| Eventus Wh Southeast, Llc | |
|
212 S Tyron St Ste 1000 Charlotte NC 28281-0006 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Wh Southeast, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 212 S Tyron St Ste 1000, Charlotte, North Carolina |
| Authorized Official Name and Position | George Hall (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Wh Southeast, Llc Po Box 1431 Dept 427 Charlotte NC 28201-1431 Ph: () - | Eventus Wh Southeast, Llc 212 S Tyron St Ste 1000 Charlotte NC 28281-0006 Ph: (855) 743-2247 |
| NPI Number | 1487494811 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 10/25/2025 |
| Medicare PECOS PAC ID | 5496294456 |
|---|---|
| Medicare Enrollment ID | O20240822002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487494811 | NPI | - | NPPES |
| Provider Name | Charles W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306929674 PECOS PAC ID: 0446243893 Enrollment ID: I20040403000192 |
| Provider Name | Gregorio Z Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558325811 PECOS PAC ID: 5092706788 Enrollment ID: I20040520001546 |
| Provider Name | Stephanie L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083796262 PECOS PAC ID: 2567444847 Enrollment ID: I20040601001483 |
| Provider Name | Rhonda Sanderson Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215936026 PECOS PAC ID: 3870578925 Enrollment ID: I20040622001221 |
| Provider Name | Lindsey De Guehery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720033574 PECOS PAC ID: 1759366867 Enrollment ID: I20040628000580 |
| Provider Name | David Majure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578536074 PECOS PAC ID: 5799765871 Enrollment ID: I20040720001580 |
| Provider Name | Robert E Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861576738 PECOS PAC ID: 1951373745 Enrollment ID: I20040811001069 |
| Provider Name | John E Fesperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013096981 PECOS PAC ID: 3678532702 Enrollment ID: I20041005000939 |
| Provider Name | Henry F Tripp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104829142 PECOS PAC ID: 4587613179 Enrollment ID: I20050120001052 |
| Provider Name | Bienvenido C Siy-hian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467553289 PECOS PAC ID: 5395786982 Enrollment ID: I20050513000126 |
| Provider Name | Staci Anne Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669557450 PECOS PAC ID: 4789641028 Enrollment ID: I20050523000833 |
| Provider Name | Lisa Michelle Williams-corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497722177 PECOS PAC ID: 8325077076 Enrollment ID: I20050811001140 |
| Provider Name | Neal H Guffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184776155 PECOS PAC ID: 9032141262 Enrollment ID: I20050908000316 |
| Provider Name | Lalita V Sidana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295798668 PECOS PAC ID: 7012945348 Enrollment ID: I20051005000075 |
| Provider Name | Amy M Gragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924085 PECOS PAC ID: 1951326396 Enrollment ID: I20051013001035 |
| Provider Name | Thomas John Calogero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528138245 PECOS PAC ID: 6608846720 Enrollment ID: I20060106000185 |
| Provider Name | George D Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518149277 PECOS PAC ID: 4486668282 Enrollment ID: I20060201000098 |
| Provider Name | My Linh T Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346253978 PECOS PAC ID: 7113937582 Enrollment ID: I20060428000588 |
| Provider Name | R Steven Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740277243 PECOS PAC ID: 6608776281 Enrollment ID: I20070607000333 |
| Provider Name | Laura A. Hardcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609858745 PECOS PAC ID: 3072591395 Enrollment ID: I20070719000426 |
| Provider Name | Pamela Lowry Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639227978 PECOS PAC ID: 0648369173 Enrollment ID: I20071205000437 |
| Provider Name | Bradley J Goad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20080508000278 |
| Provider Name | Vanessa Jean Sturgill Fant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225013428 PECOS PAC ID: 1052205473 Enrollment ID: I20080604000215 |
| Provider Name | Peter C Russ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568460921 PECOS PAC ID: 1153378856 Enrollment ID: I20081027000081 |
| Provider Name | Murthy Venkata Madduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498515 PECOS PAC ID: 2264414127 Enrollment ID: I20090521000607 |
| Provider Name | John Mezzullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497795553 PECOS PAC ID: 1153471172 Enrollment ID: I20090615000053 |
| Provider Name | Lecia Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639226418 PECOS PAC ID: 8921159328 Enrollment ID: I20090624000734 |
| Provider Name | Surah Grumet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497885354 PECOS PAC ID: 2860581105 Enrollment ID: I20090629000541 |
| Provider Name | Tabitha M Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043449911 PECOS PAC ID: 8022162403 Enrollment ID: I20090819000666 |
| Provider Name | Jay P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649484254 PECOS PAC ID: 8426194663 Enrollment ID: I20091001000544 |
| Provider Name | Michael J Piazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729345 PECOS PAC ID: 7911001755 Enrollment ID: I20100222000804 |
| Provider Name | Myriah E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114160066 PECOS PAC ID: 2062548340 Enrollment ID: I20100325000486 |
| Provider Name | Sherry Leigh Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760445431 PECOS PAC ID: 9032245014 Enrollment ID: I20100329001089 |
| Provider Name | Debra J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164494886 PECOS PAC ID: 5890822233 Enrollment ID: I20100416000365 |
| Provider Name | John William Stringfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356435465 PECOS PAC ID: 2062307804 Enrollment ID: I20100722000173 |
| Provider Name | Jennifer Marie Rucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598811127 PECOS PAC ID: 2062589682 Enrollment ID: I20120125000589 |
| Provider Name | Stacy J Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457436008 PECOS PAC ID: 5092883355 Enrollment ID: I20130102000056 |
| Provider Name | Courtney Elizabeth Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295072759 PECOS PAC ID: 9739334921 Enrollment ID: I20130219000002 |
| Provider Name | Amanda D Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770822694 PECOS PAC ID: 8527203140 Enrollment ID: I20130401000333 |
| Provider Name | Rayomand R Bengali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811152804 PECOS PAC ID: 5799925939 Enrollment ID: I20130711000040 |
| Provider Name | Shaunak S Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172252 PECOS PAC ID: 1456594928 Enrollment ID: I20130830000765 |
| Provider Name | Teofil L Misaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328240 PECOS PAC ID: 2961638762 Enrollment ID: I20131127000951 |
| Provider Name | Sunil A Kumta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710202460 PECOS PAC ID: 6800023631 Enrollment ID: I20131226000031 |
| Provider Name | Marlene Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609205442 PECOS PAC ID: 1254569643 Enrollment ID: I20140109001467 |
| Provider Name | Nellie Sue Chamblee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508199860 PECOS PAC ID: 2668515370 Enrollment ID: I20140129000997 |
| Provider Name | Steven J Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548566805 PECOS PAC ID: 1759512155 Enrollment ID: I20140328000429 |
| Provider Name | Parul Bhagalia-patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841518768 PECOS PAC ID: 9436392677 Enrollment ID: I20140612002390 |
| Provider Name | Teresa Cating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508281593 PECOS PAC ID: 8123244084 Enrollment ID: I20140729002868 |
| Provider Name | Carole Jane Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184043721 PECOS PAC ID: 4587881347 Enrollment ID: I20140819000966 |
| Provider Name | Jatel Shukla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854224 PECOS PAC ID: 6204154628 Enrollment ID: I20150415002118 |
| Provider Name | Hong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831453620 PECOS PAC ID: 7113246869 Enrollment ID: I20150501000900 |
| Provider Name | Olga A Slepchenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558960 PECOS PAC ID: 9032421888 Enrollment ID: I20150707003313 |
| Provider Name | Tawana M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946950 PECOS PAC ID: 5092022368 Enrollment ID: I20150918000856 |
| Provider Name | Stacey Moretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376919282 PECOS PAC ID: 4688983885 Enrollment ID: I20151028001678 |
| Provider Name | Megan Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20151204001285 |
| Provider Name | Anthony L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902283633 PECOS PAC ID: 5991096497 Enrollment ID: I20160613002275 |
| Provider Name | David Edward Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831547603 PECOS PAC ID: 9739472200 Enrollment ID: I20160720002306 |
| Provider Name | Tabitha Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316394406 PECOS PAC ID: 4789977000 Enrollment ID: I20160725001973 |
| Provider Name | Sandeep B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184631533 PECOS PAC ID: 2668476961 Enrollment ID: I20160907002628 |
| Provider Name | Jordan D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851744874 PECOS PAC ID: 1153618715 Enrollment ID: I20160926000320 |
| Provider Name | Elizabeth Ann Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583246 PECOS PAC ID: 2961787205 Enrollment ID: I20170328002344 |
| Provider Name | Stephanie Paige Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902019409 PECOS PAC ID: 3476822917 Enrollment ID: I20170627001247 |
| Provider Name | Michelle Rene Gover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972014538 PECOS PAC ID: 2466710975 Enrollment ID: I20171211000365 |
| Provider Name | Elizabeth Ann Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371386 PECOS PAC ID: 0244590461 Enrollment ID: I20180208001887 |
| Provider Name | Cortney Kulers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700341 PECOS PAC ID: 7214299312 Enrollment ID: I20180402000052 |
| Provider Name | Samantha Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154824498 PECOS PAC ID: 5799030862 Enrollment ID: I20180613000527 |
| Provider Name | Tracey Dapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417347279 PECOS PAC ID: 5698092336 Enrollment ID: I20180620001374 |
| Provider Name | Michelle Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568720381 PECOS PAC ID: 0749548394 Enrollment ID: I20180626001223 |
| Provider Name | Tangela Dene Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538655048 PECOS PAC ID: 2466701040 Enrollment ID: I20180815000076 |
| Provider Name | Ma Cornelia V Leano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780179580 PECOS PAC ID: 8729338918 Enrollment ID: I20180910001792 |
| Provider Name | Angela Smith Caines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697038 PECOS PAC ID: 2264783885 Enrollment ID: I20180920002821 |
| Provider Name | Yessica A Trapani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467945063 PECOS PAC ID: 5395097299 Enrollment ID: I20181003003222 |
| Provider Name | Felisa Bell Hammonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396227005 PECOS PAC ID: 8729332432 Enrollment ID: I20181115002993 |
| Provider Name | James Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705955 PECOS PAC ID: 5799029062 Enrollment ID: I20181128001074 |
| Provider Name | Kimberly Leigh Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338542 PECOS PAC ID: 6406195817 Enrollment ID: I20190301001598 |
| Provider Name | Bonnie Jean Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184118135 PECOS PAC ID: 7416296694 Enrollment ID: I20190306000576 |
| Provider Name | Brittney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957128 PECOS PAC ID: 6709135569 Enrollment ID: I20190318002884 |
| Provider Name | Caroline Christina Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584610 PECOS PAC ID: 7315289139 Enrollment ID: I20190426001826 |
| Provider Name | Melissa Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588132070 PECOS PAC ID: 7719229483 Enrollment ID: I20190429001540 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
| Provider Name | Anthony A Foto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396851218 PECOS PAC ID: 4688684368 Enrollment ID: I20190515002924 |
| Provider Name | Joshua David Gilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912482589 PECOS PAC ID: 9436483302 Enrollment ID: I20190626002154 |
| Provider Name | Chelsey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699330217 PECOS PAC ID: 0345574273 Enrollment ID: I20190627000298 |
| Provider Name | Jennifer A Stakias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437589710 PECOS PAC ID: 6608007760 Enrollment ID: I20190819001547 |
| Provider Name | Kailynn Jo Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731407 PECOS PAC ID: 8022346402 Enrollment ID: I20190822003115 |
| Provider Name | Ashlyne Burris Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133409 PECOS PAC ID: 7315275450 Enrollment ID: I20190827002646 |
| Provider Name | Jonathan Kenton Tackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407203888 PECOS PAC ID: 0042578130 Enrollment ID: I20190919002152 |
| Provider Name | Bryson Schaeffer Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982256475 PECOS PAC ID: 0840520375 Enrollment ID: I20190926002031 |
| Provider Name | Kathryn Mckelvey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023664026 PECOS PAC ID: 7810329158 Enrollment ID: I20191107001280 |
| Provider Name | Jeffrey Theodore Hainsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639437981 PECOS PAC ID: 1951618156 Enrollment ID: I20191112002798 |
| Provider Name | Qadirah Francine Mease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477196665 PECOS PAC ID: 6709219272 Enrollment ID: I20191216000004 |
| Provider Name | Jacqueline Renee Thigpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592288 PECOS PAC ID: 8921433152 Enrollment ID: I20200116002263 |
| Provider Name | Courtney James Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778317 PECOS PAC ID: 7113354333 Enrollment ID: I20200228001689 |
| Provider Name | Robert Wesley Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599554 PECOS PAC ID: 0143658138 Enrollment ID: I20200325003481 |
| Provider Name | Jennifer Eleey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942833868 PECOS PAC ID: 9234568445 Enrollment ID: I20200408003307 |
| Provider Name | Elizabeth Barnhill-blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275006 PECOS PAC ID: 1850721374 Enrollment ID: I20200504002267 |
| Provider Name | Trishonda Butts Shackleford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447875380 PECOS PAC ID: 4385066315 Enrollment ID: I20200622001146 |
| Provider Name | Heather F Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780216135 PECOS PAC ID: 5395161913 Enrollment ID: I20200813001363 |
| Provider Name | Adam Culbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849835 PECOS PAC ID: 5799104154 Enrollment ID: I20201005000309 |
| Provider Name | Traci Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134740137 PECOS PAC ID: 1557781549 Enrollment ID: I20201013001119 |
| Provider Name | Latesha Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245845684 PECOS PAC ID: 7416361647 Enrollment ID: I20210130000039 |
| Provider Name | Molly Salmonsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356943799 PECOS PAC ID: 1254745367 Enrollment ID: I20210202000807 |
| Provider Name | Nickey Lashae Dimery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407455363 PECOS PAC ID: 3173937083 Enrollment ID: I20210729000815 |
| Provider Name | Constance Glynn Getsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700452000 PECOS PAC ID: 2466858352 Enrollment ID: I20210901000023 |
| Provider Name | John Michael Roegge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637097 PECOS PAC ID: 7012313182 Enrollment ID: I20210915001755 |
| Provider Name | Valerie Ann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972188928 PECOS PAC ID: 8224436209 Enrollment ID: I20211005002318 |
| Provider Name | Shamarra Yvonne Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255008405 PECOS PAC ID: 4486052388 Enrollment ID: I20211007000097 |
| Provider Name | Emily Ann Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973540 PECOS PAC ID: 2062810468 Enrollment ID: I20211015001873 |
| Provider Name | Ayako Nitani Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194490425 PECOS PAC ID: 5395133672 Enrollment ID: I20211020000554 |
| Provider Name | Bobbi Jo Schneider Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730856063 PECOS PAC ID: 0042608770 Enrollment ID: I20211028001547 |
| Provider Name | Joyce Oben Akonchong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714872 PECOS PAC ID: 3072904598 Enrollment ID: I20211216002691 |
| Provider Name | Gabrielle Schweigart Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073270047 PECOS PAC ID: 8729479977 Enrollment ID: I20211222001405 |
| Provider Name | Jennifer Ann Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209934 PECOS PAC ID: 8426449240 Enrollment ID: I20220104002870 |
| Provider Name | Kia Colleton Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477826451 PECOS PAC ID: 3577723063 Enrollment ID: I20220119000049 |
| Provider Name | Farrah Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881146694 PECOS PAC ID: 9931481959 Enrollment ID: I20220119000125 |
| Provider Name | Anitha Krishnasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851364020 PECOS PAC ID: 0345243663 Enrollment ID: I20220128001147 |
| Provider Name | Dorie Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285387977 PECOS PAC ID: 3678967254 Enrollment ID: I20220224001080 |
| Provider Name | Heather Christine Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992464739 PECOS PAC ID: 9830583202 Enrollment ID: I20220301000264 |
| Provider Name | Sarah Burnham Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528710407 PECOS PAC ID: 6507250909 Enrollment ID: I20220301001736 |
| Provider Name | Mary Beth Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932866407 PECOS PAC ID: 9133514797 Enrollment ID: I20220317000151 |
| Provider Name | Rachel Teresa Nadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417521 PECOS PAC ID: 8123413556 Enrollment ID: I20220321002055 |
| Provider Name | Catherine Marie Timberlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821667833 PECOS PAC ID: 0244626331 Enrollment ID: I20220329000730 |
| Provider Name | Angela Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518610997 PECOS PAC ID: 4880080316 Enrollment ID: I20220408000507 |
| Provider Name | Brandie Nicole Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386306561 PECOS PAC ID: 3678960622 Enrollment ID: I20220422000123 |
| Provider Name | Carla Elizabeth Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589843 PECOS PAC ID: 1153718606 Enrollment ID: I20220502000476 |
| Provider Name | Marlene Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972126795 PECOS PAC ID: 4880081256 Enrollment ID: I20220504000532 |
| Provider Name | Meseret Belew Demissie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871234534 PECOS PAC ID: 9032596192 Enrollment ID: I20220512000019 |
| Provider Name | Lindsey Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710636675 PECOS PAC ID: 9739566753 Enrollment ID: I20220512002910 |
| Provider Name | Emily Pearl-gaddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487304119 PECOS PAC ID: 5799164125 Enrollment ID: I20220615001823 |
| Provider Name | Joan Lavonne Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154697829 PECOS PAC ID: 9830353762 Enrollment ID: I20220630003079 |
| Provider Name | Erikah Bohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593605 PECOS PAC ID: 1658753470 Enrollment ID: I20220726002928 |
| Provider Name | Min-ji Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295154300 PECOS PAC ID: 1254654601 Enrollment ID: I20220803001489 |
| Provider Name | Erin Patrice Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160762 PECOS PAC ID: 6103208426 Enrollment ID: I20220803002639 |
| Provider Name | Joseph Koelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689314478 PECOS PAC ID: 0042694499 Enrollment ID: I20220902000207 |
| Provider Name | Jennifer Tillman Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109894 PECOS PAC ID: 1557745601 Enrollment ID: I20220908002503 |
| Provider Name | Brooke H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861129744 PECOS PAC ID: 5597149641 Enrollment ID: I20220908002688 |
| Provider Name | Kandice Di-ann Speight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184343584 PECOS PAC ID: 9830574037 Enrollment ID: I20220923000090 |
| Provider Name | Kelly Jo Trieglaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508991902 PECOS PAC ID: 2668449539 Enrollment ID: I20221003001974 |
| Provider Name | Matthew David Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730802935 PECOS PAC ID: 0749656312 Enrollment ID: I20221023000000 |
| Provider Name | Brittany Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042149 PECOS PAC ID: 0648646000 Enrollment ID: I20221026002319 |
| Provider Name | Natasha Ballentine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181085 PECOS PAC ID: 8628386554 Enrollment ID: I20221121003029 |
| Provider Name | Tiffany A Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407504582 PECOS PAC ID: 6800265414 Enrollment ID: I20221202001889 |
| Provider Name | Brandy R Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144504101 PECOS PAC ID: 7214199280 Enrollment ID: I20221216000081 |
| Provider Name | Alison Mae Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710694088 PECOS PAC ID: 5496125015 Enrollment ID: I20221222002671 |
| Provider Name | Kongit Achew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487365151 PECOS PAC ID: 9638549207 Enrollment ID: I20221227000162 |
| Provider Name | Tenisha Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165490 PECOS PAC ID: 9739559147 Enrollment ID: I20221229001648 |
| Provider Name | David Dagostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801506795 PECOS PAC ID: 2961872379 Enrollment ID: I20221229001926 |
| Provider Name | Jamie Wood Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184063315 PECOS PAC ID: 0345484408 Enrollment ID: I20230110001276 |
| Provider Name | Cherie De Castro Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003534355 PECOS PAC ID: 3870963762 Enrollment ID: I20230111000518 |
| Provider Name | Ambredawn Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295440162 PECOS PAC ID: 4385016211 Enrollment ID: I20230202000906 |
| Provider Name | Shelly Alasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427762780 PECOS PAC ID: 0143692962 Enrollment ID: I20230203002078 |
| Provider Name | Lori Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124738331 PECOS PAC ID: 1759753189 Enrollment ID: I20230214000639 |
| Provider Name | Solomon Wesseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912397142 PECOS PAC ID: 4789924341 Enrollment ID: I20230215000317 |
| Provider Name | Salena Antonette Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659088375 PECOS PAC ID: 7517339815 Enrollment ID: I20230215001091 |
| Provider Name | Courtney Ann Brockmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336855428 PECOS PAC ID: 1052783073 Enrollment ID: I20230220002313 |
| Provider Name | Cynthia Beth Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750093282 PECOS PAC ID: 4587037387 Enrollment ID: I20230227000157 |
| Provider Name | Warren Hatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396480851 PECOS PAC ID: 5092185074 Enrollment ID: I20230228002131 |
| Provider Name | Caroline Wambui Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265139281 PECOS PAC ID: 2567835168 Enrollment ID: I20230301002565 |
| Provider Name | Jackie Locklear Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389480 PECOS PAC ID: 3274908777 Enrollment ID: I20230415000106 |
| Provider Name | Stephen Thomas Hadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818319 PECOS PAC ID: 0143685339 Enrollment ID: I20230421001325 |
| Provider Name | Gladys Kerubo Nyaruri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781511 PECOS PAC ID: 5597120782 Enrollment ID: I20230421001406 |
| Provider Name | Keisha R Nesbit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801597034 PECOS PAC ID: 9830554971 Enrollment ID: I20230425002228 |
| Provider Name | Kristy Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033808530 PECOS PAC ID: 0547626210 Enrollment ID: I20230523000614 |
| Provider Name | Carolyn Johnston Highstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194431239 PECOS PAC ID: 5092172403 Enrollment ID: I20230530002866 |
| Provider Name | Rhode Desauguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962199604 PECOS PAC ID: 3678930088 Enrollment ID: I20230530003124 |
| Provider Name | Laura Everett Respass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881158293 PECOS PAC ID: 5698132611 Enrollment ID: I20230607001268 |
| Provider Name | Julie Devaughn Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011460 PECOS PAC ID: 4385002583 Enrollment ID: I20230621000227 |
| Provider Name | Maureen Frances Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437850898 PECOS PAC ID: 9931567948 Enrollment ID: I20230623001596 |
| Provider Name | Suzanne Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103162 PECOS PAC ID: 2264891381 Enrollment ID: I20230707002753 |
| Provider Name | Jessica R Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972964484 PECOS PAC ID: 3577857655 Enrollment ID: I20230718000658 |
| Provider Name | Makulah Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20230718002656 |
| Provider Name | Chelsea Amilee Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790413391 PECOS PAC ID: 5799145942 Enrollment ID: I20230719001814 |
| Provider Name | Watta Virginia Foray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831876002 PECOS PAC ID: 7911367172 Enrollment ID: I20230719002092 |
| Provider Name | Christal Hayes Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528754314 PECOS PAC ID: 2567824147 Enrollment ID: I20230814002542 |
| Provider Name | Trinia Lasonia Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720762586 PECOS PAC ID: 3870955016 Enrollment ID: I20230818003336 |
| Provider Name | Kyong Suk Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841990231 PECOS PAC ID: 6901269588 Enrollment ID: I20230830000444 |
| Provider Name | Nkwachioma Ugwuezi Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356041420 PECOS PAC ID: 7315300795 Enrollment ID: I20230901000266 |
| Provider Name | Kristi B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730868183 PECOS PAC ID: 0840653010 Enrollment ID: I20230906000958 |
| Provider Name | Amber Lynn Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336845346 PECOS PAC ID: 5294199469 Enrollment ID: I20230907001143 |
| Provider Name | Jennifer Renee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700660040 PECOS PAC ID: 2365897758 Enrollment ID: I20231004002132 |
| Provider Name | Tracie Rebecca Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336829811 PECOS PAC ID: 4385099654 Enrollment ID: I20231006002672 |
| Provider Name | Annie Gaspard Lindor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740960624 PECOS PAC ID: 5294181236 Enrollment ID: I20231026002280 |
| Provider Name | William Robert Carawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790478931 PECOS PAC ID: 6901253319 Enrollment ID: I20231107001421 |
| Provider Name | Samantha Rose Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270219 PECOS PAC ID: 4284081647 Enrollment ID: I20231107003931 |
| Provider Name | Jessica Mitchell Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717525 PECOS PAC ID: 0547617862 Enrollment ID: I20231108002043 |
| Provider Name | Shannon Elizabeth Evans Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174206767 PECOS PAC ID: 9032568142 Enrollment ID: I20231214003299 |
| Provider Name | Ashley Marie Steagall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425393 PECOS PAC ID: 8325498132 Enrollment ID: I20231220000582 |
| Provider Name | Steffanie Michelle Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023886637 PECOS PAC ID: 2264883479 Enrollment ID: I20240111002051 |
| Provider Name | Mary Linton Kops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093429367 PECOS PAC ID: 3971954165 Enrollment ID: I20240112000081 |
| Provider Name | Barbra Namfukwe Mugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447942826 PECOS PAC ID: 5698127561 Enrollment ID: I20240116002820 |
| Provider Name | Rachel Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568133916 PECOS PAC ID: 7416333836 Enrollment ID: I20240117004423 |
| Provider Name | Nerissa Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184401648 PECOS PAC ID: 9335591080 Enrollment ID: I20240117004692 |
| Provider Name | Richzer Vincent Chu Villamor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851161830 PECOS PAC ID: 4587008917 Enrollment ID: I20240214000330 |
| Provider Name | Alyssa B Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296477 PECOS PAC ID: 5597154054 Enrollment ID: I20240301003812 |
| Provider Name | Lakisha Yvette Teschemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023715588 PECOS PAC ID: 0345686705 Enrollment ID: I20240308000296 |
| Provider Name | Amanda Kelly Eggleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467221408 PECOS PAC ID: 9830535178 Enrollment ID: I20240309000096 |
| Provider Name | Em Toe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609648997 PECOS PAC ID: 3779920350 Enrollment ID: I20240318003772 |
| Provider Name | Adassa Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326815820 PECOS PAC ID: 0345687620 Enrollment ID: I20240321003645 |
| Provider Name | Sharmel Yvette Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881021798 PECOS PAC ID: 5597102715 Enrollment ID: I20240325000369 |
| Provider Name | Rebecca Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538937644 PECOS PAC ID: 3476990698 Enrollment ID: I20240325000526 |
| Provider Name | Renee Nichole Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487429148 PECOS PAC ID: 2062859101 Enrollment ID: I20240325001651 |
| Provider Name | Brittney Sierra Grimm-wash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083485858 PECOS PAC ID: 3072950179 Enrollment ID: I20240325004076 |
| Provider Name | Susan Floyd Elium |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750156345 PECOS PAC ID: 0042658619 Enrollment ID: I20240402000274 |
| Provider Name | Stacey Lenell Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801664271 PECOS PAC ID: 0648618579 Enrollment ID: I20240410002981 |
| Provider Name | Mercedes Whitworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932972023 PECOS PAC ID: 3971943895 Enrollment ID: I20240425002385 |
| Provider Name | Camille B Winstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639933369 PECOS PAC ID: 0446690846 Enrollment ID: I20240502001663 |
| Provider Name | Casey Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154970879 PECOS PAC ID: 4880925619 Enrollment ID: I20240514004336 |
| Provider Name | Morgan Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528741121 PECOS PAC ID: 5193179232 Enrollment ID: I20240517002104 |
| Provider Name | Gwendolyn Victoria Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174376644 PECOS PAC ID: 1850833807 Enrollment ID: I20240606000924 |
| Provider Name | Adrienne L Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205681228 PECOS PAC ID: 7911342290 Enrollment ID: I20240628001116 |
| Provider Name | Daniella Mae Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073373338 PECOS PAC ID: 3779027990 Enrollment ID: I20240628002056 |
| Provider Name | Cathy Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699531673 PECOS PAC ID: 1850443649 Enrollment ID: I20240709002352 |
| Provider Name | Chicquita Elaine Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427897032 PECOS PAC ID: 3375088008 Enrollment ID: I20240717002193 |
| Provider Name | Leanna Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051676 PECOS PAC ID: 1658760798 Enrollment ID: I20240718001045 |
| Provider Name | John Ryan Bussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750153722 PECOS PAC ID: 9537605704 Enrollment ID: I20240724000723 |
| Provider Name | Nichola Diane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437872868 PECOS PAC ID: 4688110893 Enrollment ID: I20240724002176 |
| Provider Name | Nicole Lynn Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801644117 PECOS PAC ID: 7113463001 Enrollment ID: I20240727000424 |
| Provider Name | Mosebolatan Akande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851132633 PECOS PAC ID: 3870039779 Enrollment ID: I20240728000025 |
| Provider Name | Matthew Branson Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891556262 PECOS PAC ID: 7315484458 Enrollment ID: I20240806004482 |
| Provider Name | Elonda Sade' Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558058040 PECOS PAC ID: 9739628462 Enrollment ID: I20240827000551 |
| Provider Name | Kimberly Cornette East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558105411 PECOS PAC ID: 0143769307 Enrollment ID: I20240901000035 |
| Provider Name | Courtney Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144085416 PECOS PAC ID: 4880032804 Enrollment ID: I20240905001882 |
| Provider Name | Jodi Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104411875 PECOS PAC ID: 7214345289 Enrollment ID: I20240916001271 |
| Provider Name | Patricia Ann Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962249433 PECOS PAC ID: 6709318066 Enrollment ID: I20241011003072 |
| Provider Name | Sherry Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669202883 PECOS PAC ID: 6800328832 Enrollment ID: I20241016001102 |
| Provider Name | Cody Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407696172 PECOS PAC ID: 1850824327 Enrollment ID: I20241023002066 |
| Provider Name | Chailendra Yvette Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629820576 PECOS PAC ID: 4981137791 Enrollment ID: I20241101000195 |
| Provider Name | Brandi Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007579 PECOS PAC ID: 6002137247 Enrollment ID: I20241112002454 |
| Provider Name | Jennifer Rortvedt Brienza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801627849 PECOS PAC ID: 8123553765 Enrollment ID: I20241120000248 |
| Provider Name | Della Gelene Sandifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649097171 PECOS PAC ID: 2163958497 Enrollment ID: I20241210004511 |
| Provider Name | Angela Marie Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392852 PECOS PAC ID: 8426586496 Enrollment ID: I20250106000275 |
| Provider Name | Margo Caldwell Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932989464 PECOS PAC ID: 2163950940 Enrollment ID: I20250107002030 |
| Provider Name | Christine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184351710 PECOS PAC ID: 6901280684 Enrollment ID: I20250117000635 |
| Provider Name | Elaine Sy Mccraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467234393 PECOS PAC ID: 7012446768 Enrollment ID: I20250129003146 |
| Provider Name | Heather N Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164287223 PECOS PAC ID: 5395275713 Enrollment ID: I20250213002808 |
| Provider Name | Colette Nancy Affiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457170375 PECOS PAC ID: 1355861477 Enrollment ID: I20250219003711 |
| Provider Name | Jamie Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528772092 PECOS PAC ID: 2567982192 Enrollment ID: I20250225003996 |
| Provider Name | Kourtney Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972910602 PECOS PAC ID: 6406163070 Enrollment ID: I20250422001942 |
| Provider Name | Carly Dearth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689249294 PECOS PAC ID: 9931500527 Enrollment ID: I20250429002225 |
| Provider Name | Stephanie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647033 PECOS PAC ID: 9335400860 Enrollment ID: I20250429003239 |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Clarity Health Dpc, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Springbank Ln Ste B, Charlotte, NC 28226 Phone: 704-709-3351 Fax: 704-991-7799 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 |