| Carolina Internal Medicine Associates, Pa | |
|
4 Vanderbilt Park Dr Suite 100 Asheville NC 28803-1700 | |
| (828) 258-0397 | |
| (828) 258-3390 |
| Full Name | Carolina Internal Medicine Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Vanderbilt Park Dr, Asheville, North Carolina |
| Authorized Official Name and Position | Kenneth R Kubitschek (CEO) |
| Authorized Official Contact | 8282580397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Internal Medicine Associates, Pa 4 Vanderbilt Park Dr Suite 100 Asheville NC 28803-1700 Ph: (828) 258-0397 | Carolina Internal Medicine Associates, Pa 4 Vanderbilt Park Dr Suite 100 Asheville NC 28803-1700 Ph: (828) 258-0397 |
| NPI Number | 1710058086 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 8426034422 |
|---|---|
| Medicare Enrollment ID | O20040629001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710058086 | NPI | - | NPPES |
| 01155 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8901155 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
| Provider Name | David A Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487647046 PECOS PAC ID: 5597677708 Enrollment ID: I20031119000120 |
| Provider Name | James P Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083608210 PECOS PAC ID: 3274525258 Enrollment ID: I20040331000576 |
| Provider Name | Laurie Lemauviel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629157060 PECOS PAC ID: 5294718268 Enrollment ID: I20040610000828 |
| Provider Name | Alan L Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245220532 PECOS PAC ID: 3971529504 Enrollment ID: I20051022000053 |
| Provider Name | Mary V Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366544801 PECOS PAC ID: 7810953403 Enrollment ID: I20060117000211 |
| Provider Name | Robert C Mitchener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447331657 PECOS PAC ID: 0042397531 Enrollment ID: I20080408000706 |
| Provider Name | Gaylon V Owens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902857444 PECOS PAC ID: 3375540768 Enrollment ID: I20090822000057 |
| Provider Name | Sarah Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114900891 PECOS PAC ID: 8729123799 Enrollment ID: I20100302000261 |
| Provider Name | Pamela B Cavanaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639152218 PECOS PAC ID: 9638204209 Enrollment ID: I20100322000270 |
| Provider Name | James Hoer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255314092 PECOS PAC ID: 6204867658 Enrollment ID: I20100329000336 |
| Provider Name | Gregory L Glance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386610632 PECOS PAC ID: 4587793088 Enrollment ID: I20100521000128 |
| Provider Name | Nathan Hruska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952394066 PECOS PAC ID: 3577513324 Enrollment ID: I20100616000624 |
| Provider Name | Amy H Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821344060 PECOS PAC ID: 6901041086 Enrollment ID: I20130320000140 |
| Provider Name | Brian Edwin Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376679571 PECOS PAC ID: 9931251634 Enrollment ID: I20160830001958 |
| Provider Name | Amy E Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854406 PECOS PAC ID: 3476832411 Enrollment ID: I20161116000881 |
| Provider Name | David Patrick Reilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538546361 PECOS PAC ID: 5496004871 Enrollment ID: I20180817001471 |
| Provider Name | James David Spivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265444020 PECOS PAC ID: 2567657059 Enrollment ID: I20190621002927 |
| Provider Name | Joshua Keegan Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720435472 PECOS PAC ID: 4284928417 Enrollment ID: I20200812001575 |
| Provider Name | Tammy Michelle Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794847 PECOS PAC ID: 4082011713 Enrollment ID: I20210923001234 |
| Provider Name | Kelly W Bringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578239042 PECOS PAC ID: 4183022494 Enrollment ID: I20211015002652 |
| Provider Name | Kayla Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336601467 PECOS PAC ID: 2466833827 Enrollment ID: I20220715001470 |
| Provider Name | Lisa Diane Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364703 PECOS PAC ID: 3870960891 Enrollment ID: I20221104000287 |
| Provider Name | Ellen Jane Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912226960 PECOS PAC ID: 0042450637 Enrollment ID: I20230123002018 |
| Provider Name | Karen Cassidy Diez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265999023 PECOS PAC ID: 1759746118 Enrollment ID: I20230508002542 |
| Provider Name | Lillian Kendall Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215642459 PECOS PAC ID: 1254774508 Enrollment ID: I20240205000062 |
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