| Mcgill Family Medicine | |
|
202d Mcgill Avenue Nw Concord NC 28025-4615 | |
| (704) 792-2242 | |
| (704) 792-2272 |
| Full Name | Mcgill Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 202d Mcgill Avenue Nw, Concord, North Carolina |
| Authorized Official Name and Position | Cappie Stanley (CEO) |
| Authorized Official Contact | 7047922203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcgill Family Medicine 202d Mcgill Avenue Nw Concord NC 28025-4615 Ph: (704) 792-2242 | Mcgill Family Medicine 202d Mcgill Avenue Nw Concord NC 28025-4615 Ph: (704) 792-2242 |
| NPI Number | 1396782710 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 05/19/2020 |
| Medicare PECOS PAC ID | 9638197635 |
|---|---|
| Medicare Enrollment ID | O20051108000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396782710 | NPI | - | NPPES |
| 5902185 | Medicaid | NC | |
| 344535A | Medicaid | NC | |
| 344535C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Dana D Stiles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407948912 PECOS PAC ID: 0446214464 Enrollment ID: I20041118000413 |
| Provider Name | Anthony C Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174614697 PECOS PAC ID: 2961438742 Enrollment ID: I20050716000001 |
| Provider Name | David B Joye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508958018 PECOS PAC ID: 3779513577 Enrollment ID: I20050820000067 |
| Provider Name | Erika A Steinbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568450344 PECOS PAC ID: 4082707666 Enrollment ID: I20070912000843 |
| Provider Name | Lydia H Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154512309 PECOS PAC ID: 6507928488 Enrollment ID: I20081231000332 |
| Provider Name | Alexander Manson Waite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700043288 PECOS PAC ID: 7719030766 Enrollment ID: I20090808000085 |
| Provider Name | Robert Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871754812 PECOS PAC ID: 7618164765 Enrollment ID: I20110804000570 |
| Provider Name | Dawn S Caviness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499098 PECOS PAC ID: 6800030461 Enrollment ID: I20130920000427 |
| Provider Name | Erica E Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275827990 PECOS PAC ID: 0749411254 Enrollment ID: I20140326002009 |
| Provider Name | Kaaya Malhotra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538325634 PECOS PAC ID: 7719155241 Enrollment ID: I20141008001672 |
| Provider Name | Michelle Leigh Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942607023 PECOS PAC ID: 1658697172 Enrollment ID: I20150227001210 |
| Provider Name | Anh Kim Causey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346502325 PECOS PAC ID: 1557594629 Enrollment ID: I20151028000244 |
| Provider Name | Tiffany Lashelle Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477898062 PECOS PAC ID: 5395054514 Enrollment ID: I20151028002592 |
| Provider Name | Julia B Truman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040341 PECOS PAC ID: 2264735737 Enrollment ID: I20160119000267 |
| Provider Name | Amy Smith Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023458767 PECOS PAC ID: 5193021343 Enrollment ID: I20160314002187 |
| Provider Name | Madhav R Muppa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841480373 PECOS PAC ID: 0840420907 Enrollment ID: I20160512001769 |
| Provider Name | Ava D. Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780801282 PECOS PAC ID: 2668656323 Enrollment ID: I20160513001416 |
| Provider Name | Afton Nivens Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457783870 PECOS PAC ID: 8729375878 Enrollment ID: I20160919000039 |
| Provider Name | Javier Santos Cubina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588982755 PECOS PAC ID: 1355638271 Enrollment ID: I20160921000430 |
| Provider Name | Courtney Winchester Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912459520 PECOS PAC ID: 3072895622 Enrollment ID: I20170117001033 |
| Provider Name | Lena Clarice Champlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376982850 PECOS PAC ID: 7911131685 Enrollment ID: I20170427000208 |
| Provider Name | Rajasekhar Kannali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174879415 PECOS PAC ID: 6608018700 Enrollment ID: I20170807000814 |
| Provider Name | Rachel Villella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467864215 PECOS PAC ID: 8123245081 Enrollment ID: I20170825000330 |
| Provider Name | Nelius Nyambura Macharia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962815308 PECOS PAC ID: 7517247828 Enrollment ID: I20171106000042 |
| Provider Name | Venkata Ravi S Chivukula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730349531 PECOS PAC ID: 0143412502 Enrollment ID: I20180308001098 |
| Provider Name | Kathryn Grace Grimsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518255025 PECOS PAC ID: 5799048088 Enrollment ID: I20180419002258 |
| Provider Name | Emily Peacock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821475484 PECOS PAC ID: 5092029868 Enrollment ID: I20180822000163 |
| Provider Name | Kristin Elizabeth Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134607336 PECOS PAC ID: 5890048243 Enrollment ID: I20181101000052 |
| Provider Name | Jenna Lee Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356807721 PECOS PAC ID: 9638412778 Enrollment ID: I20190514000084 |
| Provider Name | Satish C Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538205687 PECOS PAC ID: 5496928541 Enrollment ID: I20190930003163 |
| Provider Name | Rashida A Mungin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467006999 PECOS PAC ID: 1951734920 Enrollment ID: I20191204003135 |
| Provider Name | Ivory Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689159766 PECOS PAC ID: 0042558678 Enrollment ID: I20200205000008 |
| Provider Name | Amber Rose Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023533486 PECOS PAC ID: 4486913001 Enrollment ID: I20201103001567 |
| Provider Name | Amanda Renee Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548729239 PECOS PAC ID: 6002226685 Enrollment ID: I20201110003186 |
| Provider Name | Angela S Mearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871764522 PECOS PAC ID: 0749326742 Enrollment ID: I20201111002708 |
| Provider Name | Charise Atiba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033648076 PECOS PAC ID: 2264702554 Enrollment ID: I20201111002860 |
| Provider Name | Jennifer Sass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013557461 PECOS PAC ID: 0244641462 Enrollment ID: I20201119001329 |
| Provider Name | Julia Ann Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970574 PECOS PAC ID: 0345653358 Enrollment ID: I20210113000431 |
| Provider Name | Brianna Janai Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477048981 PECOS PAC ID: 8729493069 Enrollment ID: I20210218000476 |
| Provider Name | Kiddy Pierre Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427642958 PECOS PAC ID: 5698174399 Enrollment ID: I20210601000324 |
| Provider Name | Bruce Jamie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114220613 PECOS PAC ID: 9133349400 Enrollment ID: I20210907000334 |
| Provider Name | Derrick E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876606 PECOS PAC ID: 6103997945 Enrollment ID: I20211108001930 |
| Provider Name | Jessica Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205506417 PECOS PAC ID: 9335538172 Enrollment ID: I20211116001848 |
| Provider Name | Janae Rebecca Fulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952853277 PECOS PAC ID: 9739571142 Enrollment ID: I20220114002065 |
| Provider Name | Karen Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003284829 PECOS PAC ID: 1951764166 Enrollment ID: I20230905002989 |
Infinite Wellness Of The Carolinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Country Club Dr Ne, Concord, NC 28025 Phone: 704-792-2200 | |
Eventus Value Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 | |
Northeast Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Dr, Ste 208, Northeast Infectious Diseases, Concord, NC 28025 Phone: 704-403-1766 Fax: 704-403-1096 | |
Cabarrus Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521 | |
Northeast Internal & Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Memorial Blvd, Concord, NC 28025 Phone: 704-403-7050 | |
Eventus Wholehealth Aco Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Total Evaluation Services & Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Branchview Dr Ne, Suite F, Concord, NC 28025 Phone: 704-467-7783 |