| Greenville Express Care, Pa | |
|
615 S Memorial Dr Greenville NC 27834-2856 | |
| (252) 413-0720 | |
| Not Available |
| Full Name | Greenville Express Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 615 S Memorial Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Donald Alan Ribeiro (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2524130720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Express Care, Pa Po Box 30965 Greenville NC 27833-0965 Ph: (252) 413-0720 | Greenville Express Care, Pa 615 S Memorial Dr Greenville NC 27834-2856 Ph: (252) 413-0720 |
| NPI Number | 1477717312 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 2668524497 |
|---|---|
| Medicare Enrollment ID | O20090708000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477717312 | NPI | - | NPPES |
| 0170A | Other | NC | BCBS OF NC |
| 8971512 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald A Ribeiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407835010 PECOS PAC ID: 3274502604 Enrollment ID: I20061102000413 |
| Provider Name | Sarah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871973958 PECOS PAC ID: 7416264791 Enrollment ID: I20150918001412 |
| Provider Name | Meredith Carraway Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972004026 PECOS PAC ID: 1355605916 Enrollment ID: I20180806001063 |
| Provider Name | Laurie S Ribeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376272062 PECOS PAC ID: 2365810876 Enrollment ID: I20221114003019 |
| Provider Name | Jessica W Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952081119 PECOS PAC ID: 1456707447 Enrollment ID: I20231027000094 |
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