| Devoted Medical Nc Pc | |
|
5576 Greenville Hwy Zirconia NC 28790-4000 | |
| (866) 849-0692 | |
| (888) 973-8821 |
| Full Name | Devoted Medical Nc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5576 Greenville Hwy, Zirconia, North Carolina |
| Authorized Official Name and Position | Aracely Courtney (PM) |
| Authorized Official Contact | 8668490692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devoted Medical Nc Pc Po Box 211699 Eagan MN 55121-3699 Ph: (866) 849-0692 | Devoted Medical Nc Pc 5576 Greenville Hwy Zirconia NC 28790-4000 Ph: (866) 849-0692 |
| NPI Number | 1295443554 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 1759720014 |
|---|---|
| Medicare Enrollment ID | O20240418004036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295443554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kerryann Fogarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20190610000706 |
| Provider Name | Paul Di Capua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295037430 PECOS PAC ID: 5294990420 Enrollment ID: I20200817000401 |
| Provider Name | Jason Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821052242 PECOS PAC ID: 3375532559 Enrollment ID: I20240418004090 |
| Provider Name | Trisha Np Khalilieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922547439 PECOS PAC ID: 1052695665 Enrollment ID: I20240419000093 |
| Provider Name | Kevin Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360318 PECOS PAC ID: 1052651544 Enrollment ID: I20240419000214 |
| Provider Name | Kelly Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20240419000261 |
| Provider Name | Sarah Bible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699210351 PECOS PAC ID: 6800173832 Enrollment ID: I20240425003025 |
| Provider Name | Julie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565369 PECOS PAC ID: 0648586099 Enrollment ID: I20240426003162 |
| Provider Name | Amy Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063713436 PECOS PAC ID: 1850573262 Enrollment ID: I20240430001291 |
| Provider Name | Cynthia Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281805 PECOS PAC ID: 3971871807 Enrollment ID: I20240430002657 |
| Provider Name | Brittany Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551247 PECOS PAC ID: 2365679693 Enrollment ID: I20240430002840 |
| Provider Name | Deborah Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376166298 PECOS PAC ID: 4688088974 Enrollment ID: I20240430003029 |
| Provider Name | Lauren Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235740259 PECOS PAC ID: 1254744816 Enrollment ID: I20240502000431 |
| Provider Name | Meghna Sheth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630603 PECOS PAC ID: 0446483101 Enrollment ID: I20240502000846 |
| Provider Name | Erin Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467897652 PECOS PAC ID: 8426365438 Enrollment ID: I20240502001585 |
| Provider Name | Miranda Caccamise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539436 PECOS PAC ID: 3476782095 Enrollment ID: I20240503001415 |
| Provider Name | Claudia Fages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796426 PECOS PAC ID: 2769867381 Enrollment ID: I20240508003752 |
| Provider Name | Andrew Sumarsono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750822094 PECOS PAC ID: 3577980564 Enrollment ID: I20240523004030 |
| Provider Name | Alec Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370568 PECOS PAC ID: 1153618186 Enrollment ID: I20240529003658 |
| Provider Name | Samuel Collier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20240531000717 |
| Provider Name | Robert Glass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497049571 PECOS PAC ID: 5991922999 Enrollment ID: I20240603000049 |
| Provider Name | Brook Calton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20240613000169 |
| Provider Name | Ashley Maieritsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865178 PECOS PAC ID: 5294019642 Enrollment ID: I20240814002360 |
| Provider Name | Teresa Delbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174164248 PECOS PAC ID: 1658706734 Enrollment ID: I20240826003085 |
| Provider Name | Daniel Horn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780903971 PECOS PAC ID: 8224277991 Enrollment ID: I20240829001017 |
| Provider Name | Thomas Koen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801353503 PECOS PAC ID: 0042543274 Enrollment ID: I20240913002733 |
| Provider Name | Robert Greaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457613390 PECOS PAC ID: 5799929766 Enrollment ID: I20241008002315 |
| Provider Name | Kristin Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528291861 PECOS PAC ID: 9638216658 Enrollment ID: I20241127002422 |
| Provider Name | Amber Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417348657 PECOS PAC ID: 5890006654 Enrollment ID: I20250103003309 |
| Provider Name | Meghan Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689883134 PECOS PAC ID: 9638261241 Enrollment ID: I20250116000921 |
| Provider Name | Alannah Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598307 PECOS PAC ID: 7618228131 Enrollment ID: I20250124003115 |
| Provider Name | Crystelle Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295031169 PECOS PAC ID: 2668641044 Enrollment ID: I20250130000527 |