| Avance Care, Pa | |
|
6402 Mccrimmon Parkway Suite 100 Morrisville NC 27560 | |
| (919) 655-1000 | |
| (919) 655-1001 |
| Full Name | Avance Care, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 6402 Mccrimmon Parkway, Morrisville, North Carolina |
| Authorized Official Name and Position | Matthew E Eirich (CEO) |
| Authorized Official Contact | 9192371337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avance Care, Pa 4705 University Dr Bldg 700 Durham NC 27707-3489 Ph: (919) 237-1337 | Avance Care, Pa 6402 Mccrimmon Parkway Suite 100 Morrisville NC 27560 Ph: (919) 655-1000 |
| NPI Number | 1487845020 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 07/26/2023 |
| Medicare PECOS PAC ID | 3577634476 |
|---|---|
| Medicare Enrollment ID | O20080620000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487845020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Bhavna P Vaidya Tank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316992639 PECOS PAC ID: 9830178375 Enrollment ID: I20040717000125 |
| Provider Name | Michael F Dulin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477575637 PECOS PAC ID: 3779553169 Enrollment ID: I20040731000300 |
| Provider Name | Wanda Lee Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871687327 PECOS PAC ID: 1951374388 Enrollment ID: I20040814000234 |
| Provider Name | Susan H Catchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679520969 PECOS PAC ID: 9537136148 Enrollment ID: I20040927000431 |
| Provider Name | Ashwin A Patkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376627265 PECOS PAC ID: 1951364066 Enrollment ID: I20041110000065 |
| Provider Name | Stephenie V Brinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578616132 PECOS PAC ID: 2163486010 Enrollment ID: I20041119000162 |
| Provider Name | Latonja Mack Ivery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699824607 PECOS PAC ID: 9830156538 Enrollment ID: I20041214000974 |
| Provider Name | Elizabeth F Vandergriff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972566735 PECOS PAC ID: 8527025493 Enrollment ID: I20041215000597 |
| Provider Name | Schquthia F Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720182421 PECOS PAC ID: 0143287037 Enrollment ID: I20041215000836 |
| Provider Name | Rebecca P Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478358 PECOS PAC ID: 8527011030 Enrollment ID: I20050224000602 |
| Provider Name | Patricia S White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902933740 PECOS PAC ID: 0749207504 Enrollment ID: I20051031000868 |
| Provider Name | Rhett L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942235031 PECOS PAC ID: 2961421441 Enrollment ID: I20051114000915 |
| Provider Name | Kimberly A Gush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306845565 PECOS PAC ID: 0244254688 Enrollment ID: I20060124000731 |
| Provider Name | Mary F Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043273550 PECOS PAC ID: 4587671656 Enrollment ID: I20060314000724 |
| Provider Name | Robert A Millet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134168347 PECOS PAC ID: 2365454592 Enrollment ID: I20060706000376 |
| Provider Name | Mohan M Chilukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951882 PECOS PAC ID: 0446354310 Enrollment ID: I20070402000738 |
| Provider Name | Debra Jo Witkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588681944 PECOS PAC ID: 9234230392 Enrollment ID: I20070719000731 |
| Provider Name | Virginia Barringer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710109491 PECOS PAC ID: 1557462322 Enrollment ID: I20070724000046 |
| Provider Name | Donna Jo Whitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295955268 PECOS PAC ID: 3072609395 Enrollment ID: I20071018000323 |
| Provider Name | Lisa P Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073707311 PECOS PAC ID: 3375632672 Enrollment ID: I20071210000585 |
| Provider Name | John C Rounds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407820749 PECOS PAC ID: 4587605142 Enrollment ID: I20080207000196 |
| Provider Name | Mary J Mcninch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730362104 PECOS PAC ID: 9032297130 Enrollment ID: I20080415000234 |
| Provider Name | Jeffrey Charles Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689703829 PECOS PAC ID: 8527132349 Enrollment ID: I20080728000660 |
| Provider Name | Feyisayo A Adeyina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277757 PECOS PAC ID: 6406921923 Enrollment ID: I20080819000209 |
| Provider Name | Louise Metz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861588642 PECOS PAC ID: 8022080860 Enrollment ID: I20080905000606 |
| Provider Name | Steven D Prakken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578586624 PECOS PAC ID: 6901822006 Enrollment ID: I20090303000305 |
| Provider Name | Steven T Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528290665 PECOS PAC ID: 3779639455 Enrollment ID: I20090922000325 |
| Provider Name | Daniel N Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700845062 PECOS PAC ID: 2769524024 Enrollment ID: I20100125000479 |
| Provider Name | Joseph W Bruckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306993019 PECOS PAC ID: 5092806265 Enrollment ID: I20100730000146 |
| Provider Name | Corey W Musselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497802193 PECOS PAC ID: 9739270901 Enrollment ID: I20100807000061 |
| Provider Name | Doris M Nicolas-mir |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376855759 PECOS PAC ID: 0042344533 Enrollment ID: I20100819000531 |
| Provider Name | David N Thies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366462210 PECOS PAC ID: 7517041635 Enrollment ID: I20100823000298 |
| Provider Name | Emmett F Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356337646 PECOS PAC ID: 8820078736 Enrollment ID: I20100826000378 |
| Provider Name | Ayesha S Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215109509 PECOS PAC ID: 2769506153 Enrollment ID: I20100908000536 |
| Provider Name | Debra A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285892588 PECOS PAC ID: 5092908111 Enrollment ID: I20101021000981 |
| Provider Name | Leona A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114931607 PECOS PAC ID: 0244212470 Enrollment ID: I20110315000689 |
| Provider Name | Elizabeth C Rains |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992825764 PECOS PAC ID: 6709064447 Enrollment ID: I20110628000085 |
| Provider Name | Craig J White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800622 PECOS PAC ID: 1355321332 Enrollment ID: I20110908001746 |
| Provider Name | Stephanie Ann Ehrlich Seitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487940219 PECOS PAC ID: 8628240397 Enrollment ID: I20111003000350 |
| Provider Name | Sarah Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295982866 PECOS PAC ID: 2466625082 Enrollment ID: I20111026000965 |
| Provider Name | Stacey Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528098712 PECOS PAC ID: 0143248716 Enrollment ID: I20111228000320 |
| Provider Name | Jennifer A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851552673 PECOS PAC ID: 6103964457 Enrollment ID: I20120104000905 |
| Provider Name | Thomas Payson Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370861 PECOS PAC ID: 3779621735 Enrollment ID: I20120105000618 |
| Provider Name | Kristy Marie Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435449 PECOS PAC ID: 9234390329 Enrollment ID: I20120417000662 |
| Provider Name | Kari Husmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184942591 PECOS PAC ID: 7911988134 Enrollment ID: I20120807000683 |
| Provider Name | Edwin L Houng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256748 PECOS PAC ID: 1355597964 Enrollment ID: I20120815000327 |
| Provider Name | Kelly Denise Moorin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992023139 PECOS PAC ID: 8729235437 Enrollment ID: I20120831000706 |
| Provider Name | Christine Linz Macomber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346239522 PECOS PAC ID: 6800823899 Enrollment ID: I20130327000253 |
| Provider Name | Stephanie J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083855951 PECOS PAC ID: 2062655434 Enrollment ID: I20130904000451 |
| Provider Name | Jaime Pedraza |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457585382 PECOS PAC ID: 8921232265 Enrollment ID: I20130930000005 |
| Provider Name | Allison C Gapinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322910 PECOS PAC ID: 3476788597 Enrollment ID: I20131028000174 |
| Provider Name | Eric J Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154666576 PECOS PAC ID: 6002045804 Enrollment ID: I20140127000583 |
| Provider Name | Genevieve Noel Brauning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467644021 PECOS PAC ID: 0648403709 Enrollment ID: I20140425001814 |
| Provider Name | Philippe I Bulauitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609168988 PECOS PAC ID: 3476781840 Enrollment ID: I20141018000042 |
| Provider Name | Amanda Haynes Paschall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022788 PECOS PAC ID: 0749502730 Enrollment ID: I20141202000891 |
| Provider Name | Tracy N Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405024 PECOS PAC ID: 5890010706 Enrollment ID: I20150218000901 |
| Provider Name | Ann B Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518361021 PECOS PAC ID: 5294051124 Enrollment ID: I20150311001820 |
| Provider Name | Micaela R Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578969697 PECOS PAC ID: 8921319963 Enrollment ID: I20150617003181 |
| Provider Name | Daniel Jeffrey Hauschild |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619928728 PECOS PAC ID: 2860681293 Enrollment ID: I20150618000335 |
| Provider Name | Christina Wyatt Dauer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225317357 PECOS PAC ID: 9537306071 Enrollment ID: I20150806011766 |
| Provider Name | Beena N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407054588 PECOS PAC ID: 7911183652 Enrollment ID: I20150817000008 |
| Provider Name | Radhalakshmi D Aluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376757260 PECOS PAC ID: 7416122957 Enrollment ID: I20151120002196 |
| Provider Name | Nicole S Deschenes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214489 PECOS PAC ID: 6608001268 Enrollment ID: I20160712002526 |
| Provider Name | Kasey Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912382540 PECOS PAC ID: 4587950738 Enrollment ID: I20160914001572 |
| Provider Name | Nadeen S Risi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013386473 PECOS PAC ID: 7618265646 Enrollment ID: I20161007000003 |
| Provider Name | Marley Celedonia Alexis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851793855 PECOS PAC ID: 7214219526 Enrollment ID: I20170123000224 |
| Provider Name | Chad E Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316044308 PECOS PAC ID: 8820989130 Enrollment ID: I20170206001803 |
| Provider Name | Shivas Gilotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969913 PECOS PAC ID: 7618274077 Enrollment ID: I20170605001598 |
| Provider Name | Deanna L Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265965669 PECOS PAC ID: 1153699426 Enrollment ID: I20170612000290 |
| Provider Name | Nakalya Chanora Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861893091 PECOS PAC ID: 6507135902 Enrollment ID: I20170628000894 |
| Provider Name | Sasha Venyke Bouldin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831571991 PECOS PAC ID: 7618246034 Enrollment ID: I20170628001690 |
| Provider Name | Carin E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649692203 PECOS PAC ID: 7911279500 Enrollment ID: I20170816002804 |
| Provider Name | Keri Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326069105 PECOS PAC ID: 4688675002 Enrollment ID: I20170906000543 |
| Provider Name | Alies R Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114331659 PECOS PAC ID: 3072889187 Enrollment ID: I20171017002972 |
| Provider Name | Andrew Justin Kritzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811061021 PECOS PAC ID: 3274505474 Enrollment ID: I20171121000178 |
| Provider Name | Elizabeth Tampe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396031605 PECOS PAC ID: 1456598176 Enrollment ID: I20180213001024 |
| Provider Name | Daniel Millard Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396253563 PECOS PAC ID: 0244591543 Enrollment ID: I20180301001590 |
| Provider Name | Lindsay Nicole Palmeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629439690 PECOS PAC ID: 6305129966 Enrollment ID: I20180329002075 |
| Provider Name | Andrew Timothy Heil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235639907 PECOS PAC ID: 8820353816 Enrollment ID: I20180522000866 |
| Provider Name | Bethann Marie Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437664778 PECOS PAC ID: 4587919899 Enrollment ID: I20180608001563 |
| Provider Name | Jerome Cornwall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952775629 PECOS PAC ID: 4385999879 Enrollment ID: I20180625002948 |
| Provider Name | Julia Bumpus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699275123 PECOS PAC ID: 0446506216 Enrollment ID: I20180709003238 |
| Provider Name | Xiaohuan Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225425333 PECOS PAC ID: 2466700455 Enrollment ID: I20180808000596 |
| Provider Name | Casey Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518308923 PECOS PAC ID: 8820217367 Enrollment ID: I20181031000764 |
| Provider Name | Mary Therese Phelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552567 PECOS PAC ID: 7214280460 Enrollment ID: I20181105002957 |
| Provider Name | Monica Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169623 PECOS PAC ID: 1355695164 Enrollment ID: I20181114002205 |
| Provider Name | Mary Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285060459 PECOS PAC ID: 5294965265 Enrollment ID: I20181114002438 |
| Provider Name | Mindy Elizabeth Mccullough |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356821425 PECOS PAC ID: 4082958814 Enrollment ID: I20181205003663 |
| Provider Name | Ke Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316438328 PECOS PAC ID: 3870838378 Enrollment ID: I20190102000919 |
| Provider Name | Carolina C Sodano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063999159 PECOS PAC ID: 9830437151 Enrollment ID: I20190212002667 |
| Provider Name | Samantha Marie Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417412925 PECOS PAC ID: 5799026753 Enrollment ID: I20190401002560 |
| Provider Name | April Walkowski Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679002588 PECOS PAC ID: 9436492592 Enrollment ID: I20190514001033 |
| Provider Name | Tida Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331204 PECOS PAC ID: 3375760200 Enrollment ID: I20190529001342 |
| Provider Name | Melynda W Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114042892 PECOS PAC ID: 2668533472 Enrollment ID: I20190614002328 |
| Provider Name | Manuel Evangelos Bulauitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316226442 PECOS PAC ID: 4486897014 Enrollment ID: I20190626000312 |
| Provider Name | Nina T Fombuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932595147 PECOS PAC ID: 1759661952 Enrollment ID: I20190723001772 |
| Provider Name | Sarah Pruitt Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376100297 PECOS PAC ID: 9133456502 Enrollment ID: I20190807002675 |
| Provider Name | Heather Alico Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717238 PECOS PAC ID: 8921336637 Enrollment ID: I20190820000085 |
| Provider Name | Andres Felipe Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982052528 PECOS PAC ID: 7214221035 Enrollment ID: I20190910003300 |
| Provider Name | Sashalee Tonesha Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093101222 PECOS PAC ID: 3577878420 Enrollment ID: I20190930000802 |
| Provider Name | Michelle Hyeon Macdonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063781052 PECOS PAC ID: 8325378680 Enrollment ID: I20190930001424 |
| Provider Name | Shannon M. Roche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023470267 PECOS PAC ID: 1759673411 Enrollment ID: I20191007003300 |
| Provider Name | Amanda Renee Steventon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295090942 PECOS PAC ID: 2567610298 Enrollment ID: I20200110001785 |
| Provider Name | Maria Delbono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760837504 PECOS PAC ID: 9537453170 Enrollment ID: I20200827002396 |
| Provider Name | Diana Anca Ban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649881178 PECOS PAC ID: 6204254121 Enrollment ID: I20200909002035 |
| Provider Name | Nancy Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144846213 PECOS PAC ID: 3870912207 Enrollment ID: I20201002002311 |
| Provider Name | Jaclyn Corrado |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811504335 PECOS PAC ID: 7719307206 Enrollment ID: I20201022001780 |
| Provider Name | Jovanna Orozco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295352896 PECOS PAC ID: 8123438397 Enrollment ID: I20201029002888 |
| Provider Name | Ashley Brooke Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891050522 PECOS PAC ID: 3375846165 Enrollment ID: I20201105000578 |
| Provider Name | Meredith Brooke Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831627298 PECOS PAC ID: 8921419300 Enrollment ID: I20201117000910 |
| Provider Name | Sherise Swensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710489448 PECOS PAC ID: 1759793201 Enrollment ID: I20201208000151 |
| Provider Name | Loryn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619444916 PECOS PAC ID: 7719313865 Enrollment ID: I20210524002601 |
| Provider Name | Stacey B Bean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699700674 PECOS PAC ID: 3173890753 Enrollment ID: I20210604001247 |
| Provider Name | Brittney Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017547 PECOS PAC ID: 3173868023 Enrollment ID: I20210706000784 |
| Provider Name | Ana Janette Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184293029 PECOS PAC ID: 2365844412 Enrollment ID: I20210712002296 |
| Provider Name | Rashaud Anthony Senior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467956656 PECOS PAC ID: 6103166004 Enrollment ID: I20210810003051 |
| Provider Name | Abigail Mook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619541331 PECOS PAC ID: 7517361652 Enrollment ID: I20210811001401 |
| Provider Name | Elise Laney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285807651 PECOS PAC ID: 1052544954 Enrollment ID: I20210916000304 |
| Provider Name | Rhonda Ewing Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932362712 PECOS PAC ID: 4688734098 Enrollment ID: I20210928003488 |
| Provider Name | James David Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154093748 PECOS PAC ID: 0446648349 Enrollment ID: I20211026002367 |
| Provider Name | Pamela Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991917 PECOS PAC ID: 0143618983 Enrollment ID: I20211027000695 |
| Provider Name | Chelsea Hawkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205599891 PECOS PAC ID: 7315335049 Enrollment ID: I20211028001533 |
| Provider Name | Kimberly Marie Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052155 PECOS PAC ID: 7810385598 Enrollment ID: I20211029000442 |
| Provider Name | Geoffrey Stagg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538729983 PECOS PAC ID: 2668861089 Enrollment ID: I20211105000405 |
| Provider Name | Nicole Golinski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821753005 PECOS PAC ID: 5092104828 Enrollment ID: I20211116001666 |
| Provider Name | Robert Neal Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821584335 PECOS PAC ID: 5395135289 Enrollment ID: I20211208002220 |
| Provider Name | Amie M Egbuniwe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174881874 PECOS PAC ID: 4183015662 Enrollment ID: I20211216001170 |
| Provider Name | Mithila Fadia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144631557 PECOS PAC ID: 0941595557 Enrollment ID: I20211222000008 |
| Provider Name | Katelyn Craft Britt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497324750 PECOS PAC ID: 5092106328 Enrollment ID: I20211222000066 |
| Provider Name | Brittany Nicole Sisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861979098 PECOS PAC ID: 0648662866 Enrollment ID: I20220121000020 |
| Provider Name | Rashida L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950268 PECOS PAC ID: 5991190811 Enrollment ID: I20220311000510 |
| Provider Name | Ashleigh S Weckesser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689274011 PECOS PAC ID: 7719372929 Enrollment ID: I20220324000671 |
| Provider Name | Perry Townsend Fountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457904054 PECOS PAC ID: 2860888542 Enrollment ID: I20220405002880 |
| Provider Name | Casey Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760130488 PECOS PAC ID: 9032505722 Enrollment ID: I20220406000152 |
| Provider Name | Emily Chambliss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669125100 PECOS PAC ID: 5597152546 Enrollment ID: I20220422000089 |
| Provider Name | John B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553647 PECOS PAC ID: 1951798743 Enrollment ID: I20220426001164 |
| Provider Name | Alexandra Leigh Braswell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285378851 PECOS PAC ID: 0446647945 Enrollment ID: I20220503000091 |
| Provider Name | Lisa M Robinson-mihiar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346791506 PECOS PAC ID: 6800276304 Enrollment ID: I20220629003939 |
| Provider Name | Cameron Delforge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720600448 PECOS PAC ID: 9739592098 Enrollment ID: I20220818001563 |
| Provider Name | Kenia Maria Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659941235 PECOS PAC ID: 0749663961 Enrollment ID: I20220819001711 |
| Provider Name | Tarena Danitra Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356073589 PECOS PAC ID: 8729462213 Enrollment ID: I20220901001154 |
| Provider Name | Dominique Stamps |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780312173 PECOS PAC ID: 3274917455 Enrollment ID: I20220907003148 |
| Provider Name | Hannah Kathryn Cogburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932851557 PECOS PAC ID: 4082099205 Enrollment ID: I20220923000638 |
| Provider Name | Lucille Tussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514316 PECOS PAC ID: 5991138117 Enrollment ID: I20220927003581 |
| Provider Name | Stephanie Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689303679 PECOS PAC ID: 4688050487 Enrollment ID: I20221003000396 |
| Provider Name | Karen Stephanie Buynak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740909712 PECOS PAC ID: 0840676136 Enrollment ID: I20221011001185 |
| Provider Name | Jennifer Marie Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023746377 PECOS PAC ID: 8628444643 Enrollment ID: I20221017001858 |
| Provider Name | Jennifer Reed Funsten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902526643 PECOS PAC ID: 3375919723 Enrollment ID: I20221026001631 |
| Provider Name | Taylor Daimwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881319341 PECOS PAC ID: 3870969256 Enrollment ID: I20221026003081 |
| Provider Name | Julia Schoen Christy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871053272 PECOS PAC ID: 3375910722 Enrollment ID: I20221027003111 |
| Provider Name | Samuel Guy Cecelski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841908746 PECOS PAC ID: 5395114672 Enrollment ID: I20221208000623 |
| Provider Name | Jeleesha Nina Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336604289 PECOS PAC ID: 6901276435 Enrollment ID: I20221228000720 |
| Provider Name | Charnell Lee Trembeczki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659030807 PECOS PAC ID: 1254701048 Enrollment ID: I20230112002244 |
| Provider Name | Elizabeth Cowen Palmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356922702 PECOS PAC ID: 7719358696 Enrollment ID: I20230201001830 |
| Provider Name | Nadia A. Paloma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376955468 PECOS PAC ID: 9638541493 Enrollment ID: I20230206000634 |
| Provider Name | Leonora C Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942824768 PECOS PAC ID: 2769856541 Enrollment ID: I20230317000603 |
| Provider Name | Natalie Pearl David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358026 PECOS PAC ID: 3072978238 Enrollment ID: I20230424001750 |
| Provider Name | Rose Ashline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700572377 PECOS PAC ID: 2668838954 Enrollment ID: I20230511000448 |
| Provider Name | Amy M. Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376697425 PECOS PAC ID: 0446617732 Enrollment ID: I20230531003302 |
| Provider Name | Claire Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568142628 PECOS PAC ID: 7012370018 Enrollment ID: I20230823003715 |
| Provider Name | Nicole A Desantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518595438 PECOS PAC ID: 8628409273 Enrollment ID: I20230829003795 |
| Provider Name | Lindsay Ann Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295758 PECOS PAC ID: 4880058908 Enrollment ID: I20230907003815 |
| Provider Name | Rock Vomer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740740448 PECOS PAC ID: 6901131077 Enrollment ID: I20230912004374 |
| Provider Name | Carter Gruber Gitlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770260408 PECOS PAC ID: 4880058239 Enrollment ID: I20230918004298 |
| Provider Name | Debra Sue Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255627253 PECOS PAC ID: 9436329950 Enrollment ID: I20230925000574 |
| Provider Name | Sara Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558878439 PECOS PAC ID: 9133488216 Enrollment ID: I20231011001195 |
| Provider Name | Dylan Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447922877 PECOS PAC ID: 7911355664 Enrollment ID: I20231120000509 |
| Provider Name | Katherine Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881346682 PECOS PAC ID: 2961850342 Enrollment ID: I20231122003280 |
| Provider Name | Sean Addison Dawson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1568010049 PECOS PAC ID: 6901255421 Enrollment ID: I20231209000310 |
| Provider Name | Margaret Chandra Mishra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346851433 PECOS PAC ID: 5799134920 Enrollment ID: I20231213000083 |
| Provider Name | Margaret Garehan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740729425 PECOS PAC ID: 2860841095 Enrollment ID: I20231213000106 |
| Provider Name | Nadia Haughton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174909279 PECOS PAC ID: 7517316755 Enrollment ID: I20231213000384 |
| Provider Name | Stephen R Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871754242 PECOS PAC ID: 0143679357 Enrollment ID: I20231213003099 |
| Provider Name | Sarah Margaret Dressel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538934948 PECOS PAC ID: 6103275136 Enrollment ID: I20231215000641 |
| Provider Name | Ada Barbara Dickinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811918980 PECOS PAC ID: 7911356902 Enrollment ID: I20231215003007 |
| Provider Name | Lesley Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487871497 PECOS PAC ID: 5092165928 Enrollment ID: I20231219001089 |
| Provider Name | Katherine Annette Francis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154643724 PECOS PAC ID: 5395195135 Enrollment ID: I20231220001569 |
| Provider Name | John G Looney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023192176 PECOS PAC ID: 4789778564 Enrollment ID: I20231221001220 |
| Provider Name | Megan Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871996827 PECOS PAC ID: 2365892015 Enrollment ID: I20231221002148 |
| Provider Name | Laurin Watts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306552732 PECOS PAC ID: 3779933882 Enrollment ID: I20240102000514 |
| Provider Name | Iris Drakeford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033675210 PECOS PAC ID: 0143670067 Enrollment ID: I20240105001301 |
| Provider Name | Katie Barker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033987987 PECOS PAC ID: 6507217049 Enrollment ID: I20240109001428 |
| Provider Name | Bryce Abbe Manton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326721523 PECOS PAC ID: 8820449358 Enrollment ID: I20240109004850 |
| Provider Name | Rachael Aaren Metzger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497155543 PECOS PAC ID: 6901257153 Enrollment ID: I20240111003700 |
| Provider Name | John Howard Crapo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841344397 PECOS PAC ID: 4688026594 Enrollment ID: I20240116004240 |
| Provider Name | Boniery Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457974867 PECOS PAC ID: 6002268943 Enrollment ID: I20240117000517 |
| Provider Name | Christen Price Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851644462 PECOS PAC ID: 8527410232 Enrollment ID: I20240118001868 |
| Provider Name | Christina Cortell Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861823726 PECOS PAC ID: 6204288848 Enrollment ID: I20240118003174 |
| Provider Name | Edyta Koczela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370745 PECOS PAC ID: 8022336940 Enrollment ID: I20240123000739 |
| Provider Name | Amanda Burrafato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962894832 PECOS PAC ID: 9133531171 Enrollment ID: I20240201004029 |
| Provider Name | Erin Terry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306275953 PECOS PAC ID: 3476996729 Enrollment ID: I20240204000093 |
| Provider Name | Cameron Belt Capps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134879497 PECOS PAC ID: 0143663302 Enrollment ID: I20240205004081 |
| Provider Name | Asa Gold Hendrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114554656 PECOS PAC ID: 1557704590 Enrollment ID: I20240207001492 |
| Provider Name | Tamekia Denise Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861636870 PECOS PAC ID: 9436593787 Enrollment ID: I20240215000291 |
| Provider Name | Alana Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487185989 PECOS PAC ID: 0244674349 Enrollment ID: I20240216001605 |
| Provider Name | Susan Kornett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558758276 PECOS PAC ID: 9234432477 Enrollment ID: I20240217000827 |
| Provider Name | Tammy Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639388945 PECOS PAC ID: 4082681085 Enrollment ID: I20240217000862 |
| Provider Name | Kelly M Sauer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346747482 PECOS PAC ID: 9032593595 Enrollment ID: I20240222003310 |
| Provider Name | Kara Mild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720250657 PECOS PAC ID: 9133299357 Enrollment ID: I20240228001375 |
| Provider Name | Madeline Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760243455 PECOS PAC ID: 9436595063 Enrollment ID: I20240306001061 |
Apollo Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Lattner Ct, Ste 100, Morrisville, NC 27560 Phone: 919-297-0348 Fax: 919-297-0349 | |
Unc Physicians Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Perimeter Park Dr, Suite 225, Morrisville, NC 27560 Phone: 919-804-5064 Fax: 919-804-5081 | |
Carolina Primary Care And Women's Health, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Lattner Court, Suite 100, Morrisville, NC 27560 Phone: 919-297-0348 Fax: 919-297-0349 | |
Wsp Morrisville Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6102 Grace Park Dr, Morrisville, NC 27560 Phone: 919-235-6405 | |
West Cary Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10300 Chapel Hill Rd, Suite 500, Morrisville, NC 27560 Phone: 919-468-0911 Fax: 919-468-0913 | |
Unc Physicians Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560 Phone: 984-215-4111 |