| Raleigh Durham Medical Group Pa | |
|
210 S Cameron St Hillsborough NC 27278-2505 | |
| (919) 732-9311 | |
| (919) 732-9315 |
| Full Name | Raleigh Durham Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 210 S Cameron St, Hillsborough, North Carolina |
| Authorized Official Name and Position | David K Moye (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 9198512174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Durham Medical Group Pa 5420 Wade Park Blvd Suite 106 Raleigh NC 27607-4188 Ph: (919) 851-2174 | Raleigh Durham Medical Group Pa 210 S Cameron St Hillsborough NC 27278-2505 Ph: (919) 732-9311 |
| NPI Number | 1194828145 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/05/2009 |
| Medicare PECOS PAC ID | 2365409588 |
|---|---|
| Medicare Enrollment ID | O20041220000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194828145 | NPI | - | NPPES |
| 890282C | Medicaid | NC | |
| 0282C | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian Keith Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598877359 PECOS PAC ID: 3577477157 Enrollment ID: I20031118000280 |
| Provider Name | Nirali M Dubal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386699403 PECOS PAC ID: 4486544475 Enrollment ID: I20040315001565 |
| Provider Name | James A Partridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629015227 PECOS PAC ID: 0941261499 Enrollment ID: I20041019000973 |
| Provider Name | Scott H Brundle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144274119 PECOS PAC ID: 9537127139 Enrollment ID: I20041229000616 |
| Provider Name | Poorvi J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538106133 PECOS PAC ID: 8729046289 Enrollment ID: I20041230000023 |
| Provider Name | Adam Clark Wenzlik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447297049 PECOS PAC ID: 7719945278 Enrollment ID: I20041230000027 |
| Provider Name | Althea H Massenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710924311 PECOS PAC ID: 5698733046 Enrollment ID: I20041230000748 |
| Provider Name | Jing Jean Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245277847 PECOS PAC ID: 9537127873 Enrollment ID: I20050103000655 |
| Provider Name | Wendell C John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942288790 PECOS PAC ID: 5890745723 Enrollment ID: I20050127000717 |
| Provider Name | Julia Elizabeth Norem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881690402 PECOS PAC ID: 4082665252 Enrollment ID: I20050204000212 |
| Provider Name | Charlie H Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154368751 PECOS PAC ID: 6305899949 Enrollment ID: I20050223000881 |
| Provider Name | Vandana Nayal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669559787 PECOS PAC ID: 3779585369 Enrollment ID: I20070212000101 |
| Provider Name | Laurie K Szoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104822733 PECOS PAC ID: 5597847129 Enrollment ID: I20080204000683 |
| Provider Name | Stanley R Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164524005 PECOS PAC ID: 9234206020 Enrollment ID: I20080919000468 |
| Provider Name | Charles Edwards Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598867475 PECOS PAC ID: 7618044983 Enrollment ID: I20080929000434 |
| Provider Name | William Bernard Hebda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417051681 PECOS PAC ID: 7618033556 Enrollment ID: I20090302000521 |
| Provider Name | Scott Michael Kahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568665610 PECOS PAC ID: 0749333656 Enrollment ID: I20090724000386 |
| Provider Name | Raymond A Gaskins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1073519690 PECOS PAC ID: 0749249266 Enrollment ID: I20100111000385 |
| Provider Name | Nicole Greyshock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063689826 PECOS PAC ID: 7517125222 Enrollment ID: I20120228000013 |
| Provider Name | George M Wadie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831121367 PECOS PAC ID: 5496848772 Enrollment ID: I20120316000281 |
| Provider Name | Christopher N Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770536971 PECOS PAC ID: 0244472348 Enrollment ID: I20130819000673 |
| Provider Name | Stephen R Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992790265 PECOS PAC ID: 0749423671 Enrollment ID: I20130826000288 |
| Provider Name | Richard S Gelber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194743583 PECOS PAC ID: 1355328402 Enrollment ID: I20130904000813 |
| Provider Name | Kristin L Donoghue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306005434 PECOS PAC ID: 3274776588 Enrollment ID: I20130905000092 |
| Provider Name | Christina M Flannelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003866211 PECOS PAC ID: 0941444368 Enrollment ID: I20130924000828 |
| Provider Name | Michele Halby Mcmillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265479869 PECOS PAC ID: 9830333251 Enrollment ID: I20130924000851 |
| Provider Name | Returi P Elkins-williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538488838 PECOS PAC ID: 2567606940 Enrollment ID: I20130925000554 |
| Provider Name | Shefali V Parmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780872341 PECOS PAC ID: 1850525155 Enrollment ID: I20130927000309 |
| Provider Name | Brett L Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467499061 PECOS PAC ID: 6901030832 Enrollment ID: I20131009000788 |
| Provider Name | William J Rutledge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558308155 PECOS PAC ID: 5597913327 Enrollment ID: I20131009001208 |
| Provider Name | Renee Dusold Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184831950 PECOS PAC ID: 2163649914 Enrollment ID: I20140819000771 |
| Provider Name | Theresa A Kallman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518192897 PECOS PAC ID: 5597985739 Enrollment ID: I20141009002433 |
| Provider Name | Jacquelyn A Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356635528 PECOS PAC ID: 4385868991 Enrollment ID: I20141010001410 |
| Provider Name | Monica Ann Selak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366733305 PECOS PAC ID: 0648496455 Enrollment ID: I20141203000513 |
| Provider Name | Brittany Mohammed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457774069 PECOS PAC ID: 3274855671 Enrollment ID: I20141212001505 |
| Provider Name | David Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369552 PECOS PAC ID: 3072828318 Enrollment ID: I20150817001058 |
| Provider Name | Shireesha Sangineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578791422 PECOS PAC ID: 8921252149 Enrollment ID: I20151130001740 |
| Provider Name | Mary Elizabeth Schultz-villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285982173 PECOS PAC ID: 6406155456 Enrollment ID: I20160426002059 |
| Provider Name | Matthew Francis Baldwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396005328 PECOS PAC ID: 1658596176 Enrollment ID: I20160817001928 |
| Provider Name | Laura N Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285992669 PECOS PAC ID: 4688824162 Enrollment ID: I20161118001777 |
| Provider Name | Brittany Horne Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979759 PECOS PAC ID: 4385915537 Enrollment ID: I20170807000194 |
| Provider Name | Lorven Michael Edralin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316385982 PECOS PAC ID: 5597054999 Enrollment ID: I20180305002594 |
| Provider Name | Chitrabharathi Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558654210 PECOS PAC ID: 9931454212 Enrollment ID: I20180611002135 |
| Provider Name | Danielle K Arvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700362803 PECOS PAC ID: 0648522409 Enrollment ID: I20181008000299 |
| Provider Name | Andrew M Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717215 PECOS PAC ID: 4688967318 Enrollment ID: I20181116001532 |
| Provider Name | Anna Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821573460 PECOS PAC ID: 2466796677 Enrollment ID: I20181128003198 |
| Provider Name | Wakeelah T Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992041974 PECOS PAC ID: 7618380197 Enrollment ID: I20201229002351 |
| Provider Name | Jade Y Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366114027 PECOS PAC ID: 3072905132 Enrollment ID: I20220121001723 |
| Provider Name | Alvin Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184151151 PECOS PAC ID: 0547530966 Enrollment ID: I20220825002633 |
| Provider Name | Rebecca A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982317947 PECOS PAC ID: 4587038484 Enrollment ID: I20230315003202 |
| Provider Name | Kelly Anne Carney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396873667 PECOS PAC ID: 7416271135 Enrollment ID: I20230426001807 |
| Provider Name | Ellen L Ghodke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639790900 PECOS PAC ID: 1052734001 Enrollment ID: I20231003001968 |
| Provider Name | Olivia S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801454244 PECOS PAC ID: 6305172057 Enrollment ID: I20231013001793 |
| Provider Name | Mary Marshall Simonson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609142702 PECOS PAC ID: 9133578875 Enrollment ID: I20231207000126 |
| Provider Name | Amy Lynn Ketner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861781791 PECOS PAC ID: 0244682987 Enrollment ID: I20240118002658 |
| Provider Name | Matthew Dana Stockstill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316277015 PECOS PAC ID: 1759795784 Enrollment ID: I20240207000328 |
| Provider Name | Tonya Michele Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629416813 PECOS PAC ID: 7719323740 Enrollment ID: I20240312002765 |
| Provider Name | Arlene Ng Chua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821051368 PECOS PAC ID: 6709771249 Enrollment ID: I20241112003230 |
| Provider Name | Joyce Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568910594 PECOS PAC ID: 8123541216 Enrollment ID: I20250329000147 |
University Of North Carolina At Chapel Hill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Old Nc 86, Hillsborough, NC 27278 Phone: 919-732-2909 | |
Piedmont Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Hayes St, Hillsborough, NC 27278 Phone: 919-732-3622 | |
Accent Optometry, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Hampton Pointe Blvd, Hillsborough, NC 27278 Phone: 919-643-2015 Fax: 919-732-9320 | |
Smartcare Operations Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 70 East, Hillsborough, NC 27278 Phone: 919-643-3059 Fax: 919-732-2307 | |
Unc Physicians Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Cameron St, Hillsborough, NC 27278 Phone: 919-732-9311 | |
Family Centered Healthcare, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Millstone Drive, Hillsborough, NC 27278 Phone: 919-245-3247 Fax: 919-732-3864 |