| Navicent Health Physician Group | |
|
777 Hemlock St Macon GA 31201-2102 | |
| (478) 633-6713 | |
| (478) 633-5384 |
| Full Name | Navicent Health Physician Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 Hemlock St, Macon, Georgia |
| Authorized Official Name and Position | Kimberly Shrewsbury (CFO) |
| Authorized Official Contact | 4786331452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Navicent Health Physician Group 2490 Riverside Dr Ste B Macon GA 31204-1750 Ph: (478) 633-6713 | Navicent Health Physician Group 777 Hemlock St Macon GA 31201-2102 Ph: (478) 633-6713 |
| NPI Number | 1184679482 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 02/06/2023 |
| Medicare PECOS PAC ID | 9638076730 |
|---|---|
| Medicare Enrollment ID | O20031217000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184679482 | NPI | - | NPPES |
| Provider Name | Tarek Bisat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659347102 PECOS PAC ID: 6406745918 Enrollment ID: I20040312000755 |
| Provider Name | Douglas A Brewer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194727651 PECOS PAC ID: 6204825094 Enrollment ID: I20040616000716 |
| Provider Name | Joseph W Poku |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902980527 PECOS PAC ID: 0345225595 Enrollment ID: I20040622000304 |
| Provider Name | Erskine A James |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346326287 PECOS PAC ID: 2466439849 Enrollment ID: I20040702000668 |
| Provider Name | William M Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902872948 PECOS PAC ID: 2860470994 Enrollment ID: I20040713001347 |
| Provider Name | Felisha Love Kitchen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114926201 PECOS PAC ID: 3173595410 Enrollment ID: I20040809000368 |
| Provider Name | Michael L Klyachkin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811976053 PECOS PAC ID: 4082686266 Enrollment ID: I20040809000716 |
| Provider Name | Charles B Shiver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376574905 PECOS PAC ID: 6608849815 Enrollment ID: I20040817000028 |
| Provider Name | Harry Shaw Strothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861492720 PECOS PAC ID: 2860468154 Enrollment ID: I20040908000817 |
| Provider Name | Robert J Parel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629149265 PECOS PAC ID: 3476530635 Enrollment ID: I20040929000558 |
| Provider Name | Issam J Shaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356317598 PECOS PAC ID: 7810958030 Enrollment ID: I20041021000403 |
| Provider Name | Joseph M Trasmonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194708487 PECOS PAC ID: 1850353426 Enrollment ID: I20041102000374 |
| Provider Name | Peter J Bolan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174502314 PECOS PAC ID: 8426010356 Enrollment ID: I20041102000688 |
| Provider Name | Christopher S Rion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104933357 PECOS PAC ID: 1153384748 Enrollment ID: I20041104000939 |
| Provider Name | Maryam Sedghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730124843 PECOS PAC ID: 6305801853 Enrollment ID: I20041123000914 |
| Provider Name | Obinnaya C Emerole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558314252 PECOS PAC ID: 6305801697 Enrollment ID: I20041129000499 |
| Provider Name | Chukwuemeka Nwabuebo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104879782 PECOS PAC ID: 2567427859 Enrollment ID: I20041129000524 |
| Provider Name | Nasser S Tehrani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831185388 PECOS PAC ID: 3678522935 Enrollment ID: I20050113000893 |
| Provider Name | William Knopf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922007541 PECOS PAC ID: 6608831136 Enrollment ID: I20050125000099 |
| Provider Name | William B Schroder |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619956851 PECOS PAC ID: 0042261901 Enrollment ID: I20050208000727 |
| Provider Name | Michael R Johns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437227618 PECOS PAC ID: 9234183237 Enrollment ID: I20050315000543 |
| Provider Name | Dipesh R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700985454 PECOS PAC ID: 8022063700 Enrollment ID: I20050315000960 |
| Provider Name | Elinor Maria Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588653133 PECOS PAC ID: 9931149028 Enrollment ID: I20050509000522 |
| Provider Name | James L Foster |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235172230 PECOS PAC ID: 2567404353 Enrollment ID: I20050523000442 |
| Provider Name | William K Fackler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245236082 PECOS PAC ID: 0749211290 Enrollment ID: I20050825000104 |
| Provider Name | David C Parish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790861631 PECOS PAC ID: 3779514831 Enrollment ID: I20050829000357 |
| Provider Name | Sandhya Ramayya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225006471 PECOS PAC ID: 0648201723 Enrollment ID: I20050829000500 |
| Provider Name | Dichen Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336178565 PECOS PAC ID: 2466483557 Enrollment ID: I20050829000607 |
| Provider Name | William S Taunton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255308557 PECOS PAC ID: 2769400118 Enrollment ID: I20051104000178 |
| Provider Name | Joanne M Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245206366 PECOS PAC ID: 2860425477 Enrollment ID: I20051104000514 |
| Provider Name | Richard J Ackermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428128 PECOS PAC ID: 3476562539 Enrollment ID: I20060418000404 |
| Provider Name | Henry Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891717161 PECOS PAC ID: 9537103460 Enrollment ID: I20060424000455 |
| Provider Name | Bridget M Wright |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861506768 PECOS PAC ID: 0446260277 Enrollment ID: I20060425000119 |
| Provider Name | Warren S Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396844908 PECOS PAC ID: 9931119419 Enrollment ID: I20060427000652 |
| Provider Name | Carter E Tharpe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972547651 PECOS PAC ID: 8628056108 Enrollment ID: I20060508000962 |
| Provider Name | Harsh W Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20060629000271 |
| Provider Name | Carmine V Oddis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659315737 PECOS PAC ID: 5092728816 Enrollment ID: I20060721000234 |
| Provider Name | Paul Syribeys |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497718258 PECOS PAC ID: 8527061621 Enrollment ID: I20060810000099 |
| Provider Name | Mueez Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437171709 PECOS PAC ID: 2668475286 Enrollment ID: I20060821000048 |
| Provider Name | Anika S. Goodwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285672345 PECOS PAC ID: 6204879489 Enrollment ID: I20060926000027 |
| Provider Name | Michele T Edwards-paschal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477565810 PECOS PAC ID: 6103822713 Enrollment ID: I20061004000463 |
| Provider Name | John G Hawkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619911336 PECOS PAC ID: 1557372364 Enrollment ID: I20061109000067 |
| Provider Name | Zoe J Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710921481 PECOS PAC ID: 6901817717 Enrollment ID: I20061109000186 |
| Provider Name | Thomas P Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063414324 PECOS PAC ID: 3375525470 Enrollment ID: I20061109000207 |
| Provider Name | Amy D Kingman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992749659 PECOS PAC ID: 6901803790 Enrollment ID: I20061109000325 |
| Provider Name | Aamer Shabbir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740242163 PECOS PAC ID: 3678464708 Enrollment ID: I20061115000029 |
| Provider Name | Felix O Sogade |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992889505 PECOS PAC ID: 2567356041 Enrollment ID: I20061116000193 |
| Provider Name | Ritu A Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891873238 PECOS PAC ID: 3476553959 Enrollment ID: I20070106000066 |
| Provider Name | Michelle F Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043378441 PECOS PAC ID: 6507868460 Enrollment ID: I20070206000007 |
| Provider Name | Olufunsho Bankole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487714911 PECOS PAC ID: 2668474164 Enrollment ID: I20070213000513 |
| Provider Name | Ramana V Kalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700951308 PECOS PAC ID: 4284736414 Enrollment ID: I20070219000555 |
| Provider Name | Pulipaka B Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760557284 PECOS PAC ID: 0244332336 Enrollment ID: I20070220000425 |
| Provider Name | John R Meadows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659459816 PECOS PAC ID: 5991807034 Enrollment ID: I20070221000096 |
| Provider Name | Victoria C Musey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780642942 PECOS PAC ID: 0547364002 Enrollment ID: I20070323000035 |
| Provider Name | Allison P Scheetz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992881833 PECOS PAC ID: 5597860734 Enrollment ID: I20070418000045 |
| Provider Name | Harold P Katner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821173808 PECOS PAC ID: 9739284795 Enrollment ID: I20070419000323 |
| Provider Name | Syed M Karim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881736213 PECOS PAC ID: 3779689591 Enrollment ID: I20070510000367 |
| Provider Name | Trent L Prault |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992746747 PECOS PAC ID: 4688657265 Enrollment ID: I20070605000400 |
| Provider Name | Rajesh Rangaraj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528079878 PECOS PAC ID: 7416939897 Enrollment ID: I20070625000406 |
| Provider Name | Gautam Agarwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912982687 PECOS PAC ID: 6305882747 Enrollment ID: I20070731000368 |
| Provider Name | Jorge A Spinolo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902884414 PECOS PAC ID: 5092612879 Enrollment ID: I20080303000205 |
| Provider Name | Arvind Aggarwal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154330090 PECOS PAC ID: 9133206063 Enrollment ID: I20080402000839 |
| Provider Name | James Oliviere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891977146 PECOS PAC ID: 9537247143 Enrollment ID: I20080423000248 |
| Provider Name | Adekunle Sunday Ogunfuwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669541512 PECOS PAC ID: 1951358027 Enrollment ID: I20080430000243 |
| Provider Name | Florence T Baralatei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215117551 PECOS PAC ID: 7911076583 Enrollment ID: I20080522000101 |
| Provider Name | David N Socoloff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295824175 PECOS PAC ID: 1951471457 Enrollment ID: I20080609000889 |
| Provider Name | Atulkumar D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033292685 PECOS PAC ID: 4789750332 Enrollment ID: I20080904000424 |
| Provider Name | Surender Malhotra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780772731 PECOS PAC ID: 4981771540 Enrollment ID: I20080923000628 |
| Provider Name | Anthony Mwangi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083604532 PECOS PAC ID: 3476535683 Enrollment ID: I20081103000245 |
| Provider Name | Noel R Israel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427115864 PECOS PAC ID: 8820157027 Enrollment ID: I20081103000402 |
| Provider Name | Houman S Tamaddon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609096585 PECOS PAC ID: 6305990995 Enrollment ID: I20090817000441 |
| Provider Name | John W Mix |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558543389 PECOS PAC ID: 3476607797 Enrollment ID: I20090820000244 |
| Provider Name | Julie J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114159555 PECOS PAC ID: 7911044599 Enrollment ID: I20091030000436 |
| Provider Name | Wendell K Ellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093875973 PECOS PAC ID: 9436247616 Enrollment ID: I20091104000539 |
| Provider Name | Dudley B Christie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073790622 PECOS PAC ID: 6800934902 Enrollment ID: I20091110000627 |
| Provider Name | Yameika A Head |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780875674 PECOS PAC ID: 6901821206 Enrollment ID: I20100310000676 |
| Provider Name | Joseph W Dehaven |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326106857 PECOS PAC ID: 9133254592 Enrollment ID: I20100324000371 |
| Provider Name | John Jeffrey Cortina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194834275 PECOS PAC ID: 0042280539 Enrollment ID: I20100511000275 |
| Provider Name | Walter S Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952460255 PECOS PAC ID: 9739217670 Enrollment ID: I20100513000368 |
| Provider Name | Boris Velimirovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801866330 PECOS PAC ID: 6103811955 Enrollment ID: I20100601000225 |
| Provider Name | Joshua B Glenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184700239 PECOS PAC ID: 4183686736 Enrollment ID: I20100819000620 |
| Provider Name | Bilal R Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063670222 PECOS PAC ID: 8022142389 Enrollment ID: I20100823000506 |
| Provider Name | David Nigel Armstrong |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1720046089 PECOS PAC ID: 9931224763 Enrollment ID: I20100916000333 |
| Provider Name | Joel R Judah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215097852 PECOS PAC ID: 1759432719 Enrollment ID: I20100929000660 |
| Provider Name | Dwight A Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518989433 PECOS PAC ID: 5698969939 Enrollment ID: I20101101001001 |
| Provider Name | Bamidele Ayotunde Ajibola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
| Provider Name | Roberta J Weintraut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417923574 PECOS PAC ID: 9638366529 Enrollment ID: I20101203000836 |
| Provider Name | Rubal Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952543274 PECOS PAC ID: 1658568092 Enrollment ID: I20101210000163 |
| Provider Name | Hugh L Mclaurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487620704 PECOS PAC ID: 5890983027 Enrollment ID: I20110103000537 |
| Provider Name | Steven P Niergarth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275640625 PECOS PAC ID: 2365631082 Enrollment ID: I20110112000332 |
| Provider Name | Laurie E Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043483001 PECOS PAC ID: 7911062187 Enrollment ID: I20110118001056 |
| Provider Name | Willis Reid Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604449 PECOS PAC ID: 7315129616 Enrollment ID: I20110308000620 |
| Provider Name | Maher Astwani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447325048 PECOS PAC ID: 5991831240 Enrollment ID: I20110309000658 |
| Provider Name | Catherine S Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407886278 PECOS PAC ID: 8729261524 Enrollment ID: I20110331000215 |
| Provider Name | Arnold M Conforti |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215932041 PECOS PAC ID: 4082783972 Enrollment ID: I20110401000382 |
| Provider Name | Edward Kearfott Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669448569 PECOS PAC ID: 7517142680 Enrollment ID: I20110505000258 |
| Provider Name | Susan Debey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619281680 PECOS PAC ID: 3779760889 Enrollment ID: I20110526000564 |
| Provider Name | Matthew Raymond Astin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255530069 PECOS PAC ID: 0941362594 Enrollment ID: I20110629000075 |
| Provider Name | Dennis Wayne Ashley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821064361 PECOS PAC ID: 9638347362 Enrollment ID: I20110722000405 |
| Provider Name | Essene C Bell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700881372 PECOS PAC ID: 1557304219 Enrollment ID: I20110809000594 |
| Provider Name | Christy R Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700047487 PECOS PAC ID: 8820267610 Enrollment ID: I20110811000899 |
| Provider Name | Paul M Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588751754 PECOS PAC ID: 3577543586 Enrollment ID: I20110823000677 |
| Provider Name | Kristina Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427235050 PECOS PAC ID: 8123198686 Enrollment ID: I20110829000103 |
| Provider Name | Brandi M Holsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962658104 PECOS PAC ID: 5294906368 Enrollment ID: I20110921000306 |
| Provider Name | Johnny J Stephens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093703738 PECOS PAC ID: 7012992258 Enrollment ID: I20110921000486 |
| Provider Name | Vishwas Sakhalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053492975 PECOS PAC ID: 2163528506 Enrollment ID: I20111019000732 |
| Provider Name | Yolanda Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861639809 PECOS PAC ID: 8527231026 Enrollment ID: I20111028000113 |
| Provider Name | Monali Sakhalkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891716890 PECOS PAC ID: 5092797779 Enrollment ID: I20111101000458 |
| Provider Name | Laura Lynn Reed |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194704338 PECOS PAC ID: 2961435243 Enrollment ID: I20111109000827 |
| Provider Name | Yvette M Davis Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770559692 PECOS PAC ID: 6305010240 Enrollment ID: I20111110000793 |
| Provider Name | Sandra E Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467452375 PECOS PAC ID: 9931376167 Enrollment ID: I20120111000528 |
| Provider Name | Jagdish R Sidhpura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184617599 PECOS PAC ID: 7517067671 Enrollment ID: I20120322000433 |
| Provider Name | Padmashree C Woodham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982882056 PECOS PAC ID: 3173786381 Enrollment ID: I20120529000198 |
| Provider Name | Amy B Christie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578740122 PECOS PAC ID: 1850556358 Enrollment ID: I20120709000256 |
| Provider Name | Danny Maurice Vaughn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649457292 PECOS PAC ID: 9234307034 Enrollment ID: I20120724000755 |
| Provider Name | Jean R Dozier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184801714 PECOS PAC ID: 3678739901 Enrollment ID: I20120731000670 |
| Provider Name | Matthew Christopher Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861482390 PECOS PAC ID: 6507027505 Enrollment ID: I20120829000405 |
| Provider Name | Gail Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265554596 PECOS PAC ID: 1355592700 Enrollment ID: I20121112000081 |
| Provider Name | Michael F Salvia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932194602 PECOS PAC ID: 9537131016 Enrollment ID: I20130208000217 |
| Provider Name | Charles W Callender |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972576320 PECOS PAC ID: 6709931470 Enrollment ID: I20130613000257 |
| Provider Name | Jaekea Teshea Coar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861741100 PECOS PAC ID: 9931349651 Enrollment ID: I20130701000227 |
| Provider Name | Muhammad S Afridi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902169741 PECOS PAC ID: 0840430856 Enrollment ID: I20130828000941 |
| Provider Name | Jennifer E Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942520093 PECOS PAC ID: 9830346618 Enrollment ID: I20130904000806 |
| Provider Name | Christy R Etheridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285068247 PECOS PAC ID: 6608001912 Enrollment ID: I20131022001516 |
| Provider Name | Melissa Cummings Mcphail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295054245 PECOS PAC ID: 7012158371 Enrollment ID: I20131105001247 |
| Provider Name | Gathline Etienne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366602005 PECOS PAC ID: 2961658562 Enrollment ID: I20131204002085 |
| Provider Name | Ricky Justin Mccullough |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469519 PECOS PAC ID: 0446438451 Enrollment ID: I20140103000728 |
| Provider Name | Erin M King-mullins |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1548410103 PECOS PAC ID: 6103062443 Enrollment ID: I20140619001970 |
| Provider Name | Jason R Chapman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447437090 PECOS PAC ID: 1456576578 Enrollment ID: I20140703001959 |
| Provider Name | Jay M Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528245784 PECOS PAC ID: 2769626928 Enrollment ID: I20140709000349 |
| Provider Name | Anuradha Pavuluri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306057914 PECOS PAC ID: 5496971004 Enrollment ID: I20140716002265 |
| Provider Name | Daniel S Chan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699894873 PECOS PAC ID: 1759436058 Enrollment ID: I20140821002346 |
| Provider Name | Alexandra H Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376959874 PECOS PAC ID: 8123246790 Enrollment ID: I20140822000959 |
| Provider Name | Jennifer Nicole Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518371129 PECOS PAC ID: 5799905170 Enrollment ID: I20141007001413 |
| Provider Name | Paul S Dale |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1427095165 PECOS PAC ID: 1850357823 Enrollment ID: I20141020002773 |
| Provider Name | Laura A Mcdade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174939227 PECOS PAC ID: 2264754399 Enrollment ID: I20141201000942 |
| Provider Name | Deepak Kadiyala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417129610 PECOS PAC ID: 9335295823 Enrollment ID: I20150512000188 |
| Provider Name | Dwayne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922486539 PECOS PAC ID: 7719298330 Enrollment ID: I20150623000853 |
| Provider Name | Salman Fidahussein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225298029 PECOS PAC ID: 8527238732 Enrollment ID: I20150807014121 |
| Provider Name | Garrison Whitaker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1467654509 PECOS PAC ID: 6002973302 Enrollment ID: I20150819007173 |
| Provider Name | Brandi Peaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154706067 PECOS PAC ID: 0143537373 Enrollment ID: I20150921000311 |
| Provider Name | Barclay Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346612496 PECOS PAC ID: 7618287418 Enrollment ID: I20151106001423 |
| Provider Name | Shane Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086136 PECOS PAC ID: 3173833811 Enrollment ID: I20151109000203 |
| Provider Name | Emily Walsh Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944664 PECOS PAC ID: 0446560007 Enrollment ID: I20151110003120 |
| Provider Name | Jessica M Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144616335 PECOS PAC ID: 3870808124 Enrollment ID: I20151120002286 |
| Provider Name | Lauren Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467836494 PECOS PAC ID: 5193025583 Enrollment ID: I20151208002294 |
| Provider Name | Rhonda Findley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790153450 PECOS PAC ID: 9032412408 Enrollment ID: I20160119000459 |
| Provider Name | Hope Rasque |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588603435 PECOS PAC ID: 7315900842 Enrollment ID: I20160210001437 |
| Provider Name | Kaci Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932567716 PECOS PAC ID: 9537465448 Enrollment ID: I20160302001555 |
| Provider Name | Lanita Aupperle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912376468 PECOS PAC ID: 1052619186 Enrollment ID: I20160406000584 |
| Provider Name | Sushmita Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427324615 PECOS PAC ID: 7113160649 Enrollment ID: I20160406001388 |
| Provider Name | Uzoma Okeiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841669884 PECOS PAC ID: 8628377199 Enrollment ID: I20160504002351 |
| Provider Name | Brandee Paullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154777258 PECOS PAC ID: 6406147941 Enrollment ID: I20160614001139 |
| Provider Name | Gorby Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911762 PECOS PAC ID: 6406158666 Enrollment ID: I20160616001441 |
| Provider Name | April Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720474158 PECOS PAC ID: 4486947603 Enrollment ID: I20160726002270 |
| Provider Name | Misti Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669730453 PECOS PAC ID: 7012173958 Enrollment ID: I20160727001964 |
| Provider Name | Roxana Coman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568616498 PECOS PAC ID: 7719159284 Enrollment ID: I20160728001780 |
| Provider Name | Gretchen Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811286297 PECOS PAC ID: 2961795703 Enrollment ID: I20160801001693 |
| Provider Name | Stephen Tomek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295762375 PECOS PAC ID: 5799930194 Enrollment ID: I20160804002275 |
| Provider Name | Onajefe S Nelson-twakor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922217926 PECOS PAC ID: 6800974460 Enrollment ID: I20160805001162 |
| Provider Name | Michelle G Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276708 PECOS PAC ID: 0042505901 Enrollment ID: I20160817001563 |
| Provider Name | Quintesia L Grant |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952677015 PECOS PAC ID: 1850696485 Enrollment ID: I20160913000594 |
| Provider Name | April Haefner-birdsong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205289063 PECOS PAC ID: 6406143841 Enrollment ID: I20160928001395 |
| Provider Name | Sharon Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736602 PECOS PAC ID: 9234426420 Enrollment ID: I20161003002239 |
| Provider Name | Deanna Henderson-martin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033405360 PECOS PAC ID: 0446548614 Enrollment ID: I20161004002661 |
| Provider Name | Christopher Blake Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739853 PECOS PAC ID: 5092003079 Enrollment ID: I20161006000655 |
| Provider Name | Jonathan R Hoffman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891961934 PECOS PAC ID: 4981992310 Enrollment ID: I20161018000406 |
| Provider Name | Heather Dykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419209 PECOS PAC ID: 1951689546 Enrollment ID: I20161102001651 |
| Provider Name | Sara Strebe Behrens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730382334 PECOS PAC ID: 6305032863 Enrollment ID: I20161129001228 |
| Provider Name | Shilpa Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450964 PECOS PAC ID: 7214179019 Enrollment ID: I20161214000077 |
| Provider Name | Patricia S Tarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164973327 PECOS PAC ID: 4284917717 Enrollment ID: I20170208000700 |
| Provider Name | Japan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259731 PECOS PAC ID: 1153605134 Enrollment ID: I20170313000939 |
| Provider Name | Haley Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366988818 PECOS PAC ID: 1456637842 Enrollment ID: I20170419003053 |
| Provider Name | James Shinholster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811429988 PECOS PAC ID: 0143506485 Enrollment ID: I20170420002329 |
| Provider Name | Ayodeji Olarewaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467711960 PECOS PAC ID: 4789952805 Enrollment ID: I20170614001362 |
| Provider Name | Jarrod Dumpe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326262312 PECOS PAC ID: 8527204924 Enrollment ID: I20170705002557 |
| Provider Name | Charles Adam Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144516162 PECOS PAC ID: 5193964468 Enrollment ID: I20170719002229 |
| Provider Name | Jessica Daigle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922397413 PECOS PAC ID: 3375849003 Enrollment ID: I20170815004155 |
| Provider Name | Lori Mullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821524356 PECOS PAC ID: 5991077919 Enrollment ID: I20170824003095 |
| Provider Name | Summerly F. Humphries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326561127 PECOS PAC ID: 8325311988 Enrollment ID: I20170901000025 |
| Provider Name | Jill Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750818100 PECOS PAC ID: 9234403528 Enrollment ID: I20170926001132 |
| Provider Name | Julius Brandon Elmore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457523367 PECOS PAC ID: 3476728718 Enrollment ID: I20170926002308 |
| Provider Name | Frederick Griffin Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649569591 PECOS PAC ID: 3476785395 Enrollment ID: I20171219001126 |
| Provider Name | Richard J Cartie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750351326 PECOS PAC ID: 3971528159 Enrollment ID: I20180111002999 |
| Provider Name | Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336363373 PECOS PAC ID: 3577664481 Enrollment ID: I20180118001072 |
| Provider Name | Brandi Lynn Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407360084 PECOS PAC ID: 6305105420 Enrollment ID: I20180118001583 |
| Provider Name | Darquita Marando Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760996342 PECOS PAC ID: 8325308299 Enrollment ID: I20180214002259 |
| Provider Name | David K Shellington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063485779 PECOS PAC ID: 0547435943 Enrollment ID: I20180320001790 |
| Provider Name | Elizabeth Lynn Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508222852 PECOS PAC ID: 4183970809 Enrollment ID: I20180710002597 |
| Provider Name | John A Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487636999 PECOS PAC ID: 5799750048 Enrollment ID: I20180713001299 |
| Provider Name | Justin Bradford Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528365723 PECOS PAC ID: 8921248253 Enrollment ID: I20180809006183 |
| Provider Name | Ashby Thornley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518452622 PECOS PAC ID: 6103175302 Enrollment ID: I20180821003960 |
| Provider Name | Waqar Ahmed Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578826293 PECOS PAC ID: 9335444942 Enrollment ID: I20180824001992 |
| Provider Name | Cynthia S Roland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841580099 PECOS PAC ID: 5294049854 Enrollment ID: I20180827000578 |
| Provider Name | Monica Ahuja |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982030524 PECOS PAC ID: 6204120264 Enrollment ID: I20180910000646 |
| Provider Name | Matthew Harrison Martell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104269463 PECOS PAC ID: 9335490648 Enrollment ID: I20180926001346 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841551165 PECOS PAC ID: 3779884739 Enrollment ID: I20180927001925 |
| Provider Name | Jennifer Krommes Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609376979 PECOS PAC ID: 6507118510 Enrollment ID: I20181002002414 |
| Provider Name | Sarah Choo-yick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427437755 PECOS PAC ID: 1951603034 Enrollment ID: I20181003001222 |
| Provider Name | Loan L Vu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780909879 PECOS PAC ID: 3870769557 Enrollment ID: I20181004003060 |
| Provider Name | Kelsey Lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962982280 PECOS PAC ID: 9234481813 Enrollment ID: I20181009002984 |
| Provider Name | Me'ja Raquel Day |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578978227 PECOS PAC ID: 9537388145 Enrollment ID: I20181012000203 |
| Provider Name | Tonya Wainwright Carodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548476 PECOS PAC ID: 0446502553 Enrollment ID: I20181017001817 |
| Provider Name | Kenneth Wayne Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124504782 PECOS PAC ID: 1850644592 Enrollment ID: I20181027000090 |
| Provider Name | Aftab Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316387525 PECOS PAC ID: 7911120829 Enrollment ID: I20181108001623 |
| Provider Name | Meral M Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184980567 PECOS PAC ID: 4880948603 Enrollment ID: I20181114002654 |
| Provider Name | Christopher Melvin Franklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477753267 PECOS PAC ID: 2961668694 Enrollment ID: I20181130001224 |
| Provider Name | Domonique L Charles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932588233 PECOS PAC ID: 0345543906 Enrollment ID: I20181204001090 |
| Provider Name | Katyln Taylor Hogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548743727 PECOS PAC ID: 8820332406 Enrollment ID: I20181208000382 |
| Provider Name | Sesi Dosunmu-ogunbi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154386076 PECOS PAC ID: 3072530799 Enrollment ID: I20190122001201 |
| Provider Name | Vaishali Doshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922198407 PECOS PAC ID: 2961497110 Enrollment ID: I20190122003247 |
| Provider Name | Joanna Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376008110 PECOS PAC ID: 3577803097 Enrollment ID: I20190320001767 |
| Provider Name | Kayla Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750853271 PECOS PAC ID: 9133461809 Enrollment ID: I20190429001756 |
| Provider Name | Andrrea Michelle Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770042228 PECOS PAC ID: 8123360807 Enrollment ID: I20190429002286 |
| Provider Name | Oliver W Horne |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053610642 PECOS PAC ID: 9931328366 Enrollment ID: I20190507002032 |
| Provider Name | Joseph Harold Kratzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124004627 PECOS PAC ID: 5799753570 Enrollment ID: I20190521001279 |
| Provider Name | Collin Harding Dubick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649632225 PECOS PAC ID: 9133453558 Enrollment ID: I20190618003763 |
| Provider Name | Erik Joachim Schneibel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962768721 PECOS PAC ID: 6103133186 Enrollment ID: I20190619003122 |
| Provider Name | Ashley Jana Marie Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760710743 PECOS PAC ID: 4880828342 Enrollment ID: I20190724001093 |
| Provider Name | Carlos Rodrigo Franco-palacios |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497966600 PECOS PAC ID: 5890841316 Enrollment ID: I20190813003840 |
| Provider Name | Debra J Weatherall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588141642 PECOS PAC ID: 7517295579 Enrollment ID: I20190828004337 |
| Provider Name | Lauren Elizabeth Villo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265875827 PECOS PAC ID: 3971832841 Enrollment ID: I20190903001784 |
| Provider Name | David Lovejoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528328556 PECOS PAC ID: 5395038715 Enrollment ID: I20190905003062 |
| Provider Name | Charles D Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336582626 PECOS PAC ID: 3072842244 Enrollment ID: I20190912003626 |
| Provider Name | Anna Wilson Bunker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376961565 PECOS PAC ID: 9234469057 Enrollment ID: I20190920003106 |
| Provider Name | Davis Sungwhan Moon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043455306 PECOS PAC ID: 8426351446 Enrollment ID: I20190927002925 |
| Provider Name | Kristi Marie George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982970901 PECOS PAC ID: 0749572725 Enrollment ID: I20191106001358 |
| Provider Name | Jessica R Hutchins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366763112 PECOS PAC ID: 1456508159 Enrollment ID: I20191111002348 |
| Provider Name | Benoy Varghese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447694252 PECOS PAC ID: 1658678503 Enrollment ID: I20191114002457 |
| Provider Name | Charla R Mcgaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487200176 PECOS PAC ID: 7416380746 Enrollment ID: I20191127001308 |
| Provider Name | Terrica Leann Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887092 PECOS PAC ID: 1557794328 Enrollment ID: I20191209002159 |
| Provider Name | Eric Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856674 PECOS PAC ID: 8022304534 Enrollment ID: I20191211003142 |
| Provider Name | Aubrey Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760032742 PECOS PAC ID: 2769815398 Enrollment ID: I20191211003332 |
| Provider Name | Lateya Foxx |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023329372 PECOS PAC ID: 0648498105 Enrollment ID: I20200102002747 |
| Provider Name | Amy D Brigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497399919 PECOS PAC ID: 2062848195 Enrollment ID: I20200207000874 |
| Provider Name | Laura Julie Caraway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730729799 PECOS PAC ID: 8224465265 Enrollment ID: I20200303002393 |
| Provider Name | Ayman Ibrahim Omar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285894501 PECOS PAC ID: 3476629890 Enrollment ID: I20200316000487 |
| Provider Name | Puvalai Meenakshisundram Vijaykumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629066386 PECOS PAC ID: 4587699939 Enrollment ID: I20200506001982 |
| Provider Name | Abigail Cruz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407116130 PECOS PAC ID: 1052687209 Enrollment ID: I20200621000021 |
| Provider Name | Anthony M Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508146051 PECOS PAC ID: 6002119310 Enrollment ID: I20200812002377 |
| Provider Name | Alex Alers Fuentes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326335308 PECOS PAC ID: 7113347089 Enrollment ID: I20201014001699 |
| Provider Name | Antonio Granda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780624023 PECOS PAC ID: 9739262346 Enrollment ID: I20201103001530 |
| Provider Name | Lauren Ashley Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003227968 PECOS PAC ID: 7810290442 Enrollment ID: I20201103001950 |
| Provider Name | Tekeria Gallemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821604158 PECOS PAC ID: 6709297344 Enrollment ID: I20201202002873 |
| Provider Name | Keerti L Dantuluri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285045963 PECOS PAC ID: 9133548340 Enrollment ID: I20201221000858 |
| Provider Name | Lee Elizabeth Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942410394 PECOS PAC ID: 6406170448 Enrollment ID: I20210113002700 |
| Provider Name | Tondra M Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922260611 PECOS PAC ID: 5092955880 Enrollment ID: I20210127003599 |
| Provider Name | Amina Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922029511 PECOS PAC ID: 9931108594 Enrollment ID: I20210128002813 |
| Provider Name | David Beshai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689089690 PECOS PAC ID: 2163792482 Enrollment ID: I20210205001910 |
| Provider Name | Troy Leo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629225701 PECOS PAC ID: 6901083344 Enrollment ID: I20210511001922 |
| Provider Name | Kira Kosenski Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700498086 PECOS PAC ID: 9638588254 Enrollment ID: I20210512001773 |
| Provider Name | Royce Clifton Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568824993 PECOS PAC ID: 0143584854 Enrollment ID: I20210525000540 |
| Provider Name | Amy Surti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114459625 PECOS PAC ID: 1951637412 Enrollment ID: I20210803002607 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20210803003503 |
| Provider Name | Siping He |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285166686 PECOS PAC ID: 1355612052 Enrollment ID: I20210806000605 |
| Provider Name | Krishna Thandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942512777 PECOS PAC ID: 4284877127 Enrollment ID: I20210810000651 |
| Provider Name | Vincent Fang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457882342 PECOS PAC ID: 2769734474 Enrollment ID: I20210818000976 |
| Provider Name | John Robert Gosche |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427130160 PECOS PAC ID: 4880795517 Enrollment ID: I20211005000140 |
| Provider Name | Joseph S Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760484976 PECOS PAC ID: 7911955844 Enrollment ID: I20211005000491 |
| Provider Name | Jessica Burke Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598432817 PECOS PAC ID: 4789072992 Enrollment ID: I20211020002321 |
| Provider Name | Kasey Eavenson Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558932004 PECOS PAC ID: 8628466281 Enrollment ID: I20211101001523 |
| Provider Name | Hallie Mechele-reagan Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538835269 PECOS PAC ID: 1850780248 Enrollment ID: I20211104002193 |
| Provider Name | Christopher John Blewett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477524502 PECOS PAC ID: 1850490459 Enrollment ID: I20211117001636 |
| Provider Name | Xiaolu Wu Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306984059 PECOS PAC ID: 4981884459 Enrollment ID: I20211203000209 |
| Provider Name | Natasha N Shinholster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295493880 PECOS PAC ID: 1557754835 Enrollment ID: I20220209000992 |
| Provider Name | John Koszuta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952377855 PECOS PAC ID: 7810029204 Enrollment ID: I20220317000324 |
| Provider Name | Whitney Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922637354 PECOS PAC ID: 7517353865 Enrollment ID: I20220413001617 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20220421000563 |
| Provider Name | Ryan Lester Werntz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295274017 PECOS PAC ID: 9537556063 Enrollment ID: I20220429002117 |
| Provider Name | Allen Stefane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376500264 PECOS PAC ID: 9537194949 Enrollment ID: I20220525002367 |
| Provider Name | Laura Michelle Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255763173 PECOS PAC ID: 2264667526 Enrollment ID: I20220614001595 |
| Provider Name | Mitsuko P Shannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689694374 PECOS PAC ID: 0446384564 Enrollment ID: I20220617001822 |
| Provider Name | Jacqueline Norman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841618675 PECOS PAC ID: 2769601673 Enrollment ID: I20220620000890 |
| Provider Name | Maria S Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386758753 PECOS PAC ID: 4183622582 Enrollment ID: I20220621002046 |
| Provider Name | Saima Zia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164508578 PECOS PAC ID: 9234367756 Enrollment ID: I20220621002985 |
| Provider Name | Nawal Weaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932339660 PECOS PAC ID: 1850444845 Enrollment ID: I20220621003433 |
| Provider Name | Kelly Hobgood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114931425 PECOS PAC ID: 2062472640 Enrollment ID: I20220712002544 |
| Provider Name | Merrill Sloan May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427788611 PECOS PAC ID: 4284015819 Enrollment ID: I20220713004142 |
| Provider Name | Antoinette Adjowa Otubea Amevor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316387202 PECOS PAC ID: 6204139892 Enrollment ID: I20220714002291 |
| Provider Name | Walter Gay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053424929 PECOS PAC ID: 3971563842 Enrollment ID: I20220719002157 |
| Provider Name | Molly Rebecca Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215669833 PECOS PAC ID: 3971985557 Enrollment ID: I20220728002068 |
| Provider Name | Samiksha Bansal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427209725 PECOS PAC ID: 6507169398 Enrollment ID: I20220801000987 |
| Provider Name | Katie Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013394121 PECOS PAC ID: 1850611872 Enrollment ID: I20220801001412 |
| Provider Name | Boris Kiselev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023499621 PECOS PAC ID: 4284944901 Enrollment ID: I20220801002086 |
| Provider Name | Adrienne N Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699279224 PECOS PAC ID: 5597009449 Enrollment ID: I20220802003366 |
| Provider Name | Katherine Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881056646 PECOS PAC ID: 3779876966 Enrollment ID: I20220804002285 |
| Provider Name | Mildred A Opondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609189463 PECOS PAC ID: 1456576347 Enrollment ID: I20220805003086 |
| Provider Name | Nancy Dismuke Brynteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659232 PECOS PAC ID: 0749662732 Enrollment ID: I20220808002786 |
| Provider Name | Matthew Hartzell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376834317 PECOS PAC ID: 2961645601 Enrollment ID: I20220810003198 |
| Provider Name | Raymond Betcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952452310 PECOS PAC ID: 1951402320 Enrollment ID: I20220812001734 |
| Provider Name | Mellissa Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891200630 PECOS PAC ID: 9436554037 Enrollment ID: I20220815003452 |
| Provider Name | Jennifer Fordham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972237055 PECOS PAC ID: 6901280676 Enrollment ID: I20220829003521 |
| Provider Name | Rachel B Goodson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013300227 PECOS PAC ID: 1456603091 Enrollment ID: I20220912003484 |
| Provider Name | Adriana C Maldonado-brem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871589663 PECOS PAC ID: 7416845276 Enrollment ID: I20220913001777 |
| Provider Name | Kaitlyn Renee Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194443085 PECOS PAC ID: 4981089810 Enrollment ID: I20220913004236 |
| Provider Name | Matthew Alan Barnes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285096420 PECOS PAC ID: 4385996941 Enrollment ID: I20220915000003 |
| Provider Name | Katie Lauren Mclemore Mcqueen Amaker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598179228 PECOS PAC ID: 4688894520 Enrollment ID: I20220915003322 |
| Provider Name | Alfred Francois Trappey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437470176 PECOS PAC ID: 2961799861 Enrollment ID: I20220921003201 |
| Provider Name | Alberto O Fernandez Bravo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619991148 PECOS PAC ID: 3577461482 Enrollment ID: I20221018002224 |
| Provider Name | Thomas Howard Cartwright |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760442313 PECOS PAC ID: 0244248466 Enrollment ID: I20221202000914 |
| Provider Name | William Wallace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487185054 PECOS PAC ID: 9335483619 Enrollment ID: I20230207001258 |
| Provider Name | Ian Livingstone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275626939 PECOS PAC ID: 3779548631 Enrollment ID: I20230209000198 |
| Provider Name | Sara Pleasants Burdette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679279376 PECOS PAC ID: 7214300730 Enrollment ID: I20230303001741 |
| Provider Name | Chandra S Pingili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063734069 PECOS PAC ID: 7517093347 Enrollment ID: I20230322001177 |
| Provider Name | Jennifer Marie Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689387516 PECOS PAC ID: 2365817517 Enrollment ID: I20230331001690 |
| Provider Name | Larry Allen Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760092340 PECOS PAC ID: 4385821081 Enrollment ID: I20230407000074 |
| Provider Name | Amanda Ann Bramblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275220642 PECOS PAC ID: 6406212042 Enrollment ID: I20230524000214 |
| Provider Name | Christi Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609410091 PECOS PAC ID: 4789040205 Enrollment ID: I20230525000603 |
| Provider Name | Ryan Bradley Davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407353246 PECOS PAC ID: 0840542015 Enrollment ID: I20230602000831 |
| Provider Name | Gary Jonathan Myrthil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649835125 PECOS PAC ID: 3072848688 Enrollment ID: I20230619000600 |
| Provider Name | Ankit Mathur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699302737 PECOS PAC ID: 2466865324 Enrollment ID: I20230705002236 |
| Provider Name | Arshia Poursina Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295441400 PECOS PAC ID: 1951760164 Enrollment ID: I20230706002494 |
| Provider Name | John Mckinney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457330813 PECOS PAC ID: 6305940537 Enrollment ID: I20230706003462 |
| Provider Name | Muhammad Usama Shah Hamdani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487107033 PECOS PAC ID: 6800127457 Enrollment ID: I20230707000193 |
| Provider Name | Anthony A Holden |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720086606 PECOS PAC ID: 4183605439 Enrollment ID: I20230721001945 |
| Provider Name | Leslie Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629766332 PECOS PAC ID: 3678934122 Enrollment ID: I20230731002025 |
| Provider Name | Marek Denisiuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518457860 PECOS PAC ID: 1254687908 Enrollment ID: I20230801001159 |
| Provider Name | Stephen Laga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952361818 PECOS PAC ID: 3577617430 Enrollment ID: I20230801003994 |
| Provider Name | Lisa Ann Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215615083 PECOS PAC ID: 0042671315 Enrollment ID: I20230802003581 |
| Provider Name | Birmaji Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419254 PECOS PAC ID: 6103199146 Enrollment ID: I20230803003486 |
| Provider Name | Kristin Elizabeth Harmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861847840 PECOS PAC ID: 0941661961 Enrollment ID: I20230807001863 |
| Provider Name | Abdullah Shahid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528400488 PECOS PAC ID: 1456574110 Enrollment ID: I20230817001431 |
| Provider Name | Brittany Lightsey Joseph |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235475765 PECOS PAC ID: 2668834821 Enrollment ID: I20230821000336 |
| Provider Name | Robert J Lembo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225490857 PECOS PAC ID: 0345535472 Enrollment ID: I20230822002818 |
| Provider Name | Sophia Sharifali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215469937 PECOS PAC ID: 7012397581 Enrollment ID: I20230911000363 |
| Provider Name | Madison N Couch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447928304 PECOS PAC ID: 3678937489 Enrollment ID: I20230913000183 |
| Provider Name | Jonathan Scott Cudnik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920538 PECOS PAC ID: 7113173337 Enrollment ID: I20230919003093 |
| Provider Name | Victoria Castaneda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720092018 PECOS PAC ID: 3577720465 Enrollment ID: I20230919004323 |
| Provider Name | Megan Childs Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423136 PECOS PAC ID: 9537514690 Enrollment ID: I20231009003224 |
| Provider Name | Paru Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467235549 PECOS PAC ID: 7810345337 Enrollment ID: I20231122000645 |
| Provider Name | George Maher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235120403 PECOS PAC ID: 3678511987 Enrollment ID: I20231127000687 |
| Provider Name | Hailey Annalyn Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093597577 PECOS PAC ID: 9638527971 Enrollment ID: I20231128001927 |
| Provider Name | Patricia Angeles Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417217084 PECOS PAC ID: 6204190903 Enrollment ID: I20231201001680 |
| Provider Name | Miloni Shroff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447488028 PECOS PAC ID: 5294956413 Enrollment ID: I20231208002505 |
| Provider Name | Enrique Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851161152 PECOS PAC ID: 2466805668 Enrollment ID: I20240124001259 |
| Provider Name | Bridget Coman Knowles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891099487 PECOS PAC ID: 8921451840 Enrollment ID: I20240126003536 |
| Provider Name | Destiny Renee Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407623523 PECOS PAC ID: 4183067382 Enrollment ID: I20240205002135 |
| Provider Name | Eric F. Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326466939 PECOS PAC ID: 4486873304 Enrollment ID: I20240209001980 |
| Provider Name | Stephanie Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944373 PECOS PAC ID: 8426492554 Enrollment ID: I20240216002711 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 | |
Abc Anesthesia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Ingleside Ave, Macon, GA 31204 Phone: 404-408-3100 |