| Faith Primary Care Plus | |
|
329 Sanford Dr Ste B Morganton NC 28655-2576 | |
| (828) 430-9120 | |
| (828) 430-9122 |
| Full Name | Faith Primary Care Plus |
|---|---|
| Speciality | Family Medicine |
| Location | 329 Sanford Dr Ste B, Morganton, North Carolina |
| Authorized Official Name and Position | Ngonda'yebenit Nzelle Ngo Mayeba (ADMINISTRATOR) |
| Authorized Official Contact | 8284309120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Primary Care Plus 329 Sanford Dr Ste B Morganton NC 28655-2576 Ph: (828) 430-9120 | Faith Primary Care Plus 329 Sanford Dr Ste B Morganton NC 28655-2576 Ph: (828) 430-9120 |
| NPI Number | 1194393769 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 9133523061 |
|---|---|
| Medicare Enrollment ID | O20210813001939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194393769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Secondary |
| Provider Name | Abm Enayet Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295813400 PECOS PAC ID: 3375432594 Enrollment ID: I20040315000280 |
| Provider Name | Ngonda'yebenit Nzelle Ngo Mayeba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598020430 PECOS PAC ID: 0840536504 Enrollment ID: I20190116004000 |
| Provider Name | Justin Wayne Crouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134797780 PECOS PAC ID: 9335547710 Enrollment ID: I20211015001293 |
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