| 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 | 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 |
| Certification Date | 10/25/2025 |
| Medicare PECOS PAC ID | 5496294456 |
|---|---|
| Medicare Enrollment ID | O20240822002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487494811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Obinna Chika Oriaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962424689 PECOS PAC ID: 2769377738 Enrollment ID: I20040218000675 |
| Provider Name | Charles W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306929674 PECOS PAC ID: 0446243893 Enrollment ID: I20040403000192 |
| Provider Name | Steven Earl Skahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023017233 PECOS PAC ID: 1052218039 Enrollment ID: I20040419001665 |
| 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 | Hans Stelmach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356535991 PECOS PAC ID: 2860479326 Enrollment ID: I20040701001396 |
| Provider Name | David Majure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578536074 PECOS PAC ID: 5799765871 Enrollment ID: I20040720001580 |
| Provider Name | Robert 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 | George Osei-bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679864 PECOS PAC ID: 4284601352 Enrollment ID: I20041119001102 |
| Provider Name | Henry F Tripp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104829142 PECOS PAC ID: 4587613179 Enrollment ID: I20050120001052 |
| Provider Name | Karen C Caffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912974726 PECOS PAC ID: 9436185469 Enrollment ID: I20050712000323 |
| Provider Name | Candace H Bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366651143 PECOS PAC ID: 6305873258 Enrollment ID: I20050721000763 |
| 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 | Preeti P Ozarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306927132 PECOS PAC ID: 1153352547 Enrollment ID: I20050825000483 |
| 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 | James Juiming Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326029695 PECOS PAC ID: 5799767281 Enrollment ID: I20051017000233 |
| Provider Name | Charlene Pressley Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902804354 PECOS PAC ID: 9830118835 Enrollment ID: I20051123000482 |
| 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 | Kelly Collier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700886595 PECOS PAC ID: 4082710355 Enrollment ID: I20070502000470 |
| Provider Name | R Steven Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740277243 PECOS PAC ID: 6608776281 Enrollment ID: I20070607000333 |
| Provider Name | David H Curl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467529644 PECOS PAC ID: 4688773120 Enrollment ID: I20070623000036 |
| Provider Name | Laura A. Hardcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609858745 PECOS PAC ID: 3072591395 Enrollment ID: I20070719000426 |
| Provider Name | Bradley Goad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20080508000278 |
| Provider Name | Vanessa 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 | Cindy Fowler Comer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205993359 PECOS PAC ID: 0244247021 Enrollment ID: I20090206000415 |
| Provider Name | Andrea Kiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013989094 PECOS PAC ID: 9739246646 Enrollment ID: I20090320000186 |
| Provider Name | Surah Grumet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497885354 PECOS PAC ID: 2860581105 Enrollment ID: I20090629000541 |
| Provider Name | Kenneth R Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366621724 PECOS PAC ID: 7416001672 Enrollment ID: I20090821000650 |
| Provider Name | Michael Dean Culler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053424598 PECOS PAC ID: 6800885922 Enrollment ID: I20090822000193 |
| Provider Name | Michael J Piazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729345 PECOS PAC ID: 7911001755 Enrollment ID: I20100222000804 |
| Provider Name | Nicole R Upah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730411281 PECOS PAC ID: 7810022746 Enrollment ID: I20100317000948 |
| 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 | Cassie Steck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306097936 PECOS PAC ID: 6103978747 Enrollment ID: I20110121000830 |
| Provider Name | Jennifer Marie Rucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598811127 PECOS PAC ID: 2062589682 Enrollment ID: I20120125000589 |
| Provider Name | Sharon E Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437439585 PECOS PAC ID: 6305002841 Enrollment ID: I20120727000082 |
| Provider Name | Elizabeth W Hannah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710225941 PECOS PAC ID: 7517112709 Enrollment ID: I20130218000500 |
| 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 | Mary Rea Bouchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427496249 PECOS PAC ID: 7113169202 Enrollment ID: I20130820000961 |
| Provider Name | Lauren S Miglarese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316371164 PECOS PAC ID: 1759515182 Enrollment ID: I20131017001674 |
| Provider Name | Wajeed Mohammed Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720365299 PECOS PAC ID: 8628244076 Enrollment ID: I20140108001900 |
| 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 | Kirsten Leigh Bolender Schiada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265837975 PECOS PAC ID: 1052635836 Enrollment ID: I20150127001581 |
| Provider Name | Jill Elaine Van Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669584835 PECOS PAC ID: 5395771190 Enrollment ID: I20150306001675 |
| Provider Name | Stephanie J Lonow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104224021 PECOS PAC ID: 1951627009 Enrollment ID: I20150306002196 |
| Provider Name | Jetal 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 | Brittany J Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417349937 PECOS PAC ID: 4082925995 Enrollment ID: I20150618002611 |
| Provider Name | Edrina Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982086351 PECOS PAC ID: 9739497454 Enrollment ID: I20150930000724 |
| Provider Name | Katherine Elise Mcdougal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154708402 PECOS PAC ID: 5991006553 Enrollment ID: I20151228000101 |
| Provider Name | Whitney Andrew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588051023 PECOS PAC ID: 4082917398 Enrollment ID: I20160120002130 |
| 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 | Kathleen Dunlap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720379514 PECOS PAC ID: 2466740667 Enrollment ID: I20161004000386 |
| Provider Name | Tracy E Ayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447203229 PECOS PAC ID: 6800888132 Enrollment ID: I20161107000002 |
| Provider Name | Catherine Leigh Burnham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467499327 PECOS PAC ID: 3577529130 Enrollment ID: I20161213000702 |
| Provider Name | Tara a Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548342009 PECOS PAC ID: 3072514728 Enrollment ID: I20170202002053 |
| Provider Name | Michelle a Saleeby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720521461 PECOS PAC ID: 4880977537 Enrollment ID: I20170203001756 |
| Provider Name | Elizabeth Ann Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583246 PECOS PAC ID: 2961787205 Enrollment ID: I20170328002344 |
| Provider Name | Collins F Fomunung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124414750 PECOS PAC ID: 2264701259 Enrollment ID: I20170707000004 |
| Provider Name | Jordan Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417476490 PECOS PAC ID: 7416223318 Enrollment ID: I20171020000986 |
| Provider Name | Michelle Rene Gover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972014538 PECOS PAC ID: 2466710975 Enrollment ID: I20171211000365 |
| Provider Name | Cortney Kulers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700341 PECOS PAC ID: 7214299312 Enrollment ID: I20180402000052 |
| Provider Name | Ashley Tatum Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447764469 PECOS PAC ID: 5092070060 Enrollment ID: I20180522000376 |
| Provider Name | Samantha Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154824498 PECOS PAC ID: 5799030862 Enrollment ID: I20180613000527 |
| Provider Name | Trixy Headden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502911 PECOS PAC ID: 3678821766 Enrollment ID: I20180806003162 |
| 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 | 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 | Laurie Ann Nilsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326599523 PECOS PAC ID: 9335420793 Enrollment ID: I20190417003065 |
| Provider Name | Parnian Ghassemi Mcclure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467918623 PECOS PAC ID: 6103168935 Enrollment ID: I20190427000061 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
| 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-hutcherson |
|---|---|
| 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 | Bryson Schaeffer Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982256475 PECOS PAC ID: 0840520375 Enrollment ID: I20190926002031 |
| Provider Name | Julian Montague Seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063905677 PECOS PAC ID: 1153675822 Enrollment ID: I20190930000493 |
| Provider Name | Sarah Y Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043871700 PECOS PAC ID: 6507197647 Enrollment ID: I20191003003538 |
| Provider Name | Tambetta N Ojong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881041176 PECOS PAC ID: 5890027619 Enrollment ID: I20191029001081 |
| 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 | Robert Wesley Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599554 PECOS PAC ID: 0143658138 Enrollment ID: I20200325003481 |
| Provider Name | Heather Lee Asbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255678884 PECOS PAC ID: 5597194548 Enrollment ID: I20200326002774 |
| 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 | Alexandria Mcneill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558847053 PECOS PAC ID: 9133463516 Enrollment ID: I20210119001253 |
| 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 | Kimberly Cuningham Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821685207 PECOS PAC ID: 4981019874 Enrollment ID: I20210301000271 |
| Provider Name | Nickey Lashae Dimery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407455363 PECOS PAC ID: 3173937083 Enrollment ID: I20210729000815 |
| Provider Name | Christiana L Bredeweg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765021 PECOS PAC ID: 1759793144 Enrollment ID: I20210826002546 |
| 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 | Tracy Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548756547 PECOS PAC ID: 9638568140 Enrollment ID: I20211122001430 |
| Provider Name | Jennifer Ann Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209934 PECOS PAC ID: 8426449240 Enrollment ID: I20220104002870 |
| 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 | 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 | Jihan Joy Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396336061 PECOS PAC ID: 3779970504 Enrollment ID: I20220426002765 |
| 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 | Becky Leigh Born |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966924 PECOS PAC ID: 9234517400 Enrollment ID: I20220531000266 |
| Provider Name | Emily Rusmisell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487304119 PECOS PAC ID: 5799164125 Enrollment ID: I20220615001823 |
| Provider Name | Jessica Schneebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851049167 PECOS PAC ID: 5698154532 Enrollment ID: I20220622003521 |
| 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 | 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 | 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 | Michael Joseph Kilby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728773 PECOS PAC ID: 6709115603 Enrollment ID: I20221123002700 |
| Provider Name | Alison Mae Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710694088 PECOS PAC ID: 5496125015 Enrollment ID: I20221222002671 |
| Provider Name | Dayna Marie Cotugno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205316742 PECOS PAC ID: 4789929688 Enrollment ID: I20221227001652 |
| 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 | Lori Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124738331 PECOS PAC ID: 1759753189 Enrollment ID: I20230214000639 |
| Provider Name | Salena Antonette Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659088375 PECOS PAC ID: 7517339815 Enrollment ID: I20230215001091 |
| Provider Name | Warren Hatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396480851 PECOS PAC ID: 5092185074 Enrollment ID: I20230228002131 |
| Provider Name | Sharena C Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932825577 PECOS PAC ID: 2668844929 Enrollment ID: I20230317001739 |
| Provider Name | Jackie Locklear Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588389480 PECOS PAC ID: 3274908777 Enrollment ID: I20230415000106 |
| Provider Name | Jennifer Lynn Lasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790474112 PECOS PAC ID: 4789040627 Enrollment ID: I20230518000622 |
| Provider Name | Rhode Desauguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962199604 PECOS PAC ID: 3678930088 Enrollment ID: I20230530003124 |
| Provider Name | Suzanne Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103162 PECOS PAC ID: 2264891381 Enrollment ID: I20230707002753 |
| 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 | Khanh Khiem Phan Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487074530 PECOS PAC ID: 8325306772 Enrollment ID: I20230719003177 |
| 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 | Kristi B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730868183 PECOS PAC ID: 0840653010 Enrollment ID: I20230906000958 |
| 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 | Samantha 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 | 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 | 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 | 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 Little |
|---|---|
| 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 | 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 | 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 | 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 | 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 | Shatazamine Shannette Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104601871 PECOS PAC ID: 3173062858 Enrollment ID: I20240826002745 |
| Provider Name | Elonda Sade' Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558058040 PECOS PAC ID: 9739628462 Enrollment ID: I20240827000551 |
| Provider Name | Lavona Dion Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053154740 PECOS PAC ID: 6002357621 Enrollment ID: I20240924000718 |
| Provider Name | Donisia Germany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124883426 PECOS PAC ID: 8820529449 Enrollment ID: I20241007000768 |
| Provider Name | Patricia Ann Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962249433 PECOS PAC ID: 6709318066 Enrollment ID: I20241011003072 |
| Provider Name | Cody Tyler Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407696172 PECOS PAC ID: 1850824327 Enrollment ID: I20241023002066 |
| Provider Name | Meredith Ferguson Tessner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184468142 PECOS PAC ID: 8123551041 Enrollment ID: I20241031000677 |
| 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 | Dawanna Sheree Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295590925 PECOS PAC ID: 8820523459 Enrollment ID: I20241119004941 |
| Provider Name | Della Gelene Sandifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649097171 PECOS PAC ID: 2163958497 Enrollment ID: I20241210004511 |
| Provider Name | Tonia Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700531498 PECOS PAC ID: 7911381496 Enrollment ID: I20241211003518 |
| Provider Name | Margo Caldwell Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932989464 PECOS PAC ID: 2163950940 Enrollment ID: I20250107002030 |
| Provider Name | Rosa Maria Rodriguez-salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760148001 PECOS PAC ID: 8224405808 Enrollment ID: I20250124001974 |
| Provider Name | Kolu Leelee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619714466 PECOS PAC ID: 3971032665 Enrollment ID: I20250124002152 |
| Provider Name | Bria Monique Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588484422 PECOS PAC ID: 8325577059 Enrollment ID: I20250124003335 |
| 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 | Julianna Cohen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538985817 PECOS PAC ID: 1557885779 Enrollment ID: I20250409003011 |
| Provider Name | Kourtney Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972910602 PECOS PAC ID: 6406163070 Enrollment ID: I20250422001942 |
| Provider Name | Nicole Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463134 PECOS PAC ID: 7113443052 Enrollment ID: I20250424000338 |
| Provider Name | Bethany Nicole Cope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366298515 PECOS PAC ID: 0042736407 Enrollment ID: I20250429001191 |
| 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 |
| Provider Name | Lina Abunora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477179620 PECOS PAC ID: 5799197299 Enrollment ID: I20250430001613 |
| Provider Name | Samantha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215329388 PECOS PAC ID: 7416362363 Enrollment ID: I20250501000440 |
| Provider Name | Jamie M Duck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356419428 PECOS PAC ID: 7416959564 Enrollment ID: I20250505000458 |
| Provider Name | Zsuzsanna Orosz Kuzenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497567432 PECOS PAC ID: 3870010671 Enrollment ID: I20250506000748 |
| Provider Name | Ashley Emrhein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056044 PECOS PAC ID: 4688975758 Enrollment ID: I20250508000084 |
| Provider Name | Heather Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568034122 PECOS PAC ID: 6901323476 Enrollment ID: I20250508000197 |
| Provider Name | Jennifer Maria Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205647039 PECOS PAC ID: 2365960549 Enrollment ID: I20250521000306 |
| Provider Name | Twara Tarasaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013371954 PECOS PAC ID: 3274887542 Enrollment ID: I20250522000722 |
| Provider Name | Kalissia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356102669 PECOS PAC ID: 2860905312 Enrollment ID: I20250629000012 |
| Provider Name | Zachary Kane Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134911985 PECOS PAC ID: 5092213942 Enrollment ID: I20250811000090 |
| Provider Name | Melody Scarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235881020 PECOS PAC ID: 6608260492 Enrollment ID: I20250828003572 |
| Provider Name | Julia Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457036956 PECOS PAC ID: 7113459595 Enrollment ID: I20250909000981 |
| Provider Name | Haylie R Frascatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275186256 PECOS PAC ID: 2860729886 Enrollment ID: I20250919002434 |
| Provider Name | Breanna Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354839 PECOS PAC ID: 8325543614 Enrollment ID: I20250926001416 |
| Provider Name | Javier Cruz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952095267 PECOS PAC ID: 3476059965 Enrollment ID: I20251002004881 |
| Provider Name | Tracie Nalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053996272 PECOS PAC ID: 4789091679 Enrollment ID: I20251005000141 |
| Provider Name | Meredith Neale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669137246 PECOS PAC ID: 2062802192 Enrollment ID: I20251006002090 |
| Provider Name | Harley Nicole Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679318653 PECOS PAC ID: 6002313897 Enrollment ID: I20251008001280 |
| Provider Name | Michelle Bumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528369451 PECOS PAC ID: 2365631975 Enrollment ID: I20251009000705 |
| Provider Name | Evelyn Afriyie Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417749987 PECOS PAC ID: 3274021191 Enrollment ID: I20251022004928 |
| Provider Name | Jessica Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932936937 PECOS PAC ID: 3678001641 Enrollment ID: I20251023002888 |
| Provider Name | Adaora Jacinta Nnadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659264513 PECOS PAC ID: 8628567138 Enrollment ID: I20251027000072 |
| Provider Name | Whitney King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114808664 PECOS PAC ID: 9739678145 Enrollment ID: I20251027003775 |
| Provider Name | Jaymee M Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861106031 PECOS PAC ID: 0840789079 Enrollment ID: I20251029000354 |
| Provider Name | Mary Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922988609 PECOS PAC ID: 3577052679 Enrollment ID: I20251029002454 |
| Provider Name | Nadia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871481655 PECOS PAC ID: 0244729986 Enrollment ID: I20251031001465 |
| Provider Name | Karla Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045993 PECOS PAC ID: 2961939806 Enrollment ID: I20251031002746 |
| Provider Name | Jennifer Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366263055 PECOS PAC ID: 3577090992 Enrollment ID: I20251121004301 |
| Provider Name | Bren Micheal Hipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417827585 PECOS PAC ID: 7315431376 Enrollment ID: I20251209000229 |
| Provider Name | Jenniffer Lee Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881160885 PECOS PAC ID: 7416841655 Enrollment ID: I20251209002928 |
| Provider Name | Julia Al-hussaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831062934 PECOS PAC ID: 0042704645 Enrollment ID: I20251211000517 |
| Provider Name | Iris Grames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619846615 PECOS PAC ID: 2264926385 Enrollment ID: I20251216000701 |
| Provider Name | Keeshes Ragland Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508563552 PECOS PAC ID: 9032605076 Enrollment ID: I20251230000773 |
| Provider Name | Joetta Tokpah Togba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982574406 PECOS PAC ID: 4587140611 Enrollment ID: I20260108002389 |
| Provider Name | Shaheen E Lakhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20260113001563 |
| Provider Name | Tracy Wangui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639056617 PECOS PAC ID: 8921584590 Enrollment ID: I20260113004044 |
| Provider Name | Ebony Shania Rooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811780984 PECOS PAC ID: 6002394517 Enrollment ID: I20260127003233 |
| Provider Name | Alicia Lacombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386457984 PECOS PAC ID: 0244719086 Enrollment ID: I20260211001820 |
| Provider Name | Olivia S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639032592 PECOS PAC ID: 2567942030 Enrollment ID: I20260213002464 |
| Provider Name | Qi Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275498594 PECOS PAC ID: 5193205433 Enrollment ID: I20260217000386 |
| Provider Name | Joy Ruth Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114885258 PECOS PAC ID: 4880174671 Enrollment ID: I20260219002308 |
| Provider Name | Bethany Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770434730 PECOS PAC ID: 6709367998 Enrollment ID: I20260225003305 |
| Provider Name | Randi Simpkins Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821976911 PECOS PAC ID: 2264913391 Enrollment ID: I20260226000141 |
| Provider Name | Crystal Dominique Ray Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982578647 PECOS PAC ID: 6406337484 Enrollment ID: I20260227000050 |
| Provider Name | Kim Ann Sivak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942555065 PECOS PAC ID: 2668953548 Enrollment ID: I20260227003288 |
| Provider Name | Nicole Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546247 PECOS PAC ID: 8325434343 Enrollment ID: I20260228000839 |
| Provider Name | Avery Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417743204 PECOS PAC ID: 2264914027 Enrollment ID: I20260303000668 |
| Provider Name | Lakenya S. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518825876 PECOS PAC ID: 5799267068 Enrollment ID: I20260305001546 |
| Provider Name | Travis Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494497 PECOS PAC ID: 1951661941 Enrollment ID: I20260324000062 |
| Provider Name | Rochelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033086426 PECOS PAC ID: 6103301379 Enrollment ID: I20260326001825 |
| Provider Name | Hossan Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346226453 PECOS PAC ID: 4688727340 Enrollment ID: I20260330000344 |
| Provider Name | Philomena Dadson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427863430 PECOS PAC ID: 4880160688 Enrollment ID: I20260420001064 |
| Provider Name | Rosemary Chigozie Nze-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699623074 PECOS PAC ID: 9830666593 Enrollment ID: I20260430000691 |
| Provider Name | Kelly Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20260508002738 |
| Provider Name | Chelsea Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225763485 PECOS PAC ID: 4789153560 Enrollment ID: I20260521001294 |
| Provider Name | Nakeia Shontell Ofosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831042472 PECOS PAC ID: 7719458330 Enrollment ID: I20260604002796 |
| Provider Name | Dyandria Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306788450 PECOS PAC ID: 8820561558 Enrollment ID: I20260624003968 |
| Provider Name | Aida Marlene Besong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942137369 PECOS PAC ID: 7012480460 Enrollment ID: I20260626000379 |
Novant Health Infectious Disease Specialists 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 |
Atrium Health Infectious Disease 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 Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 |