| Pinehurst Medical Clinic, Inc. | |
|
205 Page Rd Pinehurst NC 28374-8798 | |
| (910) 295-5511 | |
| (910) 235-3443 |
| Full Name | Pinehurst Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 Page Rd, Pinehurst, North Carolina |
| Authorized Official Name and Position | Brandon Enfinger (CEO) |
| Authorized Official Contact | 9102353004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinehurst Medical Clinic, Inc. 200 Pavilion Way Southern Pines NC 28387-4561 Ph: (910) 295-5511 | Pinehurst Medical Clinic, Inc. 205 Page Rd Pinehurst NC 28374-8798 Ph: (910) 295-5511 |
| NPI Number | 1255388369 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 02/16/2023 |
| Medicare PECOS PAC ID | 5991617169 |
|---|---|
| Medicare Enrollment ID | O20031105000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255388369 | NPI | - | NPPES |
| CC6114 | Other | NC | PALMETTO GBA GROUP# |
| NPA775 | Other | SC | SC MEDICAID GROUP# |
| 0395360001 | Other | NC | DME-PALMETTO GROUP# |
| 8902418 | Medicaid | NC | |
| 02418 | Other | NC | BC/BS NC GROUP # |
| Provider Name | David C Thornton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265472773 PECOS PAC ID: 3173519287 Enrollment ID: I20040423000454 |
| Provider Name | Beth P Stanfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164584710 PECOS PAC ID: 2769461227 Enrollment ID: I20040717000300 |
| Provider Name | Michael J Gillespie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609971068 PECOS PAC ID: 2769455195 Enrollment ID: I20040814000178 |
| Provider Name | Richard C Wolonick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760485726 PECOS PAC ID: 1759359573 Enrollment ID: I20040920001015 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20041026000777 |
| Provider Name | Mahmoud K Atieh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700827177 PECOS PAC ID: 8224093109 Enrollment ID: I20041120000147 |
| Provider Name | Wayne B Lucas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932141223 PECOS PAC ID: 2860440914 Enrollment ID: I20050105001077 |
| Provider Name | Christa C D'ostroph |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023208659 PECOS PAC ID: 4587605894 Enrollment ID: I20050517000842 |
| Provider Name | Michael A Antil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174563035 PECOS PAC ID: 1153364948 Enrollment ID: I20050602000713 |
| Provider Name | Greg M Blakely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962442723 PECOS PAC ID: 0143253690 Enrollment ID: I20050914001299 |
| Provider Name | David F Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063456069 PECOS PAC ID: 5496772782 Enrollment ID: I20051026000786 |
| Provider Name | Ellen M Willard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669417820 PECOS PAC ID: 1951320753 Enrollment ID: I20051121000870 |
| Provider Name | Susan Bazinet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134150345 PECOS PAC ID: 2961300389 Enrollment ID: I20051123000046 |
| Provider Name | Glenna L Grider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740281567 PECOS PAC ID: 8628098340 Enrollment ID: I20051128000050 |
| Provider Name | Robert A Pohlmeyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396782702 PECOS PAC ID: 5395757058 Enrollment ID: I20060620000166 |
| Provider Name | Steven M Kent |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982644035 PECOS PAC ID: 3971555756 Enrollment ID: I20060824000253 |
| Provider Name | Keith E Davis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952344947 PECOS PAC ID: 9032121165 Enrollment ID: I20061103000058 |
| Provider Name | David M Cowherd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528002177 PECOS PAC ID: 4981650652 Enrollment ID: I20061205000646 |
| Provider Name | Eric R Frizzell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144284803 PECOS PAC ID: 7416957261 Enrollment ID: I20070102000157 |
| Provider Name | Patrick J Simpson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841234887 PECOS PAC ID: 3577563899 Enrollment ID: I20070110000079 |
| Provider Name | Michol Stanzione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396745881 PECOS PAC ID: 8426158486 Enrollment ID: I20070705000499 |
| Provider Name | Brooks Mays |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124134010 PECOS PAC ID: 7416048756 Enrollment ID: I20070801000311 |
| Provider Name | Lukas Jantac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750507463 PECOS PAC ID: 3375635352 Enrollment ID: I20070822000772 |
| Provider Name | Melissa B Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407070295 PECOS PAC ID: 5890887533 Enrollment ID: I20070824000796 |
| Provider Name | Sonal Arora |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477592327 PECOS PAC ID: 3274537246 Enrollment ID: I20080617000309 |
| Provider Name | Julie G Baugher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245218999 PECOS PAC ID: 2961574629 Enrollment ID: I20080712000110 |
| Provider Name | Jennifer Szurgot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225059934 PECOS PAC ID: 4486742798 Enrollment ID: I20080717000632 |
| Provider Name | Peter C Mancusi Ungaro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568455871 PECOS PAC ID: 1557434669 Enrollment ID: I20080723000442 |
| Provider Name | Fabian Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801855192 PECOS PAC ID: 3274606017 Enrollment ID: I20080726000064 |
| Provider Name | Edward S Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700911328 PECOS PAC ID: 9133196728 Enrollment ID: I20080801000558 |
| Provider Name | Michael A Pritchett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023055761 PECOS PAC ID: 1557438512 Enrollment ID: I20080917000712 |
| Provider Name | Todd Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225014178 PECOS PAC ID: 1153425244 Enrollment ID: I20090511000580 |
| Provider Name | Karen Schorn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710919683 PECOS PAC ID: 4981502176 Enrollment ID: I20090522000448 |
| Provider Name | Olga V Izotova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528272754 PECOS PAC ID: 2062562788 Enrollment ID: I20090617000739 |
| Provider Name | Charles Kuzma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063469856 PECOS PAC ID: 8527073857 Enrollment ID: I20090624000753 |
| Provider Name | Murali D Pisharody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265632996 PECOS PAC ID: 4183777386 Enrollment ID: I20090805000822 |
| Provider Name | Scott M Luneau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972665529 PECOS PAC ID: 6406900083 Enrollment ID: I20090817000325 |
| Provider Name | Garnett Marcus Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790775690 PECOS PAC ID: 5395884720 Enrollment ID: I20091125000009 |
| Provider Name | Carol H Pillsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760710495 PECOS PAC ID: 1355482969 Enrollment ID: I20100105000244 |
| Provider Name | John Webster Jameson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902802853 PECOS PAC ID: 4789572538 Enrollment ID: I20100212000237 |
| Provider Name | Ker Boyce |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962441808 PECOS PAC ID: 7214949346 Enrollment ID: I20100317000679 |
| Provider Name | David E Hipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396789152 PECOS PAC ID: 3577646397 Enrollment ID: I20100318000221 |
| Provider Name | Pamela S Christaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306875661 PECOS PAC ID: 0648305383 Enrollment ID: I20100319000078 |
| Provider Name | Michael B Daley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407897846 PECOS PAC ID: 3476537283 Enrollment ID: I20100319000408 |
| Provider Name | Ravikant V Varanasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467494021 PECOS PAC ID: 4284717018 Enrollment ID: I20100322000307 |
| Provider Name | Joseph F Hakas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154366110 PECOS PAC ID: 1850474677 Enrollment ID: I20100326000599 |
| Provider Name | Diane M Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598700767 PECOS PAC ID: 7810070646 Enrollment ID: I20100329000891 |
| Provider Name | Thomas Swantkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144265109 PECOS PAC ID: 1456309459 Enrollment ID: I20100331001050 |
| Provider Name | Kathleen A Letizia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414363 PECOS PAC ID: 2365525193 Enrollment ID: I20100406000284 |
| Provider Name | Bobby R Maynor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043255219 PECOS PAC ID: 8022191840 Enrollment ID: I20100407000231 |
| Provider Name | Padiwath C Ung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649212374 PECOS PAC ID: 0648353466 Enrollment ID: I20100414000938 |
| Provider Name | Jennifer B Normann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841291655 PECOS PAC ID: 3072642768 Enrollment ID: I20100518000364 |
| Provider Name | Vaishali R Nadkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417147653 PECOS PAC ID: 4385773035 Enrollment ID: I20100519000123 |
| Provider Name | Lester D Nave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407857212 PECOS PAC ID: 9335139419 Enrollment ID: I20100519000705 |
| Provider Name | John R Mangum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978939 PECOS PAC ID: 4880684968 Enrollment ID: I20100520000066 |
| Provider Name | Debra Louise Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669427217 PECOS PAC ID: 2264561729 Enrollment ID: I20100521000892 |
| Provider Name | Francis Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053354142 PECOS PAC ID: 9234141367 Enrollment ID: I20100522000102 |
| Provider Name | Scott J Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598739179 PECOS PAC ID: 3577693126 Enrollment ID: I20100609000258 |
| Provider Name | Brandon Martin Williams |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851596068 PECOS PAC ID: 8820129604 Enrollment ID: I20100622000760 |
| Provider Name | Matthew Karpenko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912118647 PECOS PAC ID: 3476614835 Enrollment ID: I20100828000031 |
| Provider Name | Behnam Asgharian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467458802 PECOS PAC ID: 3779688296 Enrollment ID: I20100908001033 |
| Provider Name | Dell Andrew Dembosky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639155971 PECOS PAC ID: 6305871153 Enrollment ID: I20101122000782 |
| Provider Name | Stacey N Hoiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427357805 PECOS PAC ID: 0547445447 Enrollment ID: I20110419000353 |
| Provider Name | Chad R Rund |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043482508 PECOS PAC ID: 9032288998 Enrollment ID: I20110520000115 |
| Provider Name | Tamara R Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740437680 PECOS PAC ID: 6800964685 Enrollment ID: I20111019000078 |
| Provider Name | Marshall S Nickel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134357239 PECOS PAC ID: 3870760911 Enrollment ID: I20120113000012 |
| Provider Name | Todd Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871767095 PECOS PAC ID: 8123280948 Enrollment ID: I20120424000306 |
| Provider Name | Joseph L Perry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891881538 PECOS PAC ID: 3971738162 Enrollment ID: I20131023002123 |
| Provider Name | Huankai Hu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538323563 PECOS PAC ID: 2466617774 Enrollment ID: I20140128001170 |
| Provider Name | Scott D Skibo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063431849 PECOS PAC ID: 7214994417 Enrollment ID: I20140311001755 |
| Provider Name | Adam R Belanger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568621332 PECOS PAC ID: 0446481139 Enrollment ID: I20140321001013 |
| Provider Name | Farra M Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659667210 PECOS PAC ID: 4082832498 Enrollment ID: I20140827000860 |
| Provider Name | Stephanie M Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689074072 PECOS PAC ID: 3476775966 Enrollment ID: I20141118001712 |
| Provider Name | Nilay C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871768218 PECOS PAC ID: 6709038557 Enrollment ID: I20141203002349 |
| Provider Name | Bobbie E Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356736714 PECOS PAC ID: 5698096493 Enrollment ID: I20150604002840 |
| Provider Name | Lauren Bailey Chriscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225412778 PECOS PAC ID: 0446566533 Enrollment ID: I20150903002783 |
| Provider Name | Sarah Alexander Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285018879 PECOS PAC ID: 9638486566 Enrollment ID: I20150909002995 |
| Provider Name | Juliann S Wallner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265546386 PECOS PAC ID: 5890770721 Enrollment ID: I20150918000460 |
| Provider Name | Marri K Brackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609168855 PECOS PAC ID: 9931353182 Enrollment ID: I20151012001920 |
| Provider Name | Sherry A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508249327 PECOS PAC ID: 2961711007 Enrollment ID: I20151012002292 |
| Provider Name | Jason Michael Hope |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720286453 PECOS PAC ID: 1658525779 Enrollment ID: I20160226001253 |
| Provider Name | Angie F Hounsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649625948 PECOS PAC ID: 0345539037 Enrollment ID: I20160519001360 |
| Provider Name | Cara W Herring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205010907 PECOS PAC ID: 1951694447 Enrollment ID: I20160720002882 |
| Provider Name | Junwei Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679717953 PECOS PAC ID: 9436370756 Enrollment ID: I20160830000262 |
| Provider Name | Laura Ann Baxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537048 PECOS PAC ID: 5092001099 Enrollment ID: I20160830002720 |
| Provider Name | Michelle Rosemary Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702167 PECOS PAC ID: 2163669839 Enrollment ID: I20170216001914 |
| Provider Name | Callie R Huneycutt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144767815 PECOS PAC ID: 3678857794 Enrollment ID: I20170308001843 |
| Provider Name | Michael R Brackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194045948 PECOS PAC ID: 6406077767 Enrollment ID: I20170413000974 |
| Provider Name | Skyler W Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275072753 PECOS PAC ID: 9830476936 Enrollment ID: I20170427000692 |
| Provider Name | Sue Ellen Bowes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285170274 PECOS PAC ID: 5799052304 Enrollment ID: I20170602001561 |
| Provider Name | Gail C Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782776 PECOS PAC ID: 1355619529 Enrollment ID: I20170612000575 |
| Provider Name | Marcia Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952729634 PECOS PAC ID: 5193025997 Enrollment ID: I20170619000749 |
| Provider Name | Molly S Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558882514 PECOS PAC ID: 9537431846 Enrollment ID: I20170822001805 |
| Provider Name | Alex K Bonnecaze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578976684 PECOS PAC ID: 4486927241 Enrollment ID: I20170830002580 |
| Provider Name | Hannah D Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037820 PECOS PAC ID: 4284922915 Enrollment ID: I20171116001093 |
| Provider Name | Robert O Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396263950 PECOS PAC ID: 8921364381 Enrollment ID: I20171117001970 |
| Provider Name | Joan Alberto Maradey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427478262 PECOS PAC ID: 0143445528 Enrollment ID: I20180126000049 |
| Provider Name | Michael A Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770091571 PECOS PAC ID: 3870855505 Enrollment ID: I20180316002137 |
| Provider Name | Juanita Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659664324 PECOS PAC ID: 5698030203 Enrollment ID: I20180601001005 |
| Provider Name | Philip John Brondon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770877037 PECOS PAC ID: 1052535796 Enrollment ID: I20180608000979 |
| Provider Name | Logan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548763428 PECOS PAC ID: 4981969839 Enrollment ID: I20180702000139 |
| Provider Name | Yongxin Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528354883 PECOS PAC ID: 7214239730 Enrollment ID: I20180803002967 |
| Provider Name | Casey Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063906584 PECOS PAC ID: 4789933243 Enrollment ID: I20180816003448 |
| Provider Name | Kara Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558740415 PECOS PAC ID: 5698066090 Enrollment ID: I20181018002987 |
| Provider Name | Sharon Freeman Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790263473 PECOS PAC ID: 2668708140 Enrollment ID: I20190722000768 |
| Provider Name | Thomas Joseph Richard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649255928 PECOS PAC ID: 2264684067 Enrollment ID: I20190807003846 |
| Provider Name | Dusty Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177679 PECOS PAC ID: 4688902547 Enrollment ID: I20190829004415 |
| Provider Name | Natalie Lucas Davies |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992025647 PECOS PAC ID: 2365669637 Enrollment ID: I20190906000582 |
| Provider Name | Kelli Marie Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578112959 PECOS PAC ID: 9537594007 Enrollment ID: I20200113000251 |
| Provider Name | Viet-nhan Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902997646 PECOS PAC ID: 7315063153 Enrollment ID: I20200121000665 |
| Provider Name | Kathy Parker Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629533146 PECOS PAC ID: 3971930967 Enrollment ID: I20200304001469 |
| Provider Name | Mardee L Baxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058972 PECOS PAC ID: 9335577998 Enrollment ID: I20200312001465 |
| Provider Name | Laura J Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477188019 PECOS PAC ID: 9537590286 Enrollment ID: I20200512003188 |
| Provider Name | Ashley Marie Greer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689060998 PECOS PAC ID: 6305167024 Enrollment ID: I20200608001019 |
| Provider Name | Laura B Lutz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194347690 PECOS PAC ID: 8628491081 Enrollment ID: I20200702001147 |
| Provider Name | Christopher Lee Tracy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013152594 PECOS PAC ID: 8426356759 Enrollment ID: I20200924002467 |
| Provider Name | Nicole Marie Chieka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588192363 PECOS PAC ID: 5991077257 Enrollment ID: I20201028000793 |
| Provider Name | David Reisman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285710152 PECOS PAC ID: 4688711963 Enrollment ID: I20201201002605 |
| Provider Name | Constance Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046320 PECOS PAC ID: 2466881685 Enrollment ID: I20201229000778 |
| Provider Name | Carrie Jones Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477155356 PECOS PAC ID: 1850706367 Enrollment ID: I20210216000494 |
| Provider Name | Jennifer Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192700 PECOS PAC ID: 4688084486 Enrollment ID: I20210222000009 |
| Provider Name | Emily Michelle Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922317619 PECOS PAC ID: 6002003712 Enrollment ID: I20210420000481 |
| Provider Name | Kristin Yearby Hockersmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699351031 PECOS PAC ID: 3072921550 Enrollment ID: I20210422000135 |
| Provider Name | Michael Alan Millard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285052035 PECOS PAC ID: 5294953253 Enrollment ID: I20210610000680 |
| Provider Name | Karen Denise Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528634300 PECOS PAC ID: 6709286420 Enrollment ID: I20210616002280 |
| Provider Name | Tiffany Earle Bonnecaze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720491889 PECOS PAC ID: 0547574329 Enrollment ID: I20210623001594 |
| Provider Name | Heather Patterson Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023684040 PECOS PAC ID: 2860893153 Enrollment ID: I20210624000052 |
| Provider Name | Chaseton Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760985600 PECOS PAC ID: 2365779428 Enrollment ID: I20210707000060 |
| Provider Name | Stephanie Michelle Mccrery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134355977 PECOS PAC ID: 8123341328 Enrollment ID: I20210720000423 |
| Provider Name | Robert Joseph Eckensweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891287934 PECOS PAC ID: 1052715398 Enrollment ID: I20210809000746 |
| Provider Name | Omofolarin Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104315688 PECOS PAC ID: 2668729641 Enrollment ID: I20210820001488 |
| Provider Name | Holly Marie Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356913214 PECOS PAC ID: 7719384825 Enrollment ID: I20210916000021 |
| Provider Name | Beth Barrineau Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285705202 PECOS PAC ID: 5395143077 Enrollment ID: I20211011001240 |
| Provider Name | Erica Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356912430 PECOS PAC ID: 3971991639 Enrollment ID: I20211028002851 |
| Provider Name | Sulochana Basnet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548492 PECOS PAC ID: 2163811290 Enrollment ID: I20211111001409 |
| Provider Name | Monica Haynes Bowens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891160271 PECOS PAC ID: 7719376250 Enrollment ID: I20211122002923 |
| Provider Name | Cara Lorraine Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386267136 PECOS PAC ID: 0840683868 Enrollment ID: I20220215000645 |
| Provider Name | Elizabeth Ann Mcgroarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578872495 PECOS PAC ID: 3678762556 Enrollment ID: I20220404000341 |
| Provider Name | Julie Ann Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205450897 PECOS PAC ID: 1153718911 Enrollment ID: I20220425002415 |
| Provider Name | America Berenice Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023758620 PECOS PAC ID: 5193112530 Enrollment ID: I20220503001925 |
| Provider Name | Amanda Marie Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609516236 PECOS PAC ID: 4284011347 Enrollment ID: I20220512000135 |
| Provider Name | Saritha Ravella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821244773 PECOS PAC ID: 9638397532 Enrollment ID: I20220607001141 |
| Provider Name | Laura Emily Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205298072 PECOS PAC ID: 2961796768 Enrollment ID: I20220616000346 |
| Provider Name | Michael P Cowherd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235557034 PECOS PAC ID: 6002037215 Enrollment ID: I20220708003309 |
| Provider Name | Karen Deanne Keisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194465054 PECOS PAC ID: 0143601146 Enrollment ID: I20220722000280 |
| Provider Name | John Daniel Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639524085 PECOS PAC ID: 6507154200 Enrollment ID: I20220726000931 |
| Provider Name | Krystina Lauren Quow |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104316207 PECOS PAC ID: 3173878006 Enrollment ID: I20220801002881 |
| Provider Name | Melissa B Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306584016 PECOS PAC ID: 0042693483 Enrollment ID: I20220817001271 |
| Provider Name | Jaime L Delivuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043942741 PECOS PAC ID: 1153705033 Enrollment ID: I20220825003056 |
| Provider Name | Shivani Bashiyan Kaushik |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861806150 PECOS PAC ID: 7618213828 Enrollment ID: I20221005002166 |
| Provider Name | Laura Rae Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942925664 PECOS PAC ID: 2264800713 Enrollment ID: I20221115001427 |
| Provider Name | Brianna Elizabeth Furst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134840812 PECOS PAC ID: 9032587159 Enrollment ID: I20221122000381 |
| Provider Name | Sarah Elizabeth Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043803455 PECOS PAC ID: 4981073426 Enrollment ID: I20221206001089 |
| Provider Name | Breanne Marie Vandevrede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437878196 PECOS PAC ID: 2163891870 Enrollment ID: I20221219001940 |
| Provider Name | Michelle Brooks Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427494640 PECOS PAC ID: 0345610986 Enrollment ID: I20221223000578 |
| Provider Name | Rebecca Keith Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982328126 PECOS PAC ID: 6305217480 Enrollment ID: I20230127002002 |
| Provider Name | Lynsi Jacquelyn Beers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376207639 PECOS PAC ID: 6709258395 Enrollment ID: I20230208000324 |
| Provider Name | Madison Gray Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407577984 PECOS PAC ID: 7618333600 Enrollment ID: I20230517001736 |
| Provider Name | Ashley Sue Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093421703 PECOS PAC ID: 6204295892 Enrollment ID: I20230629001825 |
| Provider Name | Stephen Joseph Lombardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396447678 PECOS PAC ID: 3173985322 Enrollment ID: I20230821000060 |
| Provider Name | Matthew James Scarlotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083145510 PECOS PAC ID: 0042596140 Enrollment ID: I20230920004110 |
| Provider Name | Nirisha Kalakada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647945 PECOS PAC ID: 3779759147 Enrollment ID: I20231010000049 |
| Provider Name | Konrad Michael Dziamski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043630502 PECOS PAC ID: 0143567750 Enrollment ID: I20231107000125 |
| Provider Name | Mahoganee Rasheedana Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336846526 PECOS PAC ID: 7719334630 Enrollment ID: I20231114000895 |
| Provider Name | Amber Rachelle Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942083365 PECOS PAC ID: 2466801782 Enrollment ID: I20231212003637 |
| Provider Name | Katie Swan Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386423523 PECOS PAC ID: 3870942980 Enrollment ID: I20231214003219 |
| Provider Name | Ebonee Rasheedana Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437856622 PECOS PAC ID: 6002269875 Enrollment ID: I20240129000382 |
| Provider Name | Tatyana Tools |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073746103 PECOS PAC ID: 2668519331 Enrollment ID: I20240207003262 |
Firsthealth Convenient Care-pinehurst Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Ivey Lane, Pinehurst, NC 28374 Phone: 910-215-5100 | |
Max Motion Physical Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Olmsted Blvd Ste D, Pinehurst, NC 28374 Phone: 910-235-0655 Fax: 910-235-0665 | |
Firsthealth Transition Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Page Rd N Ste 1, Pinehurst, NC 28374 Phone: 910-715-8355 Fax: 910-715-8370 | |
Philipp C Wirth Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Aviemore Ct, Pinehurst, NC 28374 Phone: 315-729-0767 | |
Pinehurst Family Care Center,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Aviemore Dr, Pinehurst, NC 28374 Phone: 910-215-5555 Fax: 910-215-6134 | |
Firsthealth Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-5481 Fax: 910-715-5745 |