| Pai Participant 29, P.c. | |
|
877 Hill Everhart Rd Lexington NC 27295-9140 | |
| (336) 248-6644 | |
| (336) 224-0537 |
| Full Name | Pai Participant 29, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 877 Hill Everhart Rd, Lexington, North Carolina |
| Authorized Official Name and Position | Erin Laird (SR DIRECTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4104588713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 29, P.c. Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 29, P.c. 877 Hill Everhart Rd Lexington NC 27295-9140 Ph: (336) 248-6644 |
| NPI Number | 1245813757 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Medicare PECOS PAC ID | 6002216215 |
|---|---|
| Medicare Enrollment ID | O20210609002615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245813757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | Ila Leigh Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295925089 PECOS PAC ID: 4688767254 Enrollment ID: I20071024000044 |
| Provider Name | Yuthapong Sukkasem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730162777 PECOS PAC ID: 8224171830 Enrollment ID: I20100204000563 |
| Provider Name | Glenda Marcia Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457322646 PECOS PAC ID: 4385625367 Enrollment ID: I20110208000197 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20171003006389 |
| Provider Name | Trixy M. Headden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502911 PECOS PAC ID: 3678821766 Enrollment ID: I20180806003162 |
| Provider Name | Kara M Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326605759 PECOS PAC ID: 8123356912 Enrollment ID: I20190816002572 |
| Provider Name | Tennillya Dewan Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376177634 PECOS PAC ID: 7012347917 Enrollment ID: I20200416001746 |
| Provider Name | Saree Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164020392 PECOS PAC ID: 5698184331 Enrollment ID: I20210510000065 |
| Provider Name | Jennifer Marie Enderline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813653 PECOS PAC ID: 5698009660 Enrollment ID: I20210804003846 |
| Provider Name | Sandra Gail Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790452076 PECOS PAC ID: 2163829508 Enrollment ID: I20210927003443 |
| Provider Name | Cristin L Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962154658 PECOS PAC ID: 6103212154 Enrollment ID: I20220331001154 |
| Provider Name | Jill Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295706158 PECOS PAC ID: 3274500491 Enrollment ID: I20220401002049 |
| Provider Name | Tiffany Anne Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124625504 PECOS PAC ID: 8729474036 Enrollment ID: I20220413000234 |
| Provider Name | Crystal Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578210928 PECOS PAC ID: 0648658633 Enrollment ID: I20220602003137 |
| Provider Name | Craig Hayek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720053358 PECOS PAC ID: 9931117884 Enrollment ID: I20221228002033 |
| Provider Name | Tracy Goen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770561995 PECOS PAC ID: 8224086780 Enrollment ID: I20230329000762 |
| Provider Name | Alfonso Brochero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306005665 PECOS PAC ID: 6507910759 Enrollment ID: I20230417002448 |
| Provider Name | Pamela Jean Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548867526 PECOS PAC ID: 6406268382 Enrollment ID: I20230425000618 |
| Provider Name | Ellen Dunn Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548966500 PECOS PAC ID: 9335599869 Enrollment ID: I20231226001756 |
| Provider Name | Cathy Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699531673 PECOS PAC ID: 1850443649 Enrollment ID: I20240709002352 |
| Provider Name | Jacqueline Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114583630 PECOS PAC ID: 0244621340 Enrollment ID: I20240821003500 |
| Provider Name | Shelly Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407611858 PECOS PAC ID: 5496294365 Enrollment ID: I20240823002248 |
| Provider Name | Meladie Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609483106 PECOS PAC ID: 0143740779 Enrollment ID: I20250225003803 |
Gaston Family Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Kirkwood Ave, Lexington, NC 27292 Phone: 336-243-3201 Fax: 704-671-1404 | |
County Of Davidson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 N Greensboro St, Lexington, NC 27292 Phone: 336-242-2300 Fax: 336-242-2485 | |
Alignmed Medical Group Nc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 877 Hill Everhart Rd, Lexington, NC 27295 Phone: 336-248-6644 | |
Marc F. Fedder, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 W Center St Ste B, Lexington, NC 27292 Phone: 336-249-4296 Fax: 336-249-1893 | |
Lexington Internal Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Cherry St, Lexington, NC 27292 Phone: 336-249-2500 Fax: 336-249-2555 | |
Lexinton Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Medical Park Dr, Lexington, NC 27292 Phone: 336-248-8692 Fax: 336-249-7348 |