Vitae Health Medical North Carolina, Pllc - Medicare Primary Care in Mooresville, NC

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Vitae Health Medical North Carolina, Pllc is a medicare enrolled primary clinic (Internal Medicine) in Mooresville, North Carolina. The current practice location for Vitae Health Medical North Carolina, Pllc is 550 Glenwood Dr, Mooresville, North Carolina. For appointments, you can reach them via phone at (704) 664-7494. The mailing address for Vitae Health Medical North Carolina, Pllc is Po Box 830525, Birmingham, Alabama and phone number is (312) 262-6434.

Vitae Health Medical North Carolina, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265064414. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 664-7494.

Contact Information

Vitae Health Medical North Carolina, Pllc
550 Glenwood Dr
Mooresville
NC 28115-2876
(704) 664-7494
(312) 276-8854

Map and Direction


Primary Care Clinic Profile

Full NameVitae Health Medical North Carolina, Pllc
SpecialityInternal Medicine
Location550 Glenwood Dr, Mooresville, North Carolina
Authorized Official Name and PositionAbiola Familusi (PRESIDENT)
Authorized Official Contact3122626434
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vitae Health Medical North Carolina, Pllc
Po Box 830525
Birmingham
AL 35283-0525

Ph: (312) 262-6434		Vitae Health Medical North Carolina, Pllc
550 Glenwood Dr
Mooresville
NC 28115-2876

Ph: (704) 664-7494

NPI Details:

NPI Number1265064414
Provider Enumeration Date02/06/2020
Last Update Date12/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7719317932
Medicare Enrollment IDO20200430000531

Medical Identifiers

Medical identifiers for Vitae Health Medical North Carolina, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265064414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vitae Health Medical North Carolina, Pllc acts as a billing entity for following providers:
Provider NameRichard D Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891754800
PECOS PAC ID: 4486601515
Enrollment ID: I20050331001101
Provider NameJames E Mcghee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699783092
PECOS PAC ID: 4385678952
Enrollment ID: I20050922000846
Provider NameEileen M Quilty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891773008
PECOS PAC ID: 6709892250
Enrollment ID: I20060221000882
Provider NameHelen B Trahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205803103
PECOS PAC ID: 6800996729
Enrollment ID: I20070706000487
Provider NameTraci Dawn Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306802822
PECOS PAC ID: 8426159054
Enrollment ID: I20070725000681
Provider NameCharles Dunham
Provider TypePractitioner - Geriatric Psychiatry
Provider IdentifiersNPI Number: 1346268745
PECOS PAC ID: 6002906971
Enrollment ID: I20071214000657
Provider NameTerry D Toney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922307206
PECOS PAC ID: 9436337524
Enrollment ID: I20110620000212
Provider NameBenedetto Palombo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255691150
PECOS PAC ID: 5294981171
Enrollment ID: I20120808000588
Provider NameValerie Chess
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255493847
PECOS PAC ID: 4183715907
Enrollment ID: I20120907000352
Provider NameKathy K Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083954689
PECOS PAC ID: 2062653934
Enrollment ID: I20130719000210
Provider NameTeofil L Misaras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710328240
PECOS PAC ID: 2961638762
Enrollment ID: I20131127000951
Provider NameJames M Bates
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093001760
PECOS PAC ID: 5890914196
Enrollment ID: I20140918002256
Provider NameNickcola Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992112007
PECOS PAC ID: 1456572916
Enrollment ID: I20141027000254
Provider NameMaureen Teresa O'hanlon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154686244
PECOS PAC ID: 7719208271
Enrollment ID: I20150609001608
Provider NameAndrea D Dominick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407228521
PECOS PAC ID: 7113229105
Enrollment ID: I20160107002251
Provider NameMegan M Bumgarner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699125070
PECOS PAC ID: 5294022307
Enrollment ID: I20160916001786
Provider NameMary Ann Rather
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700336054
PECOS PAC ID: 5890083760
Enrollment ID: I20161007001485
Provider NameVictoria Linda Gay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417491960
PECOS PAC ID: 6901180215
Enrollment ID: I20170306002173
Provider NameRegina C Ingle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134647571
PECOS PAC ID: 8820364391
Enrollment ID: I20171027001679
Provider NameStephanie Gregg Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407399306
PECOS PAC ID: 1850650821
Enrollment ID: I20180119001480
Provider NameArlette F Owens-mosley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205342052
PECOS PAC ID: 1355602343
Enrollment ID: I20180308001733
Provider NameCesar Nsumanganyi Kalombo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568935039
PECOS PAC ID: 3476892563
Enrollment ID: I20190307001842
Provider NameMartu Tennih Tamba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124323316
PECOS PAC ID: 7911230313
Enrollment ID: I20190617001742
Provider NameAquicha Renee Duff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558714667
PECOS PAC ID: 0042542557
Enrollment ID: I20191104000892
Provider NameNateka Latrice Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558922096
PECOS PAC ID: 4587090576
Enrollment ID: I20200211002156
Provider NameAmish M Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457502619
PECOS PAC ID: 4082801964
Enrollment ID: I20200430000666
Provider NameAmanda Shrum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922545698
PECOS PAC ID: 8628341641
Enrollment ID: I20200528001909
Provider NameErnestine Futrell Webster
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831719376
PECOS PAC ID: 8224451505
Enrollment ID: I20200702002278
Provider NameVictor D Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861622060
PECOS PAC ID: 8527297381
Enrollment ID: I20200722003650
Provider NameMeriah Paige Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083250500
PECOS PAC ID: 1759705668
Enrollment ID: I20200724002278
Provider NameAlicia Wilson Glenn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114559283
PECOS PAC ID: 2668891631
Enrollment ID: I20200925000284
Provider NameLatara Craddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942821152
PECOS PAC ID: 1951721653
Enrollment ID: I20201019002485
Provider NameKashari L Fulks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003428293
PECOS PAC ID: 4880004597
Enrollment ID: I20201109002608
Provider NameDavina Norman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609475821
PECOS PAC ID: 6709293251
Enrollment ID: I20210329001599
Provider NameAlan Townes Grizzard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881295418
PECOS PAC ID: 9537577507
Enrollment ID: I20210413001786
Provider NameBrent Delac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255917423
PECOS PAC ID: 4385052703
Enrollment ID: I20210422002431
Provider NameSinobuhle M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851833875
PECOS PAC ID: 9133528755
Enrollment ID: I20210817002770
Provider NameAlicia Emery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114419728
PECOS PAC ID: 4789934142
Enrollment ID: I20210823001818
Provider NameVanessa Church
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235894056
PECOS PAC ID: 6002205523
Enrollment ID: I20211122001872
Provider NameCarrie Elizabeth Avery Burleson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306316179
PECOS PAC ID: 7113266362
Enrollment ID: I20211220000067
Provider NameKristin Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912667072
PECOS PAC ID: 6406248558
Enrollment ID: I20220121001421
Provider NameLawanda Judge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932696861
PECOS PAC ID: 9133512205
Enrollment ID: I20220214000948
Provider NameKristy Mcleod Bray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265185227
PECOS PAC ID: 2961899703
Enrollment ID: I20220426003162
Provider NameKimberly Ann Floyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699423038
PECOS PAC ID: 0345627592
Enrollment ID: I20220510001099
Provider NameLakeisha Marie Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205580131
PECOS PAC ID: 3072996602
Enrollment ID: I20220815003509
Provider NameEmilia Lee Wunderlich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881326718
PECOS PAC ID: 9739562141
Enrollment ID: I20220818000183
Provider NameLatifah Quanah Jeter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184381659
PECOS PAC ID: 3870977960
Enrollment ID: I20220909000235
Provider NameKareem C Boles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366179095
PECOS PAC ID: 1759751399
Enrollment ID: I20221223000352
Provider NameAfi Nono Kpakossou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497463137
PECOS PAC ID: 7618382193
Enrollment ID: I20230119000494
Provider NameAnthony Moncrieft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619692605
PECOS PAC ID: 1850765090
Enrollment ID: I20230329003329
Provider NameSarah Christina Risch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346940707
PECOS PAC ID: 0749645893
Enrollment ID: I20230425002718
Provider NameMary Angela Rogers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891840542
PECOS PAC ID: 9234102427
Enrollment ID: I20230801000743
Provider NameShean Kelly Harris
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790223923
PECOS PAC ID: 0547604092
Enrollment ID: I20240223000005
Provider NameLatoyia Miller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407092117
PECOS PAC ID: 4789020595
Enrollment ID: I20240314001441
Provider NameKimatia S Watkins
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1538462254
PECOS PAC ID: 4789021239
Enrollment ID: I20240320002077
Provider NameKellie Person
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669896148
PECOS PAC ID: 9234577685
Enrollment ID: I20240403003438
Provider NameShandale Dawn Alcorn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144892647
PECOS PAC ID: 4284073776
Enrollment ID: I20240417000249
Provider NameAnissa Joseph
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962076265
PECOS PAC ID: 6103268156
Enrollment ID: I20240522003841
Provider NameNgozi Regina Eze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093410581
PECOS PAC ID: 7911349865
Enrollment ID: I20240523003738
Provider NameElectre Shemil Turner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821661422
PECOS PAC ID: 9830531649
Enrollment ID: I20240524001649
Provider NameSherry Lynn Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558123323
PECOS PAC ID: 8527400357
Enrollment ID: I20240524002578
Provider NameJasmine Reese
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1225646433
PECOS PAC ID: 7911349287
Enrollment ID: I20240531002627
Provider NameMacquinton Latroy Vinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063294445
PECOS PAC ID: 5799227724
Enrollment ID: I20240606000439
Provider NameRosario Sralla
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033567318
PECOS PAC ID: 1658711619
Enrollment ID: I20240606003427
Provider NameLisa Cole
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568170728
PECOS PAC ID: 2264975341
Enrollment ID: I20240617003875
Provider NameNatalie Nicole Scott
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730742669
PECOS PAC ID: 4082157755
Enrollment ID: I20240621003769
Provider NameOlivia Newton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639761612
PECOS PAC ID: 2163968744
Enrollment ID: I20240718003632
Provider NameKelly Lavette Cobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811736341
PECOS PAC ID: 4789120122
Enrollment ID: I20240722004156
Provider NamePeter Bertelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235766338
PECOS PAC ID: 1557710597
Enrollment ID: I20240806001702
Provider NameDiane Harper
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033635305
PECOS PAC ID: 2163962119
Enrollment ID: I20240905002600
Provider NameKimberly Grey Purser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588114847
PECOS PAC ID: 4183155294
Enrollment ID: I20241001000094
Provider NameAbiola Familusi
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1649351214
PECOS PAC ID: 5890608079
Enrollment ID: I20241004000452
Provider NameShenita Colson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164262119
PECOS PAC ID: 4486187093
Enrollment ID: I20241104001596
Provider NameDeanna Rock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073182945
PECOS PAC ID: 4587198544
Enrollment ID: I20241113002136
Provider NameShatoya Young
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912479759
PECOS PAC ID: 0446785158
Enrollment ID: I20241118003826
Provider NameCristina Bruington
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1902212137
PECOS PAC ID: 4688109093
Enrollment ID: I20241121004524
Provider NameErin Lavette Farr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013372390
PECOS PAC ID: 8921303488
Enrollment ID: I20241204002708
Provider NameMarnda Nicole Leverette
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548834658
PECOS PAC ID: 3173059763
Enrollment ID: I20241205003017
Provider NameClercifie Leneus
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073186524
PECOS PAC ID: 6204362338
Enrollment ID: I20241212000027

Reviews and Comments


Internal Medicine in Mooresville, NC


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Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117
Phone: 704-878-4500    Fax: 704-872-7924
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Wellcomemd Nc Clinic Pllc
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Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117
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Greenbrook Tms Mooresville Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 149 Plantation Ridge Dr Ste 150, Mooresville, NC 28117
Phone: 855-910-4867    Fax: 855-920-4867

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lowes Blvd, Mooresville, NC 28117
Phone: 704-758-2000    Fax: 704-757-0510

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 544 Brawley School Rd, Suite C, Mooresville, NC 28117
Phone: 704-360-9310    
Lake Norman Endocrinology & Diabetes, Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117
Phone: 704-664-2936    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.