| Archwell Health Professional Services Of North Carolina, P.c. | |
|
3022 Eastway Dr Ste 1-3 Charlotte NC 28205-5642 | |
| (888) 987-1151 | |
| Not Available |
| Full Name | Archwell Health Professional Services Of North Carolina, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3022 Eastway Dr Ste 1-3, Charlotte, North Carolina |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6154190947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Professional Services Of North Carolina, P.c. 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () - | Archwell Health Professional Services Of North Carolina, P.c. 3022 Eastway Dr Ste 1-3 Charlotte NC 28205-5642 Ph: (888) 987-1151 |
| NPI Number | 1881278299 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 0446658652 |
|---|---|
| Medicare Enrollment ID | O20211001001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881278299 | NPI | - | NPPES |
| Provider Name | Sandra Hope Raymore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649771114 PECOS PAC ID: 0143584961 Enrollment ID: I20180503000253 |
| Provider Name | Jaydev Yashwant Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851559942 PECOS PAC ID: 7315013000 Enrollment ID: I20190812000950 |
| Provider Name | Michael Jordan Lipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427016021 PECOS PAC ID: 3173678323 Enrollment ID: I20220118002077 |
| Provider Name | Naga Pannala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366673352 PECOS PAC ID: 2365743556 Enrollment ID: I20220224001592 |
| Provider Name | Havon Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972617744 PECOS PAC ID: 9032278692 Enrollment ID: I20220606001825 |
| Provider Name | Donald Joseph Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134229412 PECOS PAC ID: 4486648664 Enrollment ID: I20220628000660 |
| Provider Name | Ndidi Salami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538832803 PECOS PAC ID: 0244690444 Enrollment ID: I20240318000279 |
| Provider Name | Raja Kumari Vaidadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588918395 PECOS PAC ID: 4587974738 Enrollment ID: I20240424002749 |
| Provider Name | Kenya Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396768578 PECOS PAC ID: 4183856974 Enrollment ID: I20240426000229 |
| Provider Name | John Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952806267 PECOS PAC ID: 9638577752 Enrollment ID: I20250424002805 |
| Provider Name | Shirlene Moten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235271040 PECOS PAC ID: 3072593318 Enrollment ID: I20250429000108 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |