| Arcare | |
|
117 S 2nd St Augusta AR 72006 | |
| (870) 347-2534 | |
| (870) 347-3492 |
| Full Name | Arcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 S 2nd St, Augusta, Arkansas |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcare 117 S 2nd St Po Box 497 Augusta AR 72006-2309 Ph: (870) 347-2534 | Arcare 117 S 2nd St Augusta AR 72006 Ph: (870) 347-2534 |
| NPI Number | 1275635542 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20031206000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275635542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mario Cauli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043273568 PECOS PAC ID: 2567454184 Enrollment ID: I20040401001366 |
| Provider Name | Nick J Paslidis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955990 PECOS PAC ID: 0042204505 Enrollment ID: I20040408001295 |
| Provider Name | Timothee T Wilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225188121 PECOS PAC ID: 7810984390 Enrollment ID: I20040427001129 |
| Provider Name | Charles Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020738 PECOS PAC ID: 8426047861 Enrollment ID: I20040510001516 |
| Provider Name | Larry Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841292000 PECOS PAC ID: 2860482494 Enrollment ID: I20040515000386 |
| Provider Name | Jonathan C Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871578500 PECOS PAC ID: 2264413723 Enrollment ID: I20040528001160 |
| Provider Name | James Leonard Workman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154364545 PECOS PAC ID: 9133105562 Enrollment ID: I20040626000351 |
| Provider Name | Russell Barlow Branum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629065685 PECOS PAC ID: 4789643693 Enrollment ID: I20041006001231 |
| Provider Name | Henry W Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063478493 PECOS PAC ID: 1153371976 Enrollment ID: I20050304000798 |
| Provider Name | Jasen Cheng Chi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437141322 PECOS PAC ID: 7315983293 Enrollment ID: I20050727000886 |
| Provider Name | Richard Reinholtz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609878867 PECOS PAC ID: 9234168220 Enrollment ID: I20050810000494 |
| Provider Name | Prasad J Athota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952319477 PECOS PAC ID: 2466470083 Enrollment ID: I20051102000788 |
| Provider Name | Lynn M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918505 PECOS PAC ID: 9537182829 Enrollment ID: I20060121000014 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611057 PECOS PAC ID: 4981603693 Enrollment ID: I20061206000540 |
| Provider Name | Katina Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023170305 PECOS PAC ID: 5395832562 Enrollment ID: I20071105000263 |
| Provider Name | Senthil K Raghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912111055 PECOS PAC ID: 5698865855 Enrollment ID: I20071212000425 |
| Provider Name | Charles Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689659674 PECOS PAC ID: 6204848922 Enrollment ID: I20080228000431 |
| Provider Name | Steven F Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699731091 PECOS PAC ID: 8921916099 Enrollment ID: I20080516000075 |
| Provider Name | Jesse D Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342531 PECOS PAC ID: 7911072384 Enrollment ID: I20080826000127 |
| Provider Name | Courtney B Manatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760562078 PECOS PAC ID: 9335209485 Enrollment ID: I20081119000071 |
| Provider Name | Denise Purnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235147513 PECOS PAC ID: 9436211125 Enrollment ID: I20090317000038 |
| Provider Name | William Mark White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922095140 PECOS PAC ID: 3870494248 Enrollment ID: I20090325000199 |
| Provider Name | Amy N Julian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194944421 PECOS PAC ID: 6800946609 Enrollment ID: I20090617000474 |
| Provider Name | Cade M Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285840819 PECOS PAC ID: 0042360786 Enrollment ID: I20090618000167 |
| Provider Name | Julian Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396935466 PECOS PAC ID: 6406900927 Enrollment ID: I20090819000022 |
| Provider Name | Jamie Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053553024 PECOS PAC ID: 0042364572 Enrollment ID: I20090819000145 |
| Provider Name | Terry Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760447171 PECOS PAC ID: 0941340988 Enrollment ID: I20091222000653 |
| Provider Name | C Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356360689 PECOS PAC ID: 0143362442 Enrollment ID: I20100125000795 |
| Provider Name | Edward Merritt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043472962 PECOS PAC ID: 3870618150 Enrollment ID: I20100909000673 |
| Provider Name | Timothy M Killough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376659219 PECOS PAC ID: 4486779352 Enrollment ID: I20100915000810 |
| Provider Name | Rebecca Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558686402 PECOS PAC ID: 0446382873 Enrollment ID: I20100916001111 |
| Provider Name | Jennifer Leeann Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013223130 PECOS PAC ID: 2466648845 Enrollment ID: I20101124000505 |
| Provider Name | Meredith A Denton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063534949 PECOS PAC ID: 9032206966 Enrollment ID: I20101213000271 |
| Provider Name | Manichanh Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699067850 PECOS PAC ID: 1153592068 Enrollment ID: I20110927000053 |
| Provider Name | Suzanne E Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841441 PECOS PAC ID: 9032381868 Enrollment ID: I20111020000277 |
| Provider Name | Benjamin W Carlyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184882383 PECOS PAC ID: 9032384292 Enrollment ID: I20111216000211 |
| Provider Name | Lydia Pauline Sartain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780943316 PECOS PAC ID: 0749446326 Enrollment ID: I20120726000031 |
| Provider Name | Roy C Sampson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568686723 PECOS PAC ID: 4880845155 Enrollment ID: I20121114000180 |
| Provider Name | Renata J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003084336 PECOS PAC ID: 8022260595 Enrollment ID: I20121207000187 |
| Provider Name | Jarrett Elaine Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346684594 PECOS PAC ID: 3274774765 Enrollment ID: I20130725000595 |
| Provider Name | Matthew R. Patoka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623066 PECOS PAC ID: 9335381813 Enrollment ID: I20130813000375 |
| Provider Name | Melissa Alumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469887 PECOS PAC ID: 9133362569 Enrollment ID: I20130903000777 |
| Provider Name | Jo Ellen Greenhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457678054 PECOS PAC ID: 1951532605 Enrollment ID: I20140324000857 |
| Provider Name | Renee A Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700885522 PECOS PAC ID: 5597757617 Enrollment ID: I20140408001482 |
| Provider Name | Amy Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053735639 PECOS PAC ID: 1355573213 Enrollment ID: I20140409000510 |
| Provider Name | Seth Andrew Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215170790 PECOS PAC ID: 8820236565 Enrollment ID: I20140506000064 |
| Provider Name | Todd Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184047730 PECOS PAC ID: 9537382098 Enrollment ID: I20140602001294 |
| Provider Name | Allison E Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194148197 PECOS PAC ID: 7719101104 Enrollment ID: I20140604001052 |
| Provider Name | Wendy A Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043592082 PECOS PAC ID: 4082838149 Enrollment ID: I20140610001969 |
| Provider Name | Ezekiel E Shotts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679715130 PECOS PAC ID: 3577757756 Enrollment ID: I20140805001585 |
| Provider Name | Amanda Leigh Shirron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811312960 PECOS PAC ID: 0143448217 Enrollment ID: I20140903000384 |
| Provider Name | Scarlett Faulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457751182 PECOS PAC ID: 7618198870 Enrollment ID: I20141031002158 |
| Provider Name | Sara Beth Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002364 PECOS PAC ID: 1153646294 Enrollment ID: I20150211001485 |
| Provider Name | Alicia M Baros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370069 PECOS PAC ID: 5698094829 Enrollment ID: I20150508002239 |
| Provider Name | Dana Jo Coker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154564722 PECOS PAC ID: 6800011206 Enrollment ID: I20150527001407 |
| Provider Name | Ottysha Andria White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255584637 PECOS PAC ID: 9537480892 Enrollment ID: I20150611002374 |
| Provider Name | Rhonda K Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124011754 PECOS PAC ID: 7214943604 Enrollment ID: I20151112002358 |
| Provider Name | Christine Marie Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801268479 PECOS PAC ID: 1759681786 Enrollment ID: I20151124001378 |
| Provider Name | Rhonda L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639536782 PECOS PAC ID: 2860796976 Enrollment ID: I20160210002218 |
| Provider Name | April Durham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629335955 PECOS PAC ID: 0042456667 Enrollment ID: I20160219002049 |
| Provider Name | Andrew F Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603552 PECOS PAC ID: 9032418272 Enrollment ID: I20160422000415 |
| Provider Name | Laurie Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588608699 PECOS PAC ID: 0244529816 Enrollment ID: I20160520001384 |
| Provider Name | Broderick Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992115646 PECOS PAC ID: 4587978259 Enrollment ID: I20160525000788 |
| Provider Name | Christopher C Ryen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689986390 PECOS PAC ID: 4789824475 Enrollment ID: I20160606001078 |
| Provider Name | Kerry E Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245680321 PECOS PAC ID: 8325331705 Enrollment ID: I20160722000189 |
| Provider Name | Greta S Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245889 PECOS PAC ID: 9436467974 Enrollment ID: I20160722001523 |
| Provider Name | Hope Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922424597 PECOS PAC ID: 9234426495 Enrollment ID: I20161003001407 |
| Provider Name | Rebecca Jane O'shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255887550 PECOS PAC ID: 1052691037 Enrollment ID: I20161208001738 |
| Provider Name | Sharon Y Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437287620 PECOS PAC ID: 6305129727 Enrollment ID: I20170209001587 |
| Provider Name | Carol Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326571159 PECOS PAC ID: 1951672468 Enrollment ID: I20170802000568 |
| Provider Name | Teresa L Rhew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780120097 PECOS PAC ID: 9830462373 Enrollment ID: I20170906001224 |
| Provider Name | Candis Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623360 PECOS PAC ID: 5294009007 Enrollment ID: I20170918001894 |
| Provider Name | John Michael Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639689763 PECOS PAC ID: 9931465598 Enrollment ID: I20171114003336 |
| Provider Name | Brittney J Cato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016558 PECOS PAC ID: 5395002042 Enrollment ID: I20171205001636 |
| Provider Name | Tamra Lynn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657836 PECOS PAC ID: 9739448069 Enrollment ID: I20180112001882 |
| Provider Name | Toni Marie Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316475023 PECOS PAC ID: 3971862723 Enrollment ID: I20180124001068 |
| Provider Name | Mark Whitney Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770997645 PECOS PAC ID: 7214298272 Enrollment ID: I20180308000205 |
| Provider Name | John E Bolding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902284979 PECOS PAC ID: 3577826429 Enrollment ID: I20180406001200 |
| Provider Name | Shea Thomas Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730677675 PECOS PAC ID: 5698030633 Enrollment ID: I20180523000187 |
| Provider Name | Lori Ann Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073010138 PECOS PAC ID: 3678829454 Enrollment ID: I20180710000032 |
| Provider Name | Courtney Cassinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912492273 PECOS PAC ID: 0941557102 Enrollment ID: I20180718003061 |
| Provider Name | Charles C Gothard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373824 PECOS PAC ID: 2860740651 Enrollment ID: I20180810001228 |
| Provider Name | Jessica K Malcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639656333 PECOS PAC ID: 8921357674 Enrollment ID: I20180814002343 |
| Provider Name | Megan A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538654538 PECOS PAC ID: 5496004681 Enrollment ID: I20180821003349 |
| Provider Name | Steven A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395427 PECOS PAC ID: 6800145715 Enrollment ID: I20180824001839 |
| Provider Name | Jadie Elizabeth Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770075558 PECOS PAC ID: 9931450624 Enrollment ID: I20180919001576 |
| Provider Name | Jennifer Lynne Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801035662 PECOS PAC ID: 5294086302 Enrollment ID: I20180927002910 |
| Provider Name | Merideth L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073801338 PECOS PAC ID: 2567716251 Enrollment ID: I20181115002401 |
| Provider Name | Brenan Davis Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972099059 PECOS PAC ID: 5799020186 Enrollment ID: I20181212002072 |
| Provider Name | Kacee Bodiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801350137 PECOS PAC ID: 5092054726 Enrollment ID: I20190225001726 |
| Provider Name | Maree Leigh Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962762005 PECOS PAC ID: 2860732385 Enrollment ID: I20190320001705 |
| Provider Name | Ronald C Only |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710964226 PECOS PAC ID: 9436139185 Enrollment ID: I20190328002641 |
| Provider Name | Toni D Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574815 PECOS PAC ID: 4981946605 Enrollment ID: I20190430000861 |
| Provider Name | Dana Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932681574 PECOS PAC ID: 4981938354 Enrollment ID: I20190619002194 |
| Provider Name | Lisa A Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458698 PECOS PAC ID: 3870820046 Enrollment ID: I20190809002630 |
| Provider Name | Felica Shunta Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881256220 PECOS PAC ID: 4183953367 Enrollment ID: I20190913000328 |
| Provider Name | Latonia F Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914814 PECOS PAC ID: 2961731088 Enrollment ID: I20190913002353 |
| Provider Name | Veronica Zak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003097841 PECOS PAC ID: 3779672308 Enrollment ID: I20191030001942 |
| Provider Name | Lindsey Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790327526 PECOS PAC ID: 0840622601 Enrollment ID: I20191115001644 |
| Provider Name | Sharon Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306409271 PECOS PAC ID: 6204269855 Enrollment ID: I20191212000476 |
| Provider Name | Rebecca J Yauilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420338 PECOS PAC ID: 0840624433 Enrollment ID: I20200108000417 |
| Provider Name | Alexandra Kurtzweil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982253266 PECOS PAC ID: 4789019142 Enrollment ID: I20200114001140 |
| Provider Name | William Z Goza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632033 PECOS PAC ID: 6406285006 Enrollment ID: I20200402001890 |
| Provider Name | Brandi G Koschmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851738660 PECOS PAC ID: 3779913629 Enrollment ID: I20200417000526 |
| Provider Name | Elizabeth A Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457415416 PECOS PAC ID: 6901110790 Enrollment ID: I20200429001634 |
| Provider Name | Laura Beth Whited |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447871934 PECOS PAC ID: 3274964762 Enrollment ID: I20200518001525 |
| Provider Name | Christy Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730638503 PECOS PAC ID: 7416378567 Enrollment ID: I20200528001736 |
| Provider Name | Alisha C Hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639726813 PECOS PAC ID: 7810310562 Enrollment ID: I20200714000732 |
| Provider Name | Michelle Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629599287 PECOS PAC ID: 3870869472 Enrollment ID: I20200827003696 |
| Provider Name | Leslie Tai Weatherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386257855 PECOS PAC ID: 6204254329 Enrollment ID: I20200922000544 |
| Provider Name | Amy Keywood |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821025164 PECOS PAC ID: 8527261973 Enrollment ID: I20201001001581 |
| Provider Name | Macalaster Deveney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922426642 PECOS PAC ID: 9830417005 Enrollment ID: I20201207001354 |
| Provider Name | Kaylee A O'hare |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639767585 PECOS PAC ID: 3274948971 Enrollment ID: I20210210001021 |
| Provider Name | Jordan Alexander Bellew |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730778028 PECOS PAC ID: 4183030901 Enrollment ID: I20210302003101 |
| Provider Name | Kizzie Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225620149 PECOS PAC ID: 7517374820 Enrollment ID: I20210405000994 |
| Provider Name | Chelsea H Winemiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993925 PECOS PAC ID: 0446668438 Enrollment ID: I20210412001039 |
| Provider Name | Heather Ann Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144804022 PECOS PAC ID: 7618386293 Enrollment ID: I20210512000091 |
| Provider Name | Robert Colton Mcdaniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932793445 PECOS PAC ID: 8729487277 Enrollment ID: I20210603000583 |
| Provider Name | Laci M Tarrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417524372 PECOS PAC ID: 6507267283 Enrollment ID: I20210701002373 |
| Provider Name | Dannie Evenda Loy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685308 PECOS PAC ID: 5991107013 Enrollment ID: I20210713000963 |
| Provider Name | Michelle L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205407962 PECOS PAC ID: 1456754183 Enrollment ID: I20210719002920 |
| Provider Name | Caleb M Lunday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073184727 PECOS PAC ID: 4789087966 Enrollment ID: I20210726002315 |
| Provider Name | Wendy S Hanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083297741 PECOS PAC ID: 6406259688 Enrollment ID: I20210726002344 |
| Provider Name | Jaqueline R Howell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093388183 PECOS PAC ID: 7719381102 Enrollment ID: I20210806001695 |
| Provider Name | Lily E Formby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508439480 PECOS PAC ID: 0042614166 Enrollment ID: I20210811000580 |
| Provider Name | Candice Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236113 PECOS PAC ID: 0446655377 Enrollment ID: I20210816002581 |
| Provider Name | Adrienne R Mccutcheon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023614880 PECOS PAC ID: 4688079205 Enrollment ID: I20210819003317 |
| Provider Name | Kathryn P Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610173 PECOS PAC ID: 3173929445 Enrollment ID: I20210913000501 |
| Provider Name | Natalie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033886809 PECOS PAC ID: 5698171965 Enrollment ID: I20210913000651 |
| Provider Name | Whitney L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821767260 PECOS PAC ID: 4486051968 Enrollment ID: I20210927000749 |
| Provider Name | Ashley Dion Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255902581 PECOS PAC ID: 7719385848 Enrollment ID: I20211004003298 |
| Provider Name | Tabitha N Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619648060 PECOS PAC ID: 9931507423 Enrollment ID: I20211014000293 |
| Provider Name | Courtney M Drain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285397240 PECOS PAC ID: 5597153270 Enrollment ID: I20211029000682 |
| Provider Name | Richelle D Wortham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235891417 PECOS PAC ID: 0042608572 Enrollment ID: I20211102001622 |
| Provider Name | Rebecca A Palas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811334659 PECOS PAC ID: 1759770852 Enrollment ID: I20211111000050 |
| Provider Name | Sean M Palas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346785383 PECOS PAC ID: 5193068658 Enrollment ID: I20211201002199 |
| Provider Name | Julia L Clift |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649874736 PECOS PAC ID: 4183014251 Enrollment ID: I20211203000439 |
| Provider Name | Melanie S Bolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153544 PECOS PAC ID: 7113318783 Enrollment ID: I20211216000256 |
| Provider Name | Amanda G Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083116917 PECOS PAC ID: 6507114410 Enrollment ID: I20211230001180 |
| Provider Name | Anne M Osburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639629207 PECOS PAC ID: 2062805930 Enrollment ID: I20220217001510 |
| Provider Name | Jenna N Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629548458 PECOS PAC ID: 2567856206 Enrollment ID: I20220223001930 |
| Provider Name | Hannah Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447740915 PECOS PAC ID: 7012394539 Enrollment ID: I20220521000129 |
| Provider Name | George Zappalorta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033556303 PECOS PAC ID: 6608169263 Enrollment ID: I20220706002230 |
| Provider Name | Amanda D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255063160 PECOS PAC ID: 6800277484 Enrollment ID: I20220713002368 |
| Provider Name | Beck Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548995756 PECOS PAC ID: 7416330527 Enrollment ID: I20220822002188 |
| Provider Name | Starsha L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649907593 PECOS PAC ID: 7719362797 Enrollment ID: I20220912000856 |
| Provider Name | Amanda Kay Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563271 PECOS PAC ID: 1850767823 Enrollment ID: I20221017000064 |
| Provider Name | Joyce Ann Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099392 PECOS PAC ID: 5496121402 Enrollment ID: I20221017001224 |
| Provider Name | Marina Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531518 PECOS PAC ID: 6305213596 Enrollment ID: I20221101000313 |
| Provider Name | Taylor O Rittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831807650 PECOS PAC ID: 4183093024 Enrollment ID: I20221215000503 |
| Provider Name | Leland Husband |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699169771 PECOS PAC ID: 2264748391 Enrollment ID: I20221219000386 |
| Provider Name | Katherine O'neal Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942647581 PECOS PAC ID: 7315319761 Enrollment ID: I20230210001438 |
| Provider Name | Jessica S Frick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124782719 PECOS PAC ID: 9032588769 Enrollment ID: I20230301002231 |
| Provider Name | Jordan C Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295378289 PECOS PAC ID: 6608249073 Enrollment ID: I20230306001557 |
| Provider Name | Sarah J Law |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093283293 PECOS PAC ID: 1951775311 Enrollment ID: I20230327000449 |
| Provider Name | Laura K Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134831456 PECOS PAC ID: 8224494653 Enrollment ID: I20230510000385 |
| Provider Name | Kayla Renee Denney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427734029 PECOS PAC ID: 5193184190 Enrollment ID: I20230710001042 |
| Provider Name | John Patrick Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538546874 PECOS PAC ID: 9739492844 Enrollment ID: I20230801001353 |
| Provider Name | Ramonda K Housh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457504250 PECOS PAC ID: 3476708918 Enrollment ID: I20230821001704 |
| Provider Name | Carley A Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033891619 PECOS PAC ID: 6800250846 Enrollment ID: I20230911000927 |
| Provider Name | Renisha Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205615010 PECOS PAC ID: 2668827650 Enrollment ID: I20231011001637 |
| Provider Name | Ariana A Spurger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609651561 PECOS PAC ID: 6406201359 Enrollment ID: I20231012000648 |
| Provider Name | Tabitha Prater |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841078540 PECOS PAC ID: 8123474129 Enrollment ID: I20231027000430 |
| Provider Name | Sharon A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018670 PECOS PAC ID: 2860848652 Enrollment ID: I20231031001485 |
| Provider Name | Easton Danielle Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245011923 PECOS PAC ID: 6002262649 Enrollment ID: I20231102000563 |
| Provider Name | Mikayla Lauren Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770358780 PECOS PAC ID: 1850740606 Enrollment ID: I20231206000322 |
| Provider Name | Haley Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598531451 PECOS PAC ID: 4082063003 Enrollment ID: I20231215000028 |
| Provider Name | Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538937339 PECOS PAC ID: 7517318835 Enrollment ID: I20240110003744 |
| Provider Name | Megan Millsap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801269006 PECOS PAC ID: 5597113977 Enrollment ID: I20240116000725 |
| Provider Name | Latisha Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134408636 PECOS PAC ID: 6800248840 Enrollment ID: I20240116001684 |
| Provider Name | Melinda Nicole Mclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811766207 PECOS PAC ID: 6709238777 Enrollment ID: I20240116002419 |
| Provider Name | Lynne Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730355108 PECOS PAC ID: 3072966936 Enrollment ID: I20240126001151 |
| Provider Name | Fannie Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730628074 PECOS PAC ID: 4688027428 Enrollment ID: I20240129002994 |
| Provider Name | Halle N Medley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245855436 PECOS PAC ID: 3476906835 Enrollment ID: I20240201001720 |
| Provider Name | Nicole Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073915849 PECOS PAC ID: 4688017353 Enrollment ID: I20240209000866 |
| Provider Name | James Eddins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295004836 PECOS PAC ID: 6002259728 Enrollment ID: I20240209002551 |
| Provider Name | Christy A Fitch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174542492 PECOS PAC ID: 0446608350 Enrollment ID: I20240212000685 |
| Provider Name | Thomas Mcmullen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104608058 PECOS PAC ID: 7911356472 Enrollment ID: I20240213002992 |
| Provider Name | Jennifer Suzanne Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225891427 PECOS PAC ID: 1355785775 Enrollment ID: I20240213004670 |
| Provider Name | Cale E Mcgillvray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124455225 PECOS PAC ID: 3577912864 Enrollment ID: I20240228001811 |
| Provider Name | Carter Lee Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540540 PECOS PAC ID: 6608211321 Enrollment ID: I20240304001494 |
| Provider Name | Herny M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649884560 PECOS PAC ID: 9234576869 Enrollment ID: I20240319001825 |
| Provider Name | Lacey Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215467766 PECOS PAC ID: 0042657868 Enrollment ID: I20240328000468 |
| Provider Name | Alena Nelton Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164289906 PECOS PAC ID: 3779921861 Enrollment ID: I20240409002454 |
| Provider Name | Margaret Seicshnaydre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508461823 PECOS PAC ID: 3274972872 Enrollment ID: I20240416001078 |
| Provider Name | Anita Renee Merritt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841406709 PECOS PAC ID: 9537509591 Enrollment ID: I20240424004202 |
| Provider Name | Julia L Clift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649874736 PECOS PAC ID: 4183014251 Enrollment ID: I20240520002806 |
| Provider Name | Catherine P Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881003481 PECOS PAC ID: 0941742209 Enrollment ID: I20240603001655 |
| Provider Name | Shelby Taylor Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912752445 PECOS PAC ID: 7416499553 Enrollment ID: I20240605000388 |
| Provider Name | Lashanda Fears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407178189 PECOS PAC ID: 1052763091 Enrollment ID: I20240627004228 |
| Provider Name | Amy Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629847132 PECOS PAC ID: 8921543141 Enrollment ID: I20240712000090 |
| Provider Name | Anna Polo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912744871 PECOS PAC ID: 5395281745 Enrollment ID: I20240723000351 |
| Provider Name | Ellie Faye Huffine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851138531 PECOS PAC ID: 1254877541 Enrollment ID: I20240723002268 |
| Provider Name | Joseph House |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467101527 PECOS PAC ID: 4082150123 Enrollment ID: I20240724003630 |
| Provider Name | Michaela Beth Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649018375 PECOS PAC ID: 3779029533 Enrollment ID: I20240729002413 |
| Provider Name | Cynthia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740923374 PECOS PAC ID: 1557808045 Enrollment ID: I20240801002439 |
| Provider Name | Kirby Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295183432 PECOS PAC ID: 3779020268 Enrollment ID: I20240801002641 |
| Provider Name | Jenny Rebecca Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316784085 PECOS PAC ID: 3476091497 Enrollment ID: I20240821001568 |
| Provider Name | Dana A Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194982397 PECOS PAC ID: 3274934005 Enrollment ID: I20240823000653 |
| Provider Name | Rina Modha Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669968657 PECOS PAC ID: 0244582039 Enrollment ID: I20240827000423 |
| Provider Name | Elizabeth A Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144794827 PECOS PAC ID: 3678014966 Enrollment ID: I20240926002823 |
| Provider Name | Lela Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730958968 PECOS PAC ID: 6305377649 Enrollment ID: I20240927000400 |
| Provider Name | Maegan Cassidy Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215754627 PECOS PAC ID: 2062944085 Enrollment ID: I20241016000675 |
| Provider Name | Emma Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215509146 PECOS PAC ID: 4082148622 Enrollment ID: I20241105003205 |
| Provider Name | Nicole Ann Lazarevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306665351 PECOS PAC ID: 2365976743 Enrollment ID: I20241107001164 |
| Provider Name | Sudipkumar Bhanderi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841497757 PECOS PAC ID: 8921246232 Enrollment ID: I20241112001791 |
| Provider Name | Zoe Weeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417586819 PECOS PAC ID: 5496186819 Enrollment ID: I20241115000573 |
| Provider Name | David Petros |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154306603 PECOS PAC ID: 7911040274 Enrollment ID: I20250124002895 |
| Provider Name | Julie Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427010123 PECOS PAC ID: 3173502978 Enrollment ID: I20250206000697 |
| Provider Name | Catherine Margaret Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912714304 PECOS PAC ID: 4587194204 Enrollment ID: I20250211002282 |
| Provider Name | Terayia Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528883261 PECOS PAC ID: 8325568298 Enrollment ID: I20250221001871 |
| Provider Name | Caronda Hill-cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154741403 PECOS PAC ID: 6406378413 Enrollment ID: I20250319003014 |
| Provider Name | Sarah Bodine |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841091394 PECOS PAC ID: 9931622073 Enrollment ID: I20250328002311 |
| Provider Name | Madison Brooke Christison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942094248 PECOS PAC ID: 1153846548 Enrollment ID: I20250417003072 |
| Provider Name | Abigail Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891584611 PECOS PAC ID: 5294244844 Enrollment ID: I20250604001673 |
| Provider Name | Kolton Taylor Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316830334 PECOS PAC ID: 1153830617 Enrollment ID: I20250604004330 |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 N 4th St, Augusta, AR 72006 Phone: 870-347-1137 Fax: 870-347-1139 | |
Steven F Collier Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 South 2nd Street, Augusta, AR 72006 Phone: 870-347-2568 Fax: 870-347-2560 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Highway 64 E, Augusta, AR 72006 Phone: 870-347-3350 Fax: 870-347-5556 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 N 1st St, Augusta, AR 72006 Phone: 870-347-2534 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Main St, Augusta, AR 72006 Phone: 870-347-3402 Fax: 870-347-3403 | |
Jesse D Moore Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 64 East, Augusta, AR 72006 Phone: 870-347-2568 Fax: 870-347-2560 |