| Pace Health Network, Llc | |
|
103 Mill Pond Rd Whiteville NC 28472-8675 | |
| (910) 840-2154 | |
| Not Available |
| Full Name | Pace Health Network, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 103 Mill Pond Rd, Whiteville, North Carolina |
| Authorized Official Name and Position | Amanda Wilkins (AGENCY MANAGER) |
| Authorized Official Contact | 9104758333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Health Network, Llc Po Box 2221 Whiteville NC 28472-7221 Ph: (910) 840-2154 | Pace Health Network, Llc 103 Mill Pond Rd Whiteville NC 28472-8675 Ph: (910) 840-2154 |
| NPI Number | 1063960904 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 2567742513 |
|---|---|
| Medicare Enrollment ID | O20161208000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063960904 | NPI | - | NPPES |
| 891040U | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22177049 (North Carolina) | Primary |
| Provider Name | Sherry A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548585060 PECOS PAC ID: 1052592003 Enrollment ID: I20110223000777 |
| Provider Name | Natasha Russ-long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396724225 PECOS PAC ID: 0941486450 Enrollment ID: I20110518000381 |
| Provider Name | Janice Allen Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184923872 PECOS PAC ID: 7719134402 Enrollment ID: I20120831000461 |
| Provider Name | Erika Christine Raynor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497191753 PECOS PAC ID: 8527296631 Enrollment ID: I20140923000201 |
| Provider Name | Brittney A Copeland Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275884306 PECOS PAC ID: 2062703861 Enrollment ID: I20160627000773 |
| Provider Name | Joseph E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346330867 PECOS PAC ID: 2062709421 Enrollment ID: I20160928002006 |
| Provider Name | Jennifer H Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285972778 PECOS PAC ID: 7113207945 Enrollment ID: I20161213000879 |
| Provider Name | Michele Annette Girard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609265099 PECOS PAC ID: 4688959059 Enrollment ID: I20170327001994 |
| Provider Name | Jeanneelizabeth G Palanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720475064 PECOS PAC ID: 7810261187 Enrollment ID: I20170926000515 |
| Provider Name | Bethany J Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528442647 PECOS PAC ID: 3375817679 Enrollment ID: I20170926001917 |
| Provider Name | Alayna Rachel Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356864763 PECOS PAC ID: 7517296205 Enrollment ID: I20190905001097 |
| Provider Name | Iasia Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710389515 PECOS PAC ID: 2567879893 Enrollment ID: I20210401001526 |
| Provider Name | Erin Macsene Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821294232 PECOS PAC ID: 2769768407 Enrollment ID: I20230606001182 |
Community Innovations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 E Walter St, Whiteville, NC 28472 Phone: 910-640-2724 Fax: 910-640-3474 | |
Community Innovations, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Wilson St, Whiteville, NC 28472 Phone: 910-642-5697 | |
Grace Family Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Pinckney St Ste A, Whiteville, NC 28472 Phone: 910-914-6128 | |
Right Foundaton Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Franklin St, Whiteville, NC 28472 Phone: 910-485-0071 Fax: 407-479-3846 | |
Allied Behavioral Management, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 603 Pecan Lane, Whiteville, NC 28472 Phone: 910-640-2021 Fax: 910-640-2022 | |
Learning Connections Speech And Language Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Jefferson St, Whiteville, NC 28472 Phone: 910-641-4090 Fax: 910-641-4092 | |
Rha Behavioral Health Nc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Lee Ave, Whiteville, NC 28472 Phone: 910-640-2572 |