| Williamston Clinic Corp | |
|
104 Medical Dr Williamston NC 27892-2156 | |
| (252) 890-6341 | |
| Not Available |
| Full Name | Williamston Clinic Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Medical Dr, Williamston, North Carolina |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamston Clinic Corp Po Box 19034 Belfast ME 04915-4085 Ph: (615) 221-1400 | Williamston Clinic Corp 104 Medical Dr Williamston NC 27892-2156 Ph: (252) 890-6341 |
| NPI Number | 1811990443 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 6709790082 |
|---|---|
| Medicare Enrollment ID | O20031119000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811990443 | NPI | - | NPPES |
| 018PT | Other | NC | BCBS |
| 5905764 | Medicaid | NC | |
| 89012FU | Medicaid | NC | |
| 0725M | Other | NC | BCBS |
| Provider Name | Edwin Louis Peak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124066568 PECOS PAC ID: 8426948290 Enrollment ID: I20040316001185 |
| Provider Name | Debra Ann Allenspach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477553048 PECOS PAC ID: 7214910447 Enrollment ID: I20040609001116 |
| Provider Name | Tim H Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497794754 PECOS PAC ID: 6406823178 Enrollment ID: I20040913000691 |
| Provider Name | Timothy Brent Chafin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1336167733 PECOS PAC ID: 5698744605 Enrollment ID: I20040927001083 |
| Provider Name | Lawrence N Larabee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700842291 PECOS PAC ID: 8224922752 Enrollment ID: I20041004000529 |
| Provider Name | Thomas J Schermerhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457371403 PECOS PAC ID: 7012971484 Enrollment ID: I20041116000221 |
| Provider Name | Ronald Newton Locke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528065406 PECOS PAC ID: 0446235212 Enrollment ID: I20041202000042 |
| Provider Name | Jose Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194771832 PECOS PAC ID: 8628026812 Enrollment ID: I20050104000889 |
| Provider Name | Rajasekhar Nekkanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568456366 PECOS PAC ID: 6800798778 Enrollment ID: I20050321000682 |
| Provider Name | Teresa Wells Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932108099 PECOS PAC ID: 5698715308 Enrollment ID: I20050511000800 |
| Provider Name | Melissa G Oneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366411209 PECOS PAC ID: 8426075425 Enrollment ID: I20051028000719 |
| Provider Name | Melissa Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225166242 PECOS PAC ID: 3274526751 Enrollment ID: I20070719000326 |
| Provider Name | William Brian Dumas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235187592 PECOS PAC ID: 3577654862 Enrollment ID: I20070731000597 |
| Provider Name | Yaw Otchere-boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668937 PECOS PAC ID: 7911920236 Enrollment ID: I20091110000194 |
| Provider Name | James Eugene Kendall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144205287 PECOS PAC ID: 8921141359 Enrollment ID: I20100206000089 |
| Provider Name | Sanjay Mehra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629136205 PECOS PAC ID: 1153352117 Enrollment ID: I20100623000867 |
| Provider Name | Spencer R Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366453185 PECOS PAC ID: 4284750167 Enrollment ID: I20100928001512 |
| Provider Name | Renea S Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134431117 PECOS PAC ID: 9537344502 Enrollment ID: I20110506000615 |
| Provider Name | Tuesday Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174801112 PECOS PAC ID: 7618147679 Enrollment ID: I20110830000392 |
| Provider Name | Gajendra Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720254428 PECOS PAC ID: 7416128764 Enrollment ID: I20110919000523 |
| Provider Name | Immacula Saint Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356449144 PECOS PAC ID: 9234104506 Enrollment ID: I20120730000643 |
| Provider Name | Stephanie Mills Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063765345 PECOS PAC ID: 2668626375 Enrollment ID: I20130205000427 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20130529000985 |
| Provider Name | Anthony D Whitted |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902008600 PECOS PAC ID: 2668614132 Enrollment ID: I20130813000319 |
| Provider Name | Dhruva Chawla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245430727 PECOS PAC ID: 5496989048 Enrollment ID: I20131014001785 |
| Provider Name | Karri Britton Wynne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477963627 PECOS PAC ID: 2668699968 Enrollment ID: I20140811000862 |
| Provider Name | Akpomudiare Samuel Otuguor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154534303 PECOS PAC ID: 1052468972 Enrollment ID: I20140923001548 |
| Provider Name | Corina Pogodina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700107851 PECOS PAC ID: 1951521327 Enrollment ID: I20141007001040 |
| Provider Name | James Douglas Harbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538193016 PECOS PAC ID: 6305803867 Enrollment ID: I20150125000005 |
| Provider Name | Mark N Perlmutter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467540534 PECOS PAC ID: 8123008141 Enrollment ID: I20150618002483 |
| Provider Name | Annie Peaks Bonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861889214 PECOS PAC ID: 7012224983 Enrollment ID: I20150910000979 |
| Provider Name | Douglas Tice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942314620 PECOS PAC ID: 0749240844 Enrollment ID: I20151109000103 |
| Provider Name | Aixa Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801089941 PECOS PAC ID: 3476711912 Enrollment ID: I20160927002108 |
| Provider Name | Bradley H Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871564062 PECOS PAC ID: 6103051016 Enrollment ID: I20160928001855 |
| Provider Name | Samantha Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280174 PECOS PAC ID: 5698010742 Enrollment ID: I20181219000046 |
| Provider Name | Michael Stephen Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437141439 PECOS PAC ID: 0547251654 Enrollment ID: I20190116004052 |
| Provider Name | Harsh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003070350 PECOS PAC ID: 1557586344 Enrollment ID: I20190620001713 |
| Provider Name | Sara Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554072 PECOS PAC ID: 1456629740 Enrollment ID: I20200414000544 |
| Provider Name | Renita Deloatch Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093369977 PECOS PAC ID: 8628409968 Enrollment ID: I20200520002558 |
| Provider Name | Stephanie Lynn Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922617224 PECOS PAC ID: 1052739406 Enrollment ID: I20200916001962 |
| Provider Name | Whitley Arvis Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712163 PECOS PAC ID: 6204254568 Enrollment ID: I20200917003024 |
| Provider Name | Raymond William Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861003709 PECOS PAC ID: 6103238944 Enrollment ID: I20201218001757 |
| Provider Name | Kurt Frauenpreis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732182 PECOS PAC ID: 0345424917 Enrollment ID: I20210409000755 |
| Provider Name | Lissa C Sakata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902193410 PECOS PAC ID: 8123249810 Enrollment ID: I20210803001231 |
| Provider Name | Samantha Nicole Chesson Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639785074 PECOS PAC ID: 8022414747 Enrollment ID: I20210903002390 |
| Provider Name | Anthony Darr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790070605 PECOS PAC ID: 6507151842 Enrollment ID: I20221117000405 |
Roanoke Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Green St, Williamston, NC 27892 Phone: 252-792-0022 Fax: 252-792-0027 | |
Centennial Housing & Community Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Medical Dr, Williamston, NC 27892 Phone: 217-519-9654 | |
Downtown Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105b S Smithwick St, Williamston, NC 27892 Phone: 252-789-4111 Fax: 252-789-4163 | |
Downtown Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Trade St, Williamston, NC 27892 Phone: 252-789-4001 Fax: 252-799-0204 | |
Martin Hospitalists Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Dr, Williamston, NC 27892 Phone: 252-792-0022 Fax: 252-792-0027 | |
Agape Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1130 Godwin Dr, Williamston, NC 27892 Phone: 252-789-0401 Fax: 252-789-0452 |