| Tpcc, Pa | |
|
603 Dolley Madison Rd Ste 100 Greensboro NC 27410-4282 | |
| (336) 632-3505 | |
| (336) 632-3503 |
| Full Name | Tpcc, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 603 Dolley Madison Rd Ste 100, Greensboro, North Carolina |
| Authorized Official Name and Position | Roy Kavuri (ADMINSTRATOR) |
| Authorized Official Contact | 3366323505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpcc, Pa 603 Dolley Madison Rd Ste 100 Greensboro NC 27410-4283 Ph: (336) 632-3505 | Tpcc, Pa 603 Dolley Madison Rd Ste 100 Greensboro NC 27410-4282 Ph: (336) 632-3505 |
| NPI Number | 1285671602 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 3173590882 |
|---|---|
| Medicare Enrollment ID | O20040913000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285671602 | NPI | - | NPPES |
| 890283K | Medicaid | NC |
| Provider Name | Catherine P Showfety |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265479182 PECOS PAC ID: 1052394780 Enrollment ID: I20040611001126 |
| Provider Name | Linda D Greninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154488203 PECOS PAC ID: 2062473820 Enrollment ID: I20041025000654 |
| Provider Name | Jane L Steiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992746663 PECOS PAC ID: 5799724522 Enrollment ID: I20050429000864 |
| Provider Name | Keshavpal Gunna Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942269766 PECOS PAC ID: 5092757617 Enrollment ID: I20050524001072 |
| Provider Name | Carolyn Dixon Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255423778 PECOS PAC ID: 9830122936 Enrollment ID: I20050917000412 |
| Provider Name | Carolyn B Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659358133 PECOS PAC ID: 1658392477 Enrollment ID: I20051208000383 |
| Provider Name | Gerald Plovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982641858 PECOS PAC ID: 1759392814 Enrollment ID: I20060606000085 |
| Provider Name | Joan C Fraifeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306946298 PECOS PAC ID: 0446279301 Enrollment ID: I20090107000265 |
| Provider Name | Gwen K Auel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366489288 PECOS PAC ID: 0143346585 Enrollment ID: I20100923000347 |
| Provider Name | Jason E Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114941978 PECOS PAC ID: 8921166372 Enrollment ID: I20110202000237 |
| Provider Name | Tayyba G Buttar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737922 PECOS PAC ID: 2365692860 Enrollment ID: I20121018000191 |
| Provider Name | Lisa Marie Poulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174561740 PECOS PAC ID: 5698877553 Enrollment ID: I20160131000005 |
| Provider Name | Regina G Kujawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447428693 PECOS PAC ID: 9234198458 Enrollment ID: I20181203002766 |
| Provider Name | Brittany Guthrie Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881255891 PECOS PAC ID: 7416285523 Enrollment ID: I20190828001201 |
| Provider Name | May Ann Gaviola Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033661632 PECOS PAC ID: 0143502666 Enrollment ID: I20200129001176 |
| Provider Name | Tanvir Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902248073 PECOS PAC ID: 1355681420 Enrollment ID: I20200306000428 |
| Provider Name | Marian Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649937020 PECOS PAC ID: 2668867565 Enrollment ID: I20220310002893 |
| Provider Name | Philip A Pfuelb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376192120 PECOS PAC ID: 6204217110 Enrollment ID: I20220722001214 |
| Provider Name | Keertan Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114411105 PECOS PAC ID: 8426305228 Enrollment ID: I20221026000401 |
| Provider Name | Vivette Lanzas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093141269 PECOS PAC ID: 4981055100 Enrollment ID: I20240111002496 |
| Provider Name | Anu Parvathaneni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467990143 PECOS PAC ID: 7810231461 Enrollment ID: I20240117002675 |
| Provider Name | Roger Earl Hyman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043424435 PECOS PAC ID: 4385088996 Enrollment ID: I20240221003848 |
| Provider Name | Rebecca Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275672776 PECOS PAC ID: 2062858475 Enrollment ID: I20240307003185 |
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The Embracement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Ste 35, Greensboro, NC 27401 Phone: 336-328-7821 | |
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