| Renita Deloatch Smallwood, FNP | |
|
500 Academy St S, Ahoskie, NC 27910-3261 | |
| (252) 209-3385 | |
| Not Available |
| Full Name | Renita Deloatch Smallwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 500 Academy St S, Ahoskie, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093369977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5012051 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Northeastern Orthopedics, Pa | 7416841945 | 3 |
| Bertie County Rural Health Association | 8325949167 | 6 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | Williamston Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811990443 PECOS PAC ID: 6709790082 Enrollment ID: O20031119000708 |
| Entity Name | Northeastern Orthopedics, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821054339 PECOS PAC ID: 7416841945 Enrollment ID: O20040213000341 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Renita Deloatch Smallwood, FNP 126 Forest Drive Rd, Ahoskie, NC 27910-9576 Ph: (252) 642-2986 | Renita Deloatch Smallwood, FNP 500 Academy St S, Ahoskie, NC 27910-3261 Ph: (252) 209-3385 |
Mrs. Susan T Hoggard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Colony Ave S, Ahoskie, NC 27910 Phone: 252-332-5041 Fax: 252-332-6115 | |
Jordan Alexandra Conner, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 | |
Angela Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 Fax: 252-332-1665 | |
Sarah Griffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-209-0237 | |
Carla Dee Cooper Eure, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 | |
Robert James Jordan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Health Center Dr, Ahoskie, NC 27910 Phone: 252-332-3548 Fax: 252-332-1665 |