| Johnston Specialty Physician Services,inc | |
|
509 N Brightleaf Blvd Smithfield NC 27577-4407 | |
| (919) 938-7595 | |
| Not Available |
| Full Name | Johnston Specialty Physician Services,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 509 N Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | Angela Vick Deans (DIRECTOR PFS) |
| Authorized Official Contact | 9199387155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Specialty Physician Services,inc 509 N Brightleaf Blvd Smithfield NC 27577-4407 Ph: (919) 938-7595 | Johnston Specialty Physician Services,inc 509 N Brightleaf Blvd Smithfield NC 27577-4407 Ph: (919) 938-7595 |
| NPI Number | 1801344395 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 01/29/2025 |
| Medicare PECOS PAC ID | 1052479979 |
|---|---|
| Medicare Enrollment ID | O20081022000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801344395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda M Sutton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366409575 PECOS PAC ID: 0446203533 Enrollment ID: I20050301000667 |
| Provider Name | Ivy P Altomare |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609063254 PECOS PAC ID: 9537254636 Enrollment ID: I20071004000464 |
| Provider Name | Russell D Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801963376 PECOS PAC ID: 0143301028 Enrollment ID: I20080116000792 |
| Provider Name | Gail Leget |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497839542 PECOS PAC ID: 5890862866 Enrollment ID: I20080917000734 |
| Provider Name | Steven A Akman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396729414 PECOS PAC ID: 9739224379 Enrollment ID: I20100306000185 |
| Provider Name | Padma Kamineni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275575615 PECOS PAC ID: 4688691439 Enrollment ID: I20150210001950 |
| Provider Name | Donette Weltansieht Vicente |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700063062 PECOS PAC ID: 9436214491 Enrollment ID: I20160404001397 |
| Provider Name | Edward Scott Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746773 PECOS PAC ID: 9436431749 Enrollment ID: I20170123000470 |
| Provider Name | Latorya D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593908 PECOS PAC ID: 2163785387 Enrollment ID: I20180420000823 |
| Provider Name | Ashley Gentile Traversa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760987259 PECOS PAC ID: 3476802018 Enrollment ID: I20180815002348 |
| Provider Name | Melanie B Thomas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225134075 PECOS PAC ID: 3476620857 Enrollment ID: I20190211000193 |
| Provider Name | Leslie Ann Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548891039 PECOS PAC ID: 3476970013 Enrollment ID: I20200827003708 |
| Provider Name | Bilal Khalid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336371277 PECOS PAC ID: 3678742046 Enrollment ID: I20220830002116 |
| Provider Name | Christopher Victor Barron-graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013636463 PECOS PAC ID: 1658756374 Enrollment ID: I20220916001003 |
| Provider Name | Nivetha Vishnuvardhan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235667049 PECOS PAC ID: 4183964950 Enrollment ID: I20230919001806 |
| Provider Name | Brittany Evans Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073375648 PECOS PAC ID: 3476999889 Enrollment ID: I20240307002975 |
| Provider Name | Carrie Gayle Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972229193 PECOS PAC ID: 8022544774 Enrollment ID: I20241205001071 |
Johnston Memorial Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 N Brightleaf Blvd, Suite 201 Medical Arts Bldg, Smithfield, NC 27577 Phone: 919-934-8544 | |
Independence Health Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Barbour Rd, Smithfield, NC 27577 Phone: 919-934-6017 Fax: 919-934-2057 | |
Evolve Medical Spa Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Market St Ste 3c, Smithfield, NC 27577 Phone: 919-205-1376 Fax: 919-205-1378 | |
The Raven Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1652 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-8353 | |
Horizon Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Lassiter St, Smithfield, NC 27577 Phone: 919-912-5160 Fax: 919-938-0008 | |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 N Brightleaf Blvd, Suite 209, Smithfield, NC 27577 Phone: 877-935-5255 Fax: 910-236-2118 |