| Piedmont Bhs | |
|
236 Le Phillip Ct Concord NC 28025-1905 | |
| (704) 782-1020 | |
| (704) 782-1184 |
| Full Name | Piedmont Bhs |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 236 Le Phillip Ct, Concord, North Carolina |
| Authorized Official Name and Position | Karen Lyn Orsini (VICE PRESIDENT FINANCIAL SVCS) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Bhs 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Piedmont Bhs 236 Le Phillip Ct Concord NC 28025-1905 Ph: (704) 782-1020 |
| NPI Number | 1447376306 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 8426196072 |
|---|---|
| Medicare Enrollment ID | O20091119000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447376306 | NPI | - | NPPES |
| 1706 | Other | NC | PIEDMONT BHS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kurian C Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891754297 PECOS PAC ID: 4385636687 Enrollment ID: I20040330000556 |
| Provider Name | James S Hare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992814172 PECOS PAC ID: 1052392974 Enrollment ID: I20040526001517 |
| Provider Name | John J Stahlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811006273 PECOS PAC ID: 9436133097 Enrollment ID: I20040614000638 |
| Provider Name | Robin Baskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366503963 PECOS PAC ID: 2466412960 Enrollment ID: I20041018001118 |
| Provider Name | Maureen A Motley Zitin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265478812 PECOS PAC ID: 7810959152 Enrollment ID: I20041029000532 |
| Provider Name | Linda M Howes Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790706554 PECOS PAC ID: 1052377850 Enrollment ID: I20041203000319 |
| Provider Name | Michael Edward Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023002870 PECOS PAC ID: 1759280191 Enrollment ID: I20041220001090 |
| Provider Name | David Glen Tipton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497723886 PECOS PAC ID: 2062402480 Enrollment ID: I20050214000063 |
| Provider Name | Rosemary Vaughan Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528052701 PECOS PAC ID: 1759321508 Enrollment ID: I20050511000205 |
| Provider Name | Malti Praful Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265659965 PECOS PAC ID: 8628006970 Enrollment ID: I20050728000997 |
| Provider Name | Kerry L Balentine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063518165 PECOS PAC ID: 7618907916 Enrollment ID: I20050816001166 |
| Provider Name | Karlus C Artis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649386632 PECOS PAC ID: 0749214328 Enrollment ID: I20050922000949 |
| Provider Name | Sid M Hosseini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588760672 PECOS PAC ID: 5496762312 Enrollment ID: I20060316000458 |
| Provider Name | Angel L Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659477677 PECOS PAC ID: 4284641101 Enrollment ID: I20060316000481 |
| Provider Name | Stanton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679546451 PECOS PAC ID: 3577570993 Enrollment ID: I20060418000744 |
| Provider Name | Robert Scott Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316966419 PECOS PAC ID: 3274539952 Enrollment ID: I20061020000293 |
| Provider Name | Lynn E Durham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376645234 PECOS PAC ID: 7719987379 Enrollment ID: I20070104000134 |
| Provider Name | Sarah Jane Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245242668 PECOS PAC ID: 9335242692 Enrollment ID: I20070307000452 |
| Provider Name | Daniel S Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699781583 PECOS PAC ID: 3870690902 Enrollment ID: I20070523000688 |
| Provider Name | Emily Katherine Stainback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922182955 PECOS PAC ID: 3678671583 Enrollment ID: I20070530000593 |
| Provider Name | Colleen Carol Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629109152 PECOS PAC ID: 2961502885 Enrollment ID: I20070706000530 |
| Provider Name | Robert Seigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912043050 PECOS PAC ID: 9931295664 Enrollment ID: I20071011000093 |
| Provider Name | Robert E Gorlach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598824021 PECOS PAC ID: 6800976598 Enrollment ID: I20080108000240 |
| Provider Name | Charles S Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184755415 PECOS PAC ID: 4284714874 Enrollment ID: I20080109000051 |
| Provider Name | Mariel M Litz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336150150 PECOS PAC ID: 1153405709 Enrollment ID: I20080221000257 |
| Provider Name | David C Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982745162 PECOS PAC ID: 0941386874 Enrollment ID: I20080318000587 |
| Provider Name | Brady J Schroer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104854686 PECOS PAC ID: 8123913134 Enrollment ID: I20080326000773 |
| Provider Name | Sharon Givens Willingham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811990534 PECOS PAC ID: 6800973918 Enrollment ID: I20080414000107 |
| Provider Name | Catherine W Mccall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902097561 PECOS PAC ID: 9931287299 Enrollment ID: I20080428000159 |
| Provider Name | Philip H Lavine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891791257 PECOS PAC ID: 5496828824 Enrollment ID: I20080718000150 |
| Provider Name | Vivian Jill Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134111057 PECOS PAC ID: 0244390698 Enrollment ID: I20081115000151 |
| Provider Name | Frank L Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437305786 PECOS PAC ID: 7911996806 Enrollment ID: I20090123000274 |
| Provider Name | Andrea Hernandez Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447450937 PECOS PAC ID: 8426101387 Enrollment ID: I20090725000129 |
| Provider Name | Burt William Dobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336321926 PECOS PAC ID: 7911049739 Enrollment ID: I20100116000118 |
| Provider Name | Debra Harrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154656247 PECOS PAC ID: 3678698792 Enrollment ID: I20100914000039 |
| Provider Name | Ann E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811208796 PECOS PAC ID: 7315139391 Enrollment ID: I20101008000581 |
| Provider Name | Carol Renee Counts Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558679050 PECOS PAC ID: 9537355763 Enrollment ID: I20101130000248 |
| Provider Name | Danielle F Adegoroye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750697389 PECOS PAC ID: 4082802772 Enrollment ID: I20101222000259 |
| Provider Name | Amanda P Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760554158 PECOS PAC ID: 7911196936 Enrollment ID: I20110106000545 |
| Provider Name | Jason E Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114941978 PECOS PAC ID: 8921166372 Enrollment ID: I20110202000237 |
| Provider Name | Julianne T Gold Brunson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487961124 PECOS PAC ID: 7517147564 Enrollment ID: I20110208000340 |
| Provider Name | Samaria M Colbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699077396 PECOS PAC ID: 0143401455 Enrollment ID: I20110221000082 |
| 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 | Donna Hensley Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932407806 PECOS PAC ID: 8628251584 Enrollment ID: I20110330000648 |
| Provider Name | Beth K Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548580186 PECOS PAC ID: 4284807918 Enrollment ID: I20111025000657 |
| Provider Name | Marica Bijelac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912101718 PECOS PAC ID: 5294908943 Enrollment ID: I20111025000914 |
| Provider Name | Ingrid A Gurney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518991298 PECOS PAC ID: 3072571538 Enrollment ID: I20120131000571 |
| Provider Name | Brenda Sue Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831372721 PECOS PAC ID: 8628238326 Enrollment ID: I20120404000011 |
| Provider Name | Emmanuel O Uloko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033492954 PECOS PAC ID: 2365602026 Enrollment ID: I20120404000696 |
| Provider Name | Lisa Anne Ripperton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700936648 PECOS PAC ID: 3476716622 Enrollment ID: I20120525000161 |
| Provider Name | Seth B Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942579263 PECOS PAC ID: 3678737749 Enrollment ID: I20120621000345 |
| Provider Name | Teresa S Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831239276 PECOS PAC ID: 6709032469 Enrollment ID: I20120813000043 |
| Provider Name | Amanda Franks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689904609 PECOS PAC ID: 0941456321 Enrollment ID: I20120820000356 |
| Provider Name | Harley Wakeman Smoot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316918493 PECOS PAC ID: 2264689637 Enrollment ID: I20120904000149 |
| Provider Name | Tushar P Thakre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568666352 PECOS PAC ID: 6103073630 Enrollment ID: I20120905000647 |
| Provider Name | Tara Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336423458 PECOS PAC ID: 1355590712 Enrollment ID: I20121001000255 |
| Provider Name | Heather Janow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982952784 PECOS PAC ID: 9931359288 Enrollment ID: I20121022000536 |
| Provider Name | Gregory T Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124295191 PECOS PAC ID: 8820249121 Enrollment ID: I20121114000498 |
| Provider Name | Kristin Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851675755 PECOS PAC ID: 8426293234 Enrollment ID: I20130327000555 |
| Provider Name | Jenni E Casale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447593157 PECOS PAC ID: 0042459356 Enrollment ID: I20130618000302 |
| Provider Name | Nancy J Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467480079 PECOS PAC ID: 7416197025 Enrollment ID: I20130702000564 |
| Provider Name | Rebecca L Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447536065 PECOS PAC ID: 3779724109 Enrollment ID: I20130729000342 |
| Provider Name | Jody L Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118743 PECOS PAC ID: 8729213418 Enrollment ID: I20131105001885 |
| Provider Name | Edith M Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780979567 PECOS PAC ID: 7911134093 Enrollment ID: I20131217000513 |
| Provider Name | Paul D Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144657909 PECOS PAC ID: 4183847437 Enrollment ID: I20140514001256 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154515138 PECOS PAC ID: 4082837869 Enrollment ID: I20140523000657 |
| Provider Name | Amy H Rudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306184106 PECOS PAC ID: 7517180219 Enrollment ID: I20140528000612 |
| Provider Name | Aimee L Fambrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538589387 PECOS PAC ID: 9234354648 Enrollment ID: I20140626002604 |
| Provider Name | Tasha D Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972842425 PECOS PAC ID: 2062637747 Enrollment ID: I20140714001998 |
| Provider Name | Vivek Anand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639308901 PECOS PAC ID: 0446479935 Enrollment ID: I20140916000395 |
| Provider Name | Nancy W Baraks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053673624 PECOS PAC ID: 6305065350 Enrollment ID: I20140924000691 |
| Provider Name | Janet L Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720342314 PECOS PAC ID: 3577784313 Enrollment ID: I20141021001249 |
| Provider Name | Christina S Earley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770926842 PECOS PAC ID: 8820210271 Enrollment ID: I20141119001431 |
| Provider Name | Lisa R Pleasants |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407109952 PECOS PAC ID: 1355663980 Enrollment ID: I20141209001783 |
| Provider Name | Carolyn Craddocak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215275201 PECOS PAC ID: 2062735418 Enrollment ID: I20141216002068 |
| Provider Name | Brandi R Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467875476 PECOS PAC ID: 4981927217 Enrollment ID: I20141217002640 |
| Provider Name | Kelly Anne Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508928920 PECOS PAC ID: 6608015193 Enrollment ID: I20150212000439 |
| Provider Name | Ralph Thomas Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598014193 PECOS PAC ID: 7911222096 Enrollment ID: I20150212000564 |
| Provider Name | Amy L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386986073 PECOS PAC ID: 5698090587 Enrollment ID: I20150218000233 |
| Provider Name | Heather Piedra Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871839431 PECOS PAC ID: 4981921020 Enrollment ID: I20150330000102 |
| Provider Name | Sarah Ann Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750560470 PECOS PAC ID: 3870811789 Enrollment ID: I20150406000085 |
| Provider Name | Lauren Marie Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942640933 PECOS PAC ID: 4688989783 Enrollment ID: I20150819006892 |
| Provider Name | Julia Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619037454 PECOS PAC ID: 7012906498 Enrollment ID: I20150825005863 |
| Provider Name | Jennifer Lochte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083082820 PECOS PAC ID: 4587964721 Enrollment ID: I20151119002659 |
| Provider Name | Russell B Snipes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396011938 PECOS PAC ID: 5193026250 Enrollment ID: I20151214001963 |
| Provider Name | Brittany Hales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235569500 PECOS PAC ID: 5597061200 Enrollment ID: I20160307001432 |
| Provider Name | Steven Michaels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891762308 PECOS PAC ID: 6103123245 Enrollment ID: I20160405000086 |
| Provider Name | Shakeena Y Speller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952735169 PECOS PAC ID: 0749589281 Enrollment ID: I20160504001553 |
| Provider Name | Barry Rebeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174534036 PECOS PAC ID: 2264322098 Enrollment ID: I20160627000847 |
| Provider Name | Janice Kitson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972883890 PECOS PAC ID: 4486947355 Enrollment ID: I20160729001432 |
| Provider Name | Jessa B Barefoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528475142 PECOS PAC ID: 0941597173 Enrollment ID: I20161003000244 |
| Provider Name | Victoria Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225360290 PECOS PAC ID: 5496043648 Enrollment ID: I20161004001759 |
| Provider Name | Kelsey Novelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093114456 PECOS PAC ID: 4183947948 Enrollment ID: I20161129000156 |
| Provider Name | Carrie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239522 PECOS PAC ID: 6901194760 Enrollment ID: I20161212001228 |
| Provider Name | Kanisha Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386052298 PECOS PAC ID: 8123308822 Enrollment ID: I20161215002140 |
| Provider Name | Saiona Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144543950 PECOS PAC ID: 7810279163 Enrollment ID: I20170120001286 |
| Provider Name | Timothy S Bandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215362520 PECOS PAC ID: 8022392067 Enrollment ID: I20170310001599 |
| Provider Name | Terence Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952420275 PECOS PAC ID: 1456658632 Enrollment ID: I20170316000118 |
| Provider Name | Elaine Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588030142 PECOS PAC ID: 5294037420 Enrollment ID: I20170328000886 |
| Provider Name | Yvonne Levette Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669779526 PECOS PAC ID: 1355626664 Enrollment ID: I20170329002294 |
| Provider Name | Tabbatha L Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902286958 PECOS PAC ID: 6406126630 Enrollment ID: I20170721000070 |
| Provider Name | Kathryn Boswell Brockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649793969 PECOS PAC ID: 1658644653 Enrollment ID: I20170913000417 |
| Provider Name | Kris Anthony Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508246539 PECOS PAC ID: 5395019087 Enrollment ID: I20170920000230 |
| Provider Name | Buck Andrew Braden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124345988 PECOS PAC ID: 4082833058 Enrollment ID: I20171009001749 |
| Provider Name | Lynn Cale Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740614049 PECOS PAC ID: 9032485834 Enrollment ID: I20171023002453 |
| Provider Name | Susanna Elizabeth Pantas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164897294 PECOS PAC ID: 3072875186 Enrollment ID: I20180328002930 |
| Provider Name | Ronald R Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154701274 PECOS PAC ID: 5294098976 Enrollment ID: I20180411000097 |
| Provider Name | Jonathan Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538404595 PECOS PAC ID: 0244593432 Enrollment ID: I20180423001249 |
| Provider Name | Kiera Nicole Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023463098 PECOS PAC ID: 1052667953 Enrollment ID: I20180709000263 |
| Provider Name | Thelma Elizabeth Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710149729 PECOS PAC ID: 7214271667 Enrollment ID: I20181212000155 |
| Provider Name | Meredith Lynne Hinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013443670 PECOS PAC ID: 6608113840 Enrollment ID: I20190128000141 |
| Provider Name | Lindsey E Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497027981 PECOS PAC ID: 0244571792 Enrollment ID: I20190409003639 |
| Provider Name | Erin Katherine Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962985978 PECOS PAC ID: 2264775915 Enrollment ID: I20190520002552 |
| Provider Name | Mary Petrina Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124415302 PECOS PAC ID: 1456684810 Enrollment ID: I20190618000671 |
| Provider Name | James Hilton Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437602273 PECOS PAC ID: 7214263276 Enrollment ID: I20190729002443 |
| Provider Name | Dora Tin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649700915 PECOS PAC ID: 4284961913 Enrollment ID: I20190802002862 |
| Provider Name | Eddie Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356706212 PECOS PAC ID: 7517298417 Enrollment ID: I20191008000185 |
| Provider Name | Brittany L Strawn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164780433 PECOS PAC ID: 8820221708 Enrollment ID: I20191011000002 |
| Provider Name | Ashley Nicole Hollifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437708583 PECOS PAC ID: 1759716004 Enrollment ID: I20200115001881 |
| Provider Name | Tyler Jeffrey Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124555453 PECOS PAC ID: 6204265655 Enrollment ID: I20200406001714 |
| Provider Name | Tina Wilson Mcrary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508268517 PECOS PAC ID: 3678902947 Enrollment ID: I20200408000056 |
| Provider Name | Samantha D Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245708627 PECOS PAC ID: 6305276809 Enrollment ID: I20200424000558 |
| Provider Name | Rashaun Milese Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20200618000185 |
| Provider Name | Kimberly Ann Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235585720 PECOS PAC ID: 9931522448 Enrollment ID: I20200630003026 |
| Provider Name | Stacia Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922605021 PECOS PAC ID: 9133548308 Enrollment ID: I20201007003207 |
| Provider Name | Jennifer Marlene Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720576457 PECOS PAC ID: 0446670871 Enrollment ID: I20201023000047 |
| Provider Name | Brittany Kurstin Reece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578057725 PECOS PAC ID: 9133539414 Enrollment ID: I20201028001812 |
| Provider Name | Rikki L Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235609264 PECOS PAC ID: 0446663470 Enrollment ID: I20210111002447 |
| Provider Name | Chessa Budai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679055248 PECOS PAC ID: 4587077391 Enrollment ID: I20210114002412 |
| Provider Name | Allison Lindsey Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336737881 PECOS PAC ID: 8921412289 Enrollment ID: I20210127002024 |
| Provider Name | Emily M Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417431040 PECOS PAC ID: 2860806130 Enrollment ID: I20210127002472 |
| Provider Name | Nicole Ann Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710466164 PECOS PAC ID: 9234543075 Enrollment ID: I20210205002064 |
| Provider Name | Mitzi Louise Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013930056 PECOS PAC ID: 7315905775 Enrollment ID: I20210224001665 |
| Provider Name | Christine Ann Still |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710464961 PECOS PAC ID: 8729494935 Enrollment ID: I20210315000908 |
| Provider Name | Sarah Beth Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063070944 PECOS PAC ID: 8224445721 Enrollment ID: I20210330000807 |
| Provider Name | Stephanie D Holderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083215917 PECOS PAC ID: 2567861149 Enrollment ID: I20210602001036 |
| Provider Name | Jessica Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619405677 PECOS PAC ID: 0345642880 Enrollment ID: I20210707001378 |
| Provider Name | Tina Lynn Marsteller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265909006 PECOS PAC ID: 9931444940 Enrollment ID: I20210901002429 |
| Provider Name | Joseph H Hodgson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306196894 PECOS PAC ID: 8426446311 Enrollment ID: I20211026002015 |
| Provider Name | Mary Catharine Guicheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740386481 PECOS PAC ID: 4587056775 Enrollment ID: I20220120001186 |
| Provider Name | Terry Renee Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740949692 PECOS PAC ID: 7911399928 Enrollment ID: I20220126000018 |
| Provider Name | Kaysie Nichole Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093372674 PECOS PAC ID: 3173917135 Enrollment ID: I20220308002535 |
| Provider Name | James Thomas Sipowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245878883 PECOS PAC ID: 8527446681 Enrollment ID: I20220601000994 |
| Provider Name | Lisa Marie Rounds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013539576 PECOS PAC ID: 6002239688 Enrollment ID: I20220706003893 |
| Provider Name | Jewell Elisabeth Gist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073140695 PECOS PAC ID: 2365825932 Enrollment ID: I20220815000594 |
| Provider Name | Sarah Elisabeth Kemick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922475623 PECOS PAC ID: 8527363043 Enrollment ID: I20220913001112 |
| Provider Name | Tristan Wayne Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508411026 PECOS PAC ID: 9830574698 Enrollment ID: I20220914001680 |
| Provider Name | Kimberly Ann Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245713585 PECOS PAC ID: 8527444942 Enrollment ID: I20221007000668 |
| Provider Name | Margaret Nichole Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700426749 PECOS PAC ID: 8527434844 Enrollment ID: I20221011002731 |
| Provider Name | Samantha Gene Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740833524 PECOS PAC ID: 7214303908 Enrollment ID: I20221020002645 |
| Provider Name | Maygen Marie Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215600846 PECOS PAC ID: 8820465123 Enrollment ID: I20221028002012 |
| Provider Name | April Nicole Crummie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922667153 PECOS PAC ID: 8729455738 Enrollment ID: I20221104000075 |
| Provider Name | Melissa Lynn Saylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144874215 PECOS PAC ID: 1850768383 Enrollment ID: I20221112000132 |
| Provider Name | Liza Schaffner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861401531 PECOS PAC ID: 6709883424 Enrollment ID: I20221202002871 |
| Provider Name | Kelsey Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659985406 PECOS PAC ID: 8325417108 Enrollment ID: I20221219000327 |
| Provider Name | Rebecca Bosman Hatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265092852 PECOS PAC ID: 7911371851 Enrollment ID: I20230316001223 |
| Provider Name | Brandon Sterling Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558073841 PECOS PAC ID: 1052786456 Enrollment ID: I20230418000832 |
| Provider Name | Brianna Leslie Cuthrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609468024 PECOS PAC ID: 3779949433 Enrollment ID: I20230523000444 |
| Provider Name | Destin Stone Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407476336 PECOS PAC ID: 2062879372 Enrollment ID: I20230601000478 |
| Provider Name | Kim Sylvia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912620600 PECOS PAC ID: 9032583604 Enrollment ID: I20230707003484 |
| Provider Name | Danielle Lutek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407417090 PECOS PAC ID: 2961857743 Enrollment ID: I20231013002778 |
| Provider Name | Scott Michael Staubach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922415231 PECOS PAC ID: 6103274964 Enrollment ID: I20231205000645 |
| Provider Name | Paul Martin Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619275260 PECOS PAC ID: 1153770813 Enrollment ID: I20231207000957 |
| Provider Name | Valencia Sue Von Dran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912174822 PECOS PAC ID: 8426408121 Enrollment ID: I20231221000135 |
| Provider Name | Elizabeth Lafevre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568509131 PECOS PAC ID: 2163872649 Enrollment ID: I20231225000124 |
| Provider Name | Janice Marlene Blocker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710379151 PECOS PAC ID: 4486004868 Enrollment ID: I20231227002010 |
| Provider Name | Scott D Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144353111 PECOS PAC ID: 6305297623 Enrollment ID: I20240110003909 |
| Provider Name | Sherry Kelley Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730751348 PECOS PAC ID: 6002267283 Enrollment ID: I20240111004916 |
| Provider Name | Larue Rogers Neilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710587837 PECOS PAC ID: 7113379454 Enrollment ID: I20240123000421 |
| Provider Name | James Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295874923 PECOS PAC ID: 4688017569 Enrollment ID: I20240207003183 |
| Provider Name | Jessica Anne Rosenkoetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922680834 PECOS PAC ID: 4486097300 Enrollment ID: I20240208000067 |
| Provider Name | Angela Moore Quigley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912549155 PECOS PAC ID: 0547603300 Enrollment ID: I20240208001550 |
| Provider Name | Kimberly Ann Croteau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538558853 PECOS PAC ID: 0941644330 Enrollment ID: I20240213003649 |
| Provider Name | Carolynn Ann Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316551096 PECOS PAC ID: 3577909860 Enrollment ID: I20240308002109 |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 206, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |