| Waynesboro Family Clinic | |
|
1706 Wayne Memorial Dr Goldsboro NC 27534-2240 | |
| (919) 734-6676 | |
| (919) 734-9050 |
| Full Name | Waynesboro Family Clinic |
|---|---|
| Speciality | Counselor |
| Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
| Authorized Official Name and Position | Nita Vannoske (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9197346676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waynesboro Family Clinic 1706 Wayne Memorial Dr Goldsboro NC 27534-2240 Ph: (919) 734-6676 | Waynesboro Family Clinic 1706 Wayne Memorial Dr Goldsboro NC 27534-2240 Ph: (919) 734-6676 |
| NPI Number | 1760417570 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 3274445903 |
|---|---|
| Medicare Enrollment ID | O20031103000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760417570 | NPI | - | NPPES |
| 89015MK | Medicaid | NC | |
| 8300477 | Medicaid | NC | |
| 8300477B | Medicaid | NC | |
| 6005103 | Medicaid | NC | |
| 3410001 | Medicaid | NC | |
| 8300477G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 34D2077478 (North Carolina) | Secondary |
| Provider Name | James G Mcallister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326044082 PECOS PAC ID: 3173436813 Enrollment ID: I20031110000321 |
| Provider Name | Mark B Odaniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164529640 PECOS PAC ID: 4486552205 Enrollment ID: I20031230000546 |
| Provider Name | Ramaswamy R Sriraman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134230857 PECOS PAC ID: 2062400302 Enrollment ID: I20040504001584 |
| Provider Name | Alok Uppal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861407306 PECOS PAC ID: 0446234900 Enrollment ID: I20040614001444 |
| Provider Name | Zahid Rauf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013948587 PECOS PAC ID: 7113986662 Enrollment ID: I20041008000913 |
| Provider Name | Teresa A Poole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790757698 PECOS PAC ID: 2567367238 Enrollment ID: I20050603000367 |
| Provider Name | Kuliakanda M Chengappa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376558825 PECOS PAC ID: 7214957588 Enrollment ID: I20051201000230 |
| Provider Name | Sharon C Mumford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619084035 PECOS PAC ID: 9335245562 Enrollment ID: I20070504000443 |
| Provider Name | Karen W Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164650420 PECOS PAC ID: 6103979232 Enrollment ID: I20130129000147 |
| Provider Name | Samantha T Hardison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922490788 PECOS PAC ID: 3072870815 Enrollment ID: I20171201002334 |
| Provider Name | Donald C Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831130053 PECOS PAC ID: 1052330222 Enrollment ID: I20180716000059 |
| Provider Name | Cheyenne Brooke Utt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880339 PECOS PAC ID: 7719373281 Enrollment ID: I20220408002240 |
| Provider Name | Allison J Paugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629648068 PECOS PAC ID: 3678946340 Enrollment ID: I20230228000221 |
| Provider Name | Danielle Keel Ficken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821534348 PECOS PAC ID: 0446770655 Enrollment ID: I20250218003216 |
| Provider Name | Bliss Parrish Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871721316 PECOS PAC ID: 6800316597 Enrollment ID: I20250225002495 |
| Provider Name | April Deselms |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164702965 PECOS PAC ID: 8426421108 Enrollment ID: I20250228000740 |
| Provider Name | Barbara Lee Youngblood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184753170 PECOS PAC ID: 4486174844 Enrollment ID: I20250228000955 |
| Provider Name | Andie Lorin Strickland-robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215588173 PECOS PAC ID: 1052784733 Enrollment ID: I20250314001910 |
| Provider Name | Dionna Smith-johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144939711 PECOS PAC ID: 6406378660 Enrollment ID: I20250317002925 |
| Provider Name | Benjamin James Baldwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962991166 PECOS PAC ID: 6103299896 Enrollment ID: I20250317003102 |
| Provider Name | Alyse B Deselms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629693981 PECOS PAC ID: 4082137559 Enrollment ID: I20250326001430 |
| Provider Name | Marc Peck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235552365 PECOS PAC ID: 9739524562 Enrollment ID: I20250327000398 |
| Provider Name | Kristen Michelle Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811675184 PECOS PAC ID: 5294258919 Enrollment ID: I20250402003065 |
| Provider Name | Shaquasha K Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306335401 PECOS PAC ID: 7911421961 Enrollment ID: I20250410003509 |
| Provider Name | Forrest Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962049106 PECOS PAC ID: 9739550963 Enrollment ID: I20250414001564 |
Howell Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Landmark Dr, Goldsboro, NC 27534 Phone: 919-778-1506 Fax: 919-778-1535 | |
Carolina Outreach, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 N Center St, Goldsboro, NC 27530 Phone: 919-734-4440 | |
Wellsprings Center Of Goldsboro,p.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Graves Dr, Suite 7, Goldsboro, NC 27534 Phone: 919-583-8448 Fax: 919-583-8449 | |
Brighter Days Support Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Ash St Ste A, Goldsboro, NC 27530 Phone: 252-481-6998 | |
Journey Renewed Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2817 Mclain St Apt B, Goldsboro, NC 27534 Phone: 919-988-4325 | |
Thera-peds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Parkway Drive, Goldsboro, NC 27534 Phone: 919-739-0047 Fax: 919-739-0041 | |
Progressive Healthcare & Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 N George St, Goldsboro, NC 27530 Phone: 919-735-2211 Fax: 919-735-2277 |