| Affect Provider Group, P.C. | |
|
313 Trindale Rd # A Archdale NC 27263-3800 | |
| (845) 769-8758 | |
| (888) 398-1839 |
| Full Name | Affect Provider Group, P.C. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 313 Trindale Rd # A, Archdale, North Carolina |
| Authorized Official Name and Position | Karla Renee Mullings (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 8457688758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affect Provider Group, P.C. Po Box 96635 Phoenix AZ 85072-6635 Ph: (845) 769-8785 | Affect Provider Group, P.C. 313 Trindale Rd # A Archdale NC 27263-3800 Ph: (845) 769-8758 |
| NPI Number | 1710619580 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 08/14/2026 |
| Certification Date | 08/14/2026 |
| Medicare PECOS PAC ID | 5597105684 |
|---|---|
| Medicare Enrollment ID | O20240507001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710619580 | NPI | - | NPPES |
| Provider Name | Scott G Kixmiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669775318 PECOS PAC ID: 6709021298 Enrollment ID: I20130404000523 |
| Provider Name | Jane Schwarting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304852 PECOS PAC ID: 5294035325 Enrollment ID: I20151123000258 |
Sandhills Center for Mental Health, Developmental Disabilities and Sub Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Balfour Dr, Archdale, NC 27263 Phone: 336-431-0700 Fax: 336-431-0762 |
Archdale Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Baker Rd, Archdale, NC 27263 Phone: 336-862-7220 |
Therapeutic Alternatives Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Aldridge Rd, Archdale, NC 27263 Phone: 336-862-7200 |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Balfour Dr, Archdale, NC 27263 Phone: 336-431-0700 |
Therapeutic Alternatives Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10102 S Main St Ste A, Archdale, NC 27263 Phone: 336-495-2700 |
Daymark Recovery Servicse Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Balfour Dr, Archdale, NC 27263 Phone: 336-431-0700 Fax: 336-431-0762 |