Colerain Primary Care - Medicare Primary Care in Colerain, NC

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Colerain Primary Care is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Colerain, North Carolina. The current practice location for Colerain Primary Care is 109 W River St, Colerain, North Carolina. For appointments, you can reach them via phone at (252) 356-2404. The mailing address for Colerain Primary Care is Po Box 669, Ahoskie, North Carolina and phone number is (252) 209-0237.

Colerain Primary Care is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1790851004. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (252) 356-2404.

Contact Information

Colerain Primary Care
109 W River St
Colerain
NC 27924-9006
(252) 356-2404
(252) 356-2899

Map and Direction


Primary Care Clinic Profile

Full NameColerain Primary Care
SpecialityClinic/Center
Location109 W River St, Colerain, North Carolina
Authorized Official Name and PositionStephanie Wroten (INTERIM - CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2523323548
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colerain Primary Care
Po Box 669
Ahoskie
NC 27910-0669

Ph: (252) 209-0237		Colerain Primary Care
109 W River St
Colerain
NC 27924-9006

Ph: (252) 356-2404

NPI Details:

NPI Number1790851004
Provider Enumeration Date11/28/2006
Last Update Date03/28/2024
Certification Date03/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7214983386
Medicare Enrollment IDO20050428001071

Medical Identifiers

Medical identifiers for Colerain Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790851004NPI-NPPES
018N8OtherNCBCBSNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Colerain Primary Care acts as a billing entity for following providers:
Provider NameMichael C Alston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326067224
PECOS PAC ID: 0345235032
Enrollment ID: I20040420001154
Provider NameNancy H Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346227139
PECOS PAC ID: 8729062856
Enrollment ID: I20040616000797
Provider NameJerry M Shipman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1275545584
PECOS PAC ID: 2668441114
Enrollment ID: I20040930000807
Provider NameVijay R Dhoopati
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619919230
PECOS PAC ID: 0446147904
Enrollment ID: I20050112000332
Provider NameAlan a Goddard
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1710908371
PECOS PAC ID: 0547209405
Enrollment ID: I20050429000226
Provider NameColin D Jones
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1891722807
PECOS PAC ID: 5597704478
Enrollment ID: I20050429000467
Provider NameChristina G Griffiths
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609895580
PECOS PAC ID: 4385683283
Enrollment ID: I20050429000579
Provider NameMichelle W Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922172238
PECOS PAC ID: 6507800232
Enrollment ID: I20050614000781
Provider NameGilberto Pabalan Navarro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518945385
PECOS PAC ID: 7315979077
Enrollment ID: I20050909000411
Provider NameEmmie L Taylor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114064045
PECOS PAC ID: 5294754826
Enrollment ID: I20051114000396
Provider NameRobert L Venable
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1750336855
PECOS PAC ID: 1052340544
Enrollment ID: I20060214000287
Provider NameKathryn Lesiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831182724
PECOS PAC ID: 1254319973
Enrollment ID: I20081202000595
Provider NameKatina M Eley-hardy
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1619087640
PECOS PAC ID: 2668509027
Enrollment ID: I20100416000543
Provider NameTimothy J. Mcgrath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528085552
PECOS PAC ID: 4385778729
Enrollment ID: I20100819001240
Provider NameBobby Fields
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1588796742
PECOS PAC ID: 5698873925
Enrollment ID: I20121018000655
Provider NameJamande Amin Jones
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003136383
PECOS PAC ID: 5799910733
Enrollment ID: I20131030000130
Provider NameGeniene Nicole Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568782845
PECOS PAC ID: 4284861527
Enrollment ID: I20131212001404
Provider NameLindsey Dale Phelps-copeland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053749820
PECOS PAC ID: 8820225915
Enrollment ID: I20131217000914
Provider NameTeresa Lanier Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366815052
PECOS PAC ID: 4789985110
Enrollment ID: I20151209000780
Provider NameAudy G Whitman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962812156
PECOS PAC ID: 1658660774
Enrollment ID: I20170825001830
Provider NameMorgan Winslow Arrington
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1538651716
PECOS PAC ID: 7911254552
Enrollment ID: I20180727000816
Provider NameCharlene Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841774841
PECOS PAC ID: 7214276351
Enrollment ID: I20190306003549
Provider NameMatthew a Rushing
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588010268
PECOS PAC ID: 2365735222
Enrollment ID: I20190802000929
Provider NameWhitley Arvis Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932712163
PECOS PAC ID: 6204254568
Enrollment ID: I20200917003024
Provider NameKaren Brixon - Holloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629684642
PECOS PAC ID: 1557774866
Enrollment ID: I20210106000074
Provider NameRobert James Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336725050
PECOS PAC ID: 3870993637
Enrollment ID: I20210616000014
Provider NameCatherine Grimes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952799496
PECOS PAC ID: 0345567020
Enrollment ID: I20220323000471
Provider NameJordan Alexandra Conner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154056083
PECOS PAC ID: 0648656561
Enrollment ID: I20220929003726
Provider NameMackenzie Lesha Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215663737
PECOS PAC ID: 9830558188
Enrollment ID: I20230705000240
Provider NameChaquella Daughtry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902567928
PECOS PAC ID: 7911366612
Enrollment ID: I20231221001530
Provider NameMary Chester Morgan Wasko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598731945
PECOS PAC ID: 4789863077
Enrollment ID: I20240206001902
Provider NameRuthie Daniels Rowe
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1629770748
PECOS PAC ID: 2860836137
Enrollment ID: I20240215000821
Provider NameSusan T Hoggard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013079938
PECOS PAC ID: 8022458439
Enrollment ID: I20240502001872
Provider NameUrsula Knight Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942069943
PECOS PAC ID: 3678015880
Enrollment ID: I20240603004234
Provider NameZeel Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295315687
PECOS PAC ID: 4486055969
Enrollment ID: I20241007001839
Provider NameJoshua Warren Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770843674
PECOS PAC ID: 3476873613
Enrollment ID: I20241112004386
Provider NameCharles Donald Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013756451
PECOS PAC ID: 7214462472
Enrollment ID: I20241125001774
Provider NameCarla Dee Cooper Eure
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245090059
PECOS PAC ID: 5698201044
Enrollment ID: I20241209001304
Provider NameKelby Lewis Harrup
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154161669
PECOS PAC ID: 6709302110
Enrollment ID: I20250429002196
Provider NameKatie Elizabeth Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578373650
PECOS PAC ID: 9436676574
Enrollment ID: I20250512002411
Provider NameJacob Mitchell Heath
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1801690490
PECOS PAC ID: 3072013713
Enrollment ID: I20250826002326
Provider NameBrooke Hunter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427799717
PECOS PAC ID: 7810378718
Enrollment ID: I20250829001620
Provider NameIvan Ndamukong
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1679234371
PECOS PAC ID: 7911378252
Enrollment ID: I20251120000573
Provider NameSarah Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194600148
PECOS PAC ID: 1759867666
Enrollment ID: I20260110000199

Reviews and Comments

Other Primary Care Clinics in Colerain, NC

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Practice Location: 327 Glovers Cross Rd, Colerain, NC 27924
Phone: 252-642-5345    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.