| Lincoln Community Health Center Incorporated | |
|
1301 Fayetteville St Durham NC 27707-2325 | |
| (919) 956-4000 | |
| Not Available |
| Full Name | Lincoln Community Health Center Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 Fayetteville St, Durham, North Carolina |
| Authorized Official Name and Position | Claretta Foye (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9199564022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Community Health Center Incorporated Po Box 52119 Durham NC 27717-2119 Ph: (919) 956-4000 | Lincoln Community Health Center Incorporated 1301 Fayetteville St Durham NC 27707-2325 Ph: (919) 956-4000 |
| NPI Number | 1114978582 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 4587642590 |
|---|---|
| Medicare Enrollment ID | O20040707001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114978582 | NPI | - | NPPES |
| 03055 | Other | NC | GROUP BC/BS ID NUMBER |
| 344500A | Medicaid | NC | |
| 344500C | Medicaid | NC | |
| 344500D | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Anne L Derouin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417031246 PECOS PAC ID: 9335040559 Enrollment ID: I20040121000139 |
| Provider Name | Jeannette Fischer Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609977099 PECOS PAC ID: 7810981479 Enrollment ID: I20040414001352 |
| Provider Name | Holly R Biola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134277304 PECOS PAC ID: 0446246078 Enrollment ID: I20040421000372 |
| Provider Name | Kristin E Ito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184652687 PECOS PAC ID: 2163495797 Enrollment ID: I20040812001502 |
| Provider Name | Howard J Eisenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497867808 PECOS PAC ID: 0840207478 Enrollment ID: I20060307000540 |
| Provider Name | Cathleen M Melton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265470975 PECOS PAC ID: 2365459641 Enrollment ID: I20060310000462 |
| Provider Name | Viviana Sandra Martinez Bianchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733980 PECOS PAC ID: 7810910213 Enrollment ID: I20061113000421 |
| Provider Name | Paula A Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982822748 PECOS PAC ID: 3375612120 Enrollment ID: I20080520000135 |
| Provider Name | Virgil F Mosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720080310 PECOS PAC ID: 4486678232 Enrollment ID: I20081115000111 |
| Provider Name | Philip M Rosoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649333428 PECOS PAC ID: 9638218019 Enrollment ID: I20091124000197 |
| Provider Name | Veronica J Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659314573 PECOS PAC ID: 9032254164 Enrollment ID: I20100301000643 |
| Provider Name | Faye T Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366480923 PECOS PAC ID: 7719022375 Enrollment ID: I20100306000358 |
| Provider Name | Evan M Ferry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154653384 PECOS PAC ID: 6507901113 Enrollment ID: I20100308000390 |
| Provider Name | Roxanne Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780756197 PECOS PAC ID: 4789766486 Enrollment ID: I20121102000576 |
| Provider Name | Anjana Chandran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275669848 PECOS PAC ID: 8527210087 Enrollment ID: I20121206000617 |
| Provider Name | John A Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106515 PECOS PAC ID: 8325065113 Enrollment ID: I20130612000471 |
| Provider Name | Maria Kathleen Corrao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588942601 PECOS PAC ID: 8729250097 Enrollment ID: I20140817000022 |
| Provider Name | Teah M Bayless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567468 PECOS PAC ID: 2668690173 Enrollment ID: I20140825002801 |
| Provider Name | Ashley Crews-lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245628221 PECOS PAC ID: 9830415819 Enrollment ID: I20150310002052 |
| Provider Name | Jacob Brayboy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275732927 PECOS PAC ID: 9032250139 Enrollment ID: I20151203003297 |
| Provider Name | Zane Stephen Gooding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285920496 PECOS PAC ID: 3476858226 Enrollment ID: I20160216002705 |
| Provider Name | Bahar Emily Esmaili |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205003274 PECOS PAC ID: 6709181423 Enrollment ID: I20160217002460 |
| Provider Name | Alison Rees Polly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447618848 PECOS PAC ID: 9638474257 Enrollment ID: I20160219000521 |
| Provider Name | Shannon Kathleen Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770826950 PECOS PAC ID: 1153629779 Enrollment ID: I20160415000481 |
| Provider Name | Laura M Paye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508202508 PECOS PAC ID: 0042506123 Enrollment ID: I20160916000249 |
| Provider Name | Joshua Mark Metzger Lancaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346683703 PECOS PAC ID: 6406143973 Enrollment ID: I20160927001895 |
| Provider Name | Charita Kincy Mccollers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326598558 PECOS PAC ID: 6002195096 Enrollment ID: I20161115001320 |
| Provider Name | Blanca Iris Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346170 PECOS PAC ID: 3274657705 Enrollment ID: I20170105000194 |
| Provider Name | Elizabeth Helen Aronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235676628 PECOS PAC ID: 1759667595 Enrollment ID: I20170411000945 |
| Provider Name | Gina Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831572734 PECOS PAC ID: 1951688480 Enrollment ID: I20170510000343 |
| Provider Name | Jacob Paul Feigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173618 PECOS PAC ID: 2860764503 Enrollment ID: I20170816000287 |
| Provider Name | Wajiha Tariq Siddiqui |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497114839 PECOS PAC ID: 3779858808 Enrollment ID: I20170929000234 |
| Provider Name | April L Buscher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609097708 PECOS PAC ID: 7618128950 Enrollment ID: I20171113000854 |
| Provider Name | Milani Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366739120 PECOS PAC ID: 1052567765 Enrollment ID: I20180102000069 |
| Provider Name | Jamie Lynn Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255751467 PECOS PAC ID: 8628368727 Enrollment ID: I20180911001124 |
| Provider Name | Kiersten Denise Bethea |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275195166 PECOS PAC ID: 8022345271 Enrollment ID: I20190809001892 |
| Provider Name | Marion Monique Keeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629058433 PECOS PAC ID: 7012155575 Enrollment ID: I20190812000999 |
| Provider Name | Carrie Stephens Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518519388 PECOS PAC ID: 7911238076 Enrollment ID: I20191004000367 |
| Provider Name | Zhongfei Liang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003261306 PECOS PAC ID: 5092046524 Enrollment ID: I20191014002409 |
| Provider Name | Nicole L Helmke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790170256 PECOS PAC ID: 4789006735 Enrollment ID: I20200619000583 |
| Provider Name | Kathleen Atkinson Matthews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831620921 PECOS PAC ID: 4981973880 Enrollment ID: I20200812000168 |
| Provider Name | Janaka Anand Lagoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972882413 PECOS PAC ID: 8527205244 Enrollment ID: I20210315001337 |
| Provider Name | Nicole Doreen Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760968044 PECOS PAC ID: 6406253079 Enrollment ID: I20210923003157 |
| Provider Name | Babafemi Sijabuliso Onabanjo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093129520 PECOS PAC ID: 6608184189 Enrollment ID: I20211020001040 |
| Provider Name | Daniel James Tounsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710635693 PECOS PAC ID: 0749676559 Enrollment ID: I20220404002190 |
| Provider Name | Carlyn Michel Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992208755 PECOS PAC ID: 8224383963 Enrollment ID: I20220606000042 |
| Provider Name | Damilola F Jibowu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184112559 PECOS PAC ID: 5991051435 Enrollment ID: I20220817000366 |
| Provider Name | Gillian W Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477997849 PECOS PAC ID: 3375779671 Enrollment ID: I20230329001165 |
| Provider Name | Shruthi Shekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629573621 PECOS PAC ID: 6608243324 Enrollment ID: I20230406000208 |
| Provider Name | Samantha Wallis Bell-rushakoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932661659 PECOS PAC ID: 4880072537 Enrollment ID: I20230720002379 |
| Provider Name | Carolyn Yvette Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306825575 PECOS PAC ID: 0840218152 Enrollment ID: I20230823000132 |
| Provider Name | Deborah Linda Owusu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124768288 PECOS PAC ID: 3577926799 Enrollment ID: I20230905003522 |
| Provider Name | Justin Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497435663 PECOS PAC ID: 0042674640 Enrollment ID: I20230915000318 |
| Provider Name | Yesenia Noyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871269605 PECOS PAC ID: 3173920865 Enrollment ID: I20231019000081 |
| Provider Name | Peter Sandalio Callejo-black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871122887 PECOS PAC ID: 8820406069 Enrollment ID: I20231219000762 |
| Provider Name | Nekoba Kahindo Mutima |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770932659 PECOS PAC ID: 2961846712 Enrollment ID: I20240220002357 |
| Provider Name | Meagan Elizabeth Briley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619596681 PECOS PAC ID: 4486013158 Enrollment ID: I20240716001972 |
| Provider Name | Matthew Gibson Marvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659995579 PECOS PAC ID: 2961875513 Enrollment ID: I20241011001521 |
Lincoln Community Health Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 | |
Duke University Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 | |
Physicians Eldercare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55 Ste 105, Durham, NC 27713 Phone: 337-991-9276 Fax: 337-943-0846 | |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
Duke University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
Novant Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 |