afi Nono Kpakossou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463137 PECOS PAC ID: 7618382193 Enrollment ID: I20230119000494 |
| Provider Name | Ransford Neil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619902871 PECOS PAC ID: 3173661766 Enrollment ID: I20231127001921 |
| Provider Name | Andrew John Jaggernauth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922381508 PECOS PAC ID: 4385075316 Enrollment ID: I20240104003320 |
| Provider Name | Tasha Danielle Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861677544 PECOS PAC ID: 3870944143 Enrollment ID: I20240111000545 |
| Provider Name | Diana Ngumsina Muyonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275221558 PECOS PAC ID: 4486007689 Enrollment ID: I20240124001229 |
| Provider Name | Titchina Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659148633 PECOS PAC ID: 3476996422 Enrollment ID: I20240207001792 |
| Provider Name | Alicia Latten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689327645 PECOS PAC ID: 7214479922 Enrollment ID: I20240610003037 |
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