| Atrium Health North Market Network Llc | |
|
123 Professional Park Dr Mooresville NC 28117-5524 | |
| (704) 631-0002 | |
| Not Available |
| Full Name | Atrium Health North Market Network Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Professional Park Dr, Mooresville, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (SVP) |
| Authorized Official Contact | 7046310002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health North Market Network Llc Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health North Market Network Llc 123 Professional Park Dr Mooresville NC 28117-5524 Ph: (704) 631-0002 |
| NPI Number | 1871112920 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 1557743440 |
|---|---|
| Medicare Enrollment ID | O20220809003741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871112920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Lisa Ann Gorsuch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548247562 PECOS PAC ID: 1850293705 Enrollment ID: I20040122000422 |
| Provider Name | Michael H Finlon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183650 PECOS PAC ID: 1254229552 Enrollment ID: I20040309000027 |
| Provider Name | Ehab Mohamed Sharawy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164469524 PECOS PAC ID: 6800867573 Enrollment ID: I20040804001892 |
| Provider Name | Dao Quynh Vuong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194761932 PECOS PAC ID: 0941275473 Enrollment ID: I20040830000087 |
| Provider Name | Jackie R Faircloth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306861679 PECOS PAC ID: 8224003629 Enrollment ID: I20040830000552 |
| Provider Name | David M Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477532356 PECOS PAC ID: 1850367517 Enrollment ID: I20041013000700 |
| Provider Name | Dane R Floberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376521385 PECOS PAC ID: 5991760969 Enrollment ID: I20041201000704 |
| Provider Name | Brian David Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518946540 PECOS PAC ID: 2365330313 Enrollment ID: I20041201000755 |
| Provider Name | James G Zolzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104854173 PECOS PAC ID: 9537126370 Enrollment ID: I20041216000686 |
| Provider Name | Brian D Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891774626 PECOS PAC ID: 1254384183 Enrollment ID: I20050302000891 |
| Provider Name | Thomas M Sherrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321095 PECOS PAC ID: 7214981141 Enrollment ID: I20050303000652 |
| Provider Name | Christian G Wolff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629056643 PECOS PAC ID: 1052365921 Enrollment ID: I20050303000887 |
| Provider Name | Jeffrey A Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164401071 PECOS PAC ID: 9032163902 Enrollment ID: I20050303000905 |
| Provider Name | Elisabeth Anne Stoffel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124007372 PECOS PAC ID: 5496709057 Enrollment ID: I20050307000232 |
| Provider Name | Beth Lynn Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366443392 PECOS PAC ID: 4284680760 Enrollment ID: I20050328000908 |
| Provider Name | Shari Schneider Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477515351 PECOS PAC ID: 2769419100 Enrollment ID: I20050718000821 |
| Provider Name | Barbara E Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629060520 PECOS PAC ID: 5991735896 Enrollment ID: I20050820000024 |
| Provider Name | Sarah E Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386644474 PECOS PAC ID: 6507896339 Enrollment ID: I20050822000177 |
| Provider Name | Carolyn Davis Eskridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841209681 PECOS PAC ID: 4284666934 Enrollment ID: I20050902000282 |
| Provider Name | Katherine Morrison Malta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679548028 PECOS PAC ID: 3870528102 Enrollment ID: I20051005000536 |
| Provider Name | Jennifer L Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245246362 PECOS PAC ID: 9739186164 Enrollment ID: I20061027000354 |
| Provider Name | James W Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559900 PECOS PAC ID: 6204836745 Enrollment ID: I20070105000309 |
| Provider Name | Keenya L Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912988080 PECOS PAC ID: 3678575370 Enrollment ID: I20070208000704 |
| Provider Name | Nancy Hendrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861610347 PECOS PAC ID: 5395836498 Enrollment ID: I20070803000196 |
| Provider Name | Mark D Heiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326057647 PECOS PAC ID: 6103858428 Enrollment ID: I20071010000692 |
| Provider Name | Andrew Blaine Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760474456 PECOS PAC ID: 2365539103 Enrollment ID: I20071026000141 |
| Provider Name | Cassandra G Caver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609912732 PECOS PAC ID: 9739260589 Enrollment ID: I20080117000455 |
| Provider Name | Sage Ethel Louise Brook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952398729 PECOS PAC ID: 8123190964 Enrollment ID: I20080710000500 |
| Provider Name | Jeanne Annette Rollins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497896690 PECOS PAC ID: 1557439643 Enrollment ID: I20081002000219 |
| Provider Name | Christopher Alan Zagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235127051 PECOS PAC ID: 5294628756 Enrollment ID: I20081104000029 |
| Provider Name | Jonathan M Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760445233 PECOS PAC ID: 9133280928 Enrollment ID: I20081211000783 |
| Provider Name | Kristie N Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336393453 PECOS PAC ID: 8123175197 Enrollment ID: I20090408000299 |
| Provider Name | Denise A Davies |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629204870 PECOS PAC ID: 7810048212 Enrollment ID: I20090624000756 |
| Provider Name | Brett C Niblack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760469993 PECOS PAC ID: 8325170855 Enrollment ID: I20100720000385 |
| Provider Name | Sharai Correll Amaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437279254 PECOS PAC ID: 7315071206 Enrollment ID: I20100813000665 |
| Provider Name | Benjamin C Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982733036 PECOS PAC ID: 4587789532 Enrollment ID: I20100914000549 |
| Provider Name | Aundrea Lynn Marra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285892448 PECOS PAC ID: 5890811269 Enrollment ID: I20100923000581 |
| Provider Name | Lisa M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740580851 PECOS PAC ID: 6103013875 Enrollment ID: I20101207000645 |
| Provider Name | Laura J Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568637247 PECOS PAC ID: 4486828332 Enrollment ID: I20111110000928 |
| Provider Name | Lisa Michelle Nona |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871889808 PECOS PAC ID: 5597935585 Enrollment ID: I20111115000400 |
| Provider Name | Cynthia Renee Jamison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013977610 PECOS PAC ID: 6709879323 Enrollment ID: I20121024000676 |
| Provider Name | April J Greene |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669737292 PECOS PAC ID: 4981854064 Enrollment ID: I20121025000791 |
| Provider Name | Nancy E Deem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013269745 PECOS PAC ID: 3971757923 Enrollment ID: I20130129000429 |
| Provider Name | Lynn A Chiappelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548404775 PECOS PAC ID: 4789839887 Enrollment ID: I20130220000569 |
| Provider Name | Elizabeth Kathleen Wilson Borders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861627903 PECOS PAC ID: 7113151630 Enrollment ID: I20131016000103 |
| Provider Name | Kenyon L Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144573197 PECOS PAC ID: 4587899513 Enrollment ID: I20131029002040 |
| Provider Name | Lauren E Riggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821231077 PECOS PAC ID: 9537394259 Enrollment ID: I20131104001277 |
| Provider Name | Shannon M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831514140 PECOS PAC ID: 7719102813 Enrollment ID: I20140703001158 |
| Provider Name | Cliff R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881891729 PECOS PAC ID: 1254557291 Enrollment ID: I20140728000901 |
| Provider Name | Vanessa L Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952697096 PECOS PAC ID: 1951540806 Enrollment ID: I20141003000417 |
| Provider Name | Anna Louise Claugus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710278262 PECOS PAC ID: 5698995827 Enrollment ID: I20141009002052 |
| Provider Name | Sarah R Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366859613 PECOS PAC ID: 9537380555 Enrollment ID: I20141016000778 |
| Provider Name | Steven A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336430982 PECOS PAC ID: 9032330626 Enrollment ID: I20141023002049 |
| Provider Name | Brandi Necoy Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194015149 PECOS PAC ID: 8527375393 Enrollment ID: I20150911001295 |
| Provider Name | Catherine Mccalley Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043695869 PECOS PAC ID: 8729397575 Enrollment ID: I20151019002342 |
| Provider Name | Carol Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265426696 PECOS PAC ID: 1850424953 Enrollment ID: I20151028001650 |
| Provider Name | Hang L Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124404686 PECOS PAC ID: 3678874443 Enrollment ID: I20151221001403 |
| Provider Name | Hannah G Deberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912370958 PECOS PAC ID: 8224332358 Enrollment ID: I20160209002735 |
| Provider Name | Melissa B Flack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750759833 PECOS PAC ID: 8123325164 Enrollment ID: I20160318000767 |
| Provider Name | Megan M Mayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962872960 PECOS PAC ID: 8325345796 Enrollment ID: I20160330000834 |
| Provider Name | Jaime S Pimental |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790142735 PECOS PAC ID: 6709185374 Enrollment ID: I20160503001532 |
| Provider Name | Robyn Leigh Koeppen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902242902 PECOS PAC ID: 2163713165 Enrollment ID: I20160622001862 |
| Provider Name | Rebecca C Hobbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306030960 PECOS PAC ID: 1153590559 Enrollment ID: I20160712000204 |
| Provider Name | Kaci Capps Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174813513 PECOS PAC ID: 8527373455 Enrollment ID: I20160728001760 |
| Provider Name | Ilya Alishayev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972824902 PECOS PAC ID: 9739337882 Enrollment ID: I20160810001487 |
| Provider Name | Penny Lingerfelt Hennessee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407207012 PECOS PAC ID: 5890080477 Enrollment ID: I20160822000817 |
| Provider Name | Demetria Renee Watford Rawlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538523519 PECOS PAC ID: 0244519007 Enrollment ID: I20161118000000 |
| Provider Name | Donna J Marinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679505192 PECOS PAC ID: 4789965070 Enrollment ID: I20161228001127 |
| Provider Name | Talla Motakef Widelock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265793145 PECOS PAC ID: 0042458473 Enrollment ID: I20170524001271 |
| Provider Name | Esta K Hill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841432606 PECOS PAC ID: 7517144595 Enrollment ID: I20170628001969 |
| Provider Name | Jessica B Juhaish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366887317 PECOS PAC ID: 4587937297 Enrollment ID: I20170831001328 |
| Provider Name | Aishwarya R Bhagwandass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770920266 PECOS PAC ID: 8022381581 Enrollment ID: I20170905001282 |
| Provider Name | Aidevo Sandra Igbide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093226649 PECOS PAC ID: 9335407840 Enrollment ID: I20171211000552 |
| Provider Name | Hollis Camille Konitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508270570 PECOS PAC ID: 4385912062 Enrollment ID: I20180911003230 |
| Provider Name | Erika Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366945990 PECOS PAC ID: 0648523407 Enrollment ID: I20181024000806 |
| Provider Name | Julianne E Kenton-haney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841334091 PECOS PAC ID: 6507981784 Enrollment ID: I20181119002958 |
| Provider Name | Jessica B Rhodes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861802555 PECOS PAC ID: 8426392846 Enrollment ID: I20181211003047 |
| Provider Name | Nicole M Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003234857 PECOS PAC ID: 0042432601 Enrollment ID: I20190219002112 |
| Provider Name | Mei-tsi B Lawing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750795068 PECOS PAC ID: 6901172782 Enrollment ID: I20190429000849 |
| Provider Name | James Bryant Mammel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467424630 PECOS PAC ID: 4486629698 Enrollment ID: I20190514003244 |
| Provider Name | Colleen Wagner Harkreader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268378 PECOS PAC ID: 7315227519 Enrollment ID: I20190515000943 |
| Provider Name | Sarah E Soli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942657846 PECOS PAC ID: 6507148285 Enrollment ID: I20190611000249 |
| Provider Name | Allen J Shepard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770930679 PECOS PAC ID: 9436431103 Enrollment ID: I20190812002952 |
| Provider Name | Shannon M. Roche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023470267 PECOS PAC ID: 1759673411 Enrollment ID: I20191007003300 |
| Provider Name | Susan Farrar Antle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720060387 PECOS PAC ID: 7214265081 Enrollment ID: I20200408000952 |
| Provider Name | Amber J Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023618063 PECOS PAC ID: 0840605333 Enrollment ID: I20210216000208 |
| Provider Name | Alejandra Toro Bejarano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144752072 PECOS PAC ID: 6608113568 Enrollment ID: I20210719000036 |
| Provider Name | Taylor White Sandberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467957589 PECOS PAC ID: 2668720640 Enrollment ID: I20210816003294 |
| Provider Name | Austin M Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558979021 PECOS PAC ID: 1355732595 Enrollment ID: I20211227000732 |
| Provider Name | Shana Melinda Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235714510 PECOS PAC ID: 6103218821 Enrollment ID: I20220110000173 |
| Provider Name | Chelsea Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884392 PECOS PAC ID: 0749666741 Enrollment ID: I20220928002021 |
| Provider Name | Massoud Baradaran Shoraka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033616628 PECOS PAC ID: 8123362829 Enrollment ID: I20221012003251 |
| Provider Name | Jennifer Lynn Burkhalter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780252353 PECOS PAC ID: 0446655336 Enrollment ID: I20221104000153 |
| Provider Name | Elizabeth E Harlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093276248 PECOS PAC ID: 8426384777 Enrollment ID: I20221112000212 |
| Provider Name | Ryan Scott Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306228473 PECOS PAC ID: 4789997016 Enrollment ID: I20221213001811 |
| Provider Name | Lauren Alexis Jeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538665138 PECOS PAC ID: 6507113172 Enrollment ID: I20221213001917 |
| Provider Name | Rada R Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175907 PECOS PAC ID: 4284938101 Enrollment ID: I20221217000436 |
| Provider Name | Jessica L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609412998 PECOS PAC ID: 6608202957 Enrollment ID: I20230124000807 |
| Provider Name | Kristine Dee Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043251291 PECOS PAC ID: 4082682984 Enrollment ID: I20230317002116 |
| Provider Name | Madison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881393940 PECOS PAC ID: 5496111882 Enrollment ID: I20230509001660 |
| Provider Name | Kasey E Chmelik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518674290 PECOS PAC ID: 4587021993 Enrollment ID: I20230530003137 |
| Provider Name | Courtney A Lisboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588056303 PECOS PAC ID: 7416211834 Enrollment ID: I20230627003439 |
| Provider Name | Madeline Bundy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811425572 PECOS PAC ID: 3173857042 Enrollment ID: I20230717003040 |
| Provider Name | Magdalena Malgorzala Babinska-hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053871996 PECOS PAC ID: 4587990999 Enrollment ID: I20230906001795 |
| Provider Name | Taylor N Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089474 PECOS PAC ID: 4082032685 Enrollment ID: I20230920004337 |
| Provider Name | Rebecca Alvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245928373 PECOS PAC ID: 4688029994 Enrollment ID: I20231005003834 |
| Provider Name | Arianna M Caruso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033671946 PECOS PAC ID: 1254668551 Enrollment ID: I20231009002798 |
| Provider Name | Guilherme Corral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952938383 PECOS PAC ID: 1153776943 Enrollment ID: I20231013003291 |
| Provider Name | Rahul K Mannan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982163259 PECOS PAC ID: 2769837491 Enrollment ID: I20231016001284 |
| Provider Name | Ruby Attah Benn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538621404 PECOS PAC ID: 1052644754 Enrollment ID: I20231018003327 |
| Provider Name | Kellen Catherine Goldschmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730568049 PECOS PAC ID: 6103120126 Enrollment ID: I20231109000573 |
| Provider Name | Leslie A Cottrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932214160 PECOS PAC ID: 5193902880 Enrollment ID: I20231113003522 |
| Provider Name | Fareed Z Kadum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760495840 PECOS PAC ID: 4688677149 Enrollment ID: I20231116000263 |
| Provider Name | Elena Sukhenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851097265 PECOS PAC ID: 8820447949 Enrollment ID: I20231213004217 |
| Provider Name | Alixandra J Garic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982167607 PECOS PAC ID: 4789912254 Enrollment ID: I20240110001897 |
Iredell Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-878-4500 Fax: 704-872-7924 | |
Harbor Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-660-0321 Fax: 704-660-0765 | |
Wellcomemd Nc Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117 Phone: 704-444-0999 Fax: 980-498-7007 | |
Greenbrook Tms Mooresville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Plantation Ridge Dr Ste 150, Mooresville, NC 28117 Phone: 855-910-4867 Fax: 855-920-4867 | |
My Health Center At Lowe's Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lowes Blvd, Mooresville, NC 28117 Phone: 704-758-2000 Fax: 704-757-0510 | |
Stout Internal Medicine & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Brawley School Rd, Suite C, Mooresville, NC 28117 Phone: 704-360-9310 | |
Lake Norman Endocrinology & Diabetes, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-664-2936 |