| Triangle Springs Physician Group, Llc | |
|
10901 World Trade Blvd Raleigh NC 27617-4203 | |
| (919) 746-8900 | |
| (919) 578-5544 |
| Full Name | Triangle Springs Physician Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10901 World Trade Blvd, Raleigh, North Carolina |
| Authorized Official Name and Position | Greg Miller (EVO - CFO) |
| Authorized Official Contact | 4125883546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Springs Physician Group, Llc 101 S 5th St Louisville KY 40202-3157 Ph: (412) 588-3546 | Triangle Springs Physician Group, Llc 10901 World Trade Blvd Raleigh NC 27617-4203 Ph: (919) 746-8900 |
| NPI Number | 1063901312 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Medicare PECOS PAC ID | 7214283266 |
|---|---|
| Medicare Enrollment ID | O20180703003145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063901312 | NPI | - | NPPES |
| 1063901312 | Medicaid | NC |
| Provider Name | Alexia Sandra Maneschi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417000381 PECOS PAC ID: 6406865609 Enrollment ID: I20060417000632 |
| Provider Name | Diana Rachel Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144429556 PECOS PAC ID: 9032281712 Enrollment ID: I20080714000058 |
| Provider Name | Muhammad U Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215197900 PECOS PAC ID: 4385710805 Enrollment ID: I20080908000356 |
| Provider Name | Eli Alexander Woods Oates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487765186 PECOS PAC ID: 0244381705 Enrollment ID: I20090624000318 |
| Provider Name | Abdul S Khalid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942492509 PECOS PAC ID: 6608928965 Enrollment ID: I20090716000641 |
| Provider Name | Mark Philip Cheltenham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114027588 PECOS PAC ID: 9133121601 Enrollment ID: I20100420000797 |
| Provider Name | Bryan G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053594192 PECOS PAC ID: 6800068123 Enrollment ID: I20111011000277 |
| Provider Name | Jun He |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376704213 PECOS PAC ID: 1557537412 Enrollment ID: I20111228000087 |
| Provider Name | Audrey M Wisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362116 PECOS PAC ID: 5395970917 Enrollment ID: I20131106001081 |
| Provider Name | Steven T Szabo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033352919 PECOS PAC ID: 5496983678 Enrollment ID: I20140115000904 |
| Provider Name | Maria Gallo Agiato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144651951 PECOS PAC ID: 0840517686 Enrollment ID: I20150316001934 |
| Provider Name | Corilin N Meggitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819516 PECOS PAC ID: 4082993282 Enrollment ID: I20161110001610 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20170220000683 |
| Provider Name | Diana E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257232 PECOS PAC ID: 1658651906 Enrollment ID: I20180418000364 |
| Provider Name | Kenneth Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184891277 PECOS PAC ID: 6608015342 Enrollment ID: I20180530001773 |
| Provider Name | Thomas R Sneed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073551040 PECOS PAC ID: 3577550193 Enrollment ID: I20180703003287 |
| Provider Name | Xixi Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174815997 PECOS PAC ID: 0648560607 Enrollment ID: I20180720003223 |
| Provider Name | Angie Chi Yon Capone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407396443 PECOS PAC ID: 4981972049 Enrollment ID: I20181010001050 |
| Provider Name | Evan Michael Vitiello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235585233 PECOS PAC ID: 0042501181 Enrollment ID: I20190212000918 |
| Provider Name | Lisa Curtain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795491 PECOS PAC ID: 5597006080 Enrollment ID: I20190410001851 |
| Provider Name | Jessica Ann Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104382639 PECOS PAC ID: 4789926940 Enrollment ID: I20190508003314 |
| Provider Name | Jacqueline Jones Toal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488697 PECOS PAC ID: 8628358843 Enrollment ID: I20190625003195 |
| Provider Name | Joanna Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023482627 PECOS PAC ID: 3173826013 Enrollment ID: I20190805002191 |
| Provider Name | Stuart Krein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619132560 PECOS PAC ID: 7618101692 Enrollment ID: I20200116000012 |
| Provider Name | Christina Marie Fitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366805046 PECOS PAC ID: 0446671648 Enrollment ID: I20200526000972 |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427404193 PECOS PAC ID: 7416243126 Enrollment ID: I20200825001039 |
| Provider Name | Sylvia Ezewuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013504356 PECOS PAC ID: 0244645844 Enrollment ID: I20210211003017 |
| Provider Name | Lillian Zorra Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629602461 PECOS PAC ID: 2365872496 Enrollment ID: I20210615000248 |
| Provider Name | Harutyi M Muravu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144895251 PECOS PAC ID: 7911302781 Enrollment ID: I20210818000683 |
| Provider Name | Kacy Colleen Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811579501 PECOS PAC ID: 7012315310 Enrollment ID: I20211015002499 |
| Provider Name | Heriberto Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900646 PECOS PAC ID: 0345639415 Enrollment ID: I20211110002229 |
| Provider Name | Barnor Christopher Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922690650 PECOS PAC ID: 0840681920 Enrollment ID: I20211228000907 |
| Provider Name | Saadia Ajmal Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316108160 PECOS PAC ID: 2264583962 Enrollment ID: I20220202000720 |
| Provider Name | Charisse N Fullwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154085629 PECOS PAC ID: 9931593936 Enrollment ID: I20220308000163 |
| Provider Name | Teererai Precious Mutyavairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902121312 PECOS PAC ID: 9032596390 Enrollment ID: I20220506002238 |
| Provider Name | Doris Sumah Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952037616 PECOS PAC ID: 4587033121 Enrollment ID: I20221203000159 |
| Provider Name | Hussam Alsarraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881191880 PECOS PAC ID: 7810367323 Enrollment ID: I20221227002146 |
| Provider Name | Christian Nkemnkia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043922438 PECOS PAC ID: 9133592595 Enrollment ID: I20230306001173 |
| Provider Name | Susmita Ghimire Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093448128 PECOS PAC ID: 7113390352 Enrollment ID: I20230308002826 |
| Provider Name | Lori-ann Alejandra Daley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790300549 PECOS PAC ID: 5395195614 Enrollment ID: I20231229000232 |
| Provider Name | Maame Oppong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871330266 PECOS PAC ID: 8123559747 Enrollment ID: I20241007000661 |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Reaching Your Goals, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Six Forks Rd Ste 201, Raleigh, NC 27609 Phone: 919-832-6150 Fax: 919-832-6151 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |