| Integrated Pain Solutions Pllc | |
|
695 S Bennett St Southern Pines NC 28387-5919 | |
| (910) 725-1708 | |
| (910) 725-1718 |
| Full Name | Integrated Pain Solutions Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 695 S Bennett St, Southern Pines, North Carolina |
| Authorized Official Name and Position | James Taylor (PRESIDENT) |
| Authorized Official Contact | 9102917781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Pain Solutions Pllc 695 S Bennett St Southern Pines NC 28387-5919 Ph: (910) 725-1708 | Integrated Pain Solutions Pllc 695 S Bennett St Southern Pines NC 28387-5919 Ph: (910) 725-1708 |
| NPI Number | 1790728921 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 3678527181 |
|---|---|
| Medicare Enrollment ID | O20050308000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790728921 | NPI | - | NPPES |
| 5900164 | Medicaid | NC | |
| DD3525 | Other | NC | MEDICARE ID UNSPECIFIED |
| NPB085 | Other | SC | SC MEDICAID |
| 016VH | Other | NC | NC BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | James E Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417990094 PECOS PAC ID: 2062494974 Enrollment ID: I20040603001470 |
| Provider Name | Jerri L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932108818 PECOS PAC ID: 8426026576 Enrollment ID: I20040917000290 |
| Provider Name | Joleen Comer Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548242670 PECOS PAC ID: 9234135104 Enrollment ID: I20061017000271 |
| Provider Name | Alice D Beane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043351448 PECOS PAC ID: 3779646815 Enrollment ID: I20090115000197 |
| Provider Name | Jennifer D Miramontes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962648279 PECOS PAC ID: 7315003514 Enrollment ID: I20090312000303 |
| Provider Name | Todd M Reiter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194917732 PECOS PAC ID: 7719033604 Enrollment ID: I20090917000413 |
| Provider Name | Holly M Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376821462 PECOS PAC ID: 4385817014 Enrollment ID: I20111025000639 |
| Provider Name | Shalandria T Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356752042 PECOS PAC ID: 2860613627 Enrollment ID: I20141020000946 |
| Provider Name | Kimberly I Box |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225119431 PECOS PAC ID: 7315900057 Enrollment ID: I20150701002286 |
| Provider Name | Laneshia N Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942690847 PECOS PAC ID: 6800101718 Enrollment ID: I20150820010587 |
| Provider Name | Shannon E Blankenbeckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508257221 PECOS PAC ID: 8628370129 Enrollment ID: I20151229002763 |
| Provider Name | Lisha A Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720504558 PECOS PAC ID: 3971878935 Enrollment ID: I20171002002517 |
| Provider Name | Thomas Bresley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124210133 PECOS PAC ID: 4082966007 Enrollment ID: I20181002002765 |
| Provider Name | Karen Lynn Warwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316420722 PECOS PAC ID: 0446594931 Enrollment ID: I20181211001503 |
| Provider Name | Cecelia M Glaubitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649814955 PECOS PAC ID: 5597194886 Enrollment ID: I20200408001043 |
| Provider Name | Carmen Traitor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134780570 PECOS PAC ID: 7214341585 Enrollment ID: I20210127002482 |
| Provider Name | Patricia A. Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629175609 PECOS PAC ID: 1557465531 Enrollment ID: I20220630001944 |
| Provider Name | Janet M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548909559 PECOS PAC ID: 8921489162 Enrollment ID: I20220719001315 |
| Provider Name | Joel Marvin Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497746697 PECOS PAC ID: 4880680099 Enrollment ID: I20220804000863 |
| Provider Name | Jaime L Delivuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043942741 PECOS PAC ID: 1153705033 Enrollment ID: I20220825003056 |
| Provider Name | Jackie Locklear Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389480 PECOS PAC ID: 3274908777 Enrollment ID: I20230415000106 |
| Provider Name | Nadine Shivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578080578 PECOS PAC ID: 2769737451 Enrollment ID: I20230727000125 |
Therapeutic Alternatives Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Old Us Highway 1 S, Southern Pines, NC 28387 Phone: 336-495-2700 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Oak Dr, Southern Pines, NC 28387 Phone: 910-692-4860 | |
Mason And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Bradford Village Ct, Southern Pines, NC 28387 Phone: 910-860-7008 Fax: 910-221-9006 | |
Revive Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 N Bennett St Ste H, Southern Pines, NC 28387 Phone: 253-268-9448 | |
Community Healthwatch Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Pinehurst Ave Ste A, Southern Pines, NC 28387 Phone: 910-695-4250 Fax: 910-695-4251 | |
Nc Mentor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Voit Gilmore Rd, Southern Pines, NC 28387 Phone: 919-790-8580 Fax: 919-866-3255 | |
Healing Reflections, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 350 Shaw Ave, Southern Pines, NC 28387 Phone: 910-580-8280 Fax: 910-304-5633 |