| Atrium Health Floyd Primary Care | |
|
304 Turner Mccall Blvd Sw Rome GA 30165-5621 | |
| (706) 509-5000 | |
| (706) 509-4608 |
| Full Name | Atrium Health Floyd Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Turner Mccall Blvd Sw, Rome, Georgia |
| Authorized Official Name and Position | Matthew Gorman (VP OF CORPORATE AND NETWORK SERVICE) |
| Authorized Official Contact | 7065093000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Floyd Primary Care 420 E 2nd Ave Ste 103 Rome GA 30161-3210 Ph: (706) 509-3000 | Atrium Health Floyd Primary Care 304 Turner Mccall Blvd Sw Rome GA 30165-5621 Ph: (706) 509-5000 |
| NPI Number | 1689610149 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 12/11/2025 |
| Certification Date | 12/11/2025 |
| Medicare PECOS PAC ID | 5193633386 |
|---|---|
| Medicare Enrollment ID | O20040127000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689610149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Linda H Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023025624 PECOS PAC ID: 1153213731 Enrollment ID: I20040329000040 |
| Provider Name | Mark a Jester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295762938 PECOS PAC ID: 5698678837 Enrollment ID: I20040610000660 |
| Provider Name | Jay C Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013939339 PECOS PAC ID: 1153307160 Enrollment ID: I20040629000460 |
| Provider Name | William G Asbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760499487 PECOS PAC ID: 9032180880 Enrollment ID: I20040804000991 |
| Provider Name | Harry Shaw Strothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861492720 PECOS PAC ID: 2860468154 Enrollment ID: I20040908000817 |
| Provider Name | Johnathan E Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154327856 PECOS PAC ID: 1254308570 Enrollment ID: I20040915000498 |
| Provider Name | William K White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649286428 PECOS PAC ID: 7113989591 Enrollment ID: I20041028000380 |
| Provider Name | Joseph M Trasmonte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194708487 PECOS PAC ID: 1850353426 Enrollment ID: I20041102000374 |
| Provider Name | Joel Keith Jager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417976671 PECOS PAC ID: 7113978586 Enrollment ID: I20050202000761 |
| Provider Name | Shannon J Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164448809 PECOS PAC ID: 5294774741 Enrollment ID: I20050426000092 |
| Provider Name | Rahul Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326109851 PECOS PAC ID: 6901898436 Enrollment ID: I20050623000057 |
| Provider Name | Dawn D Smiley-byrd |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134238827 PECOS PAC ID: 9931136959 Enrollment ID: I20050721000423 |
| Provider Name | Julaine Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831134881 PECOS PAC ID: 2961434857 Enrollment ID: I20050831000138 |
| Provider Name | Taiwanna G Brown-bolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104911817 PECOS PAC ID: 1557380581 Enrollment ID: I20051118000112 |
| Provider Name | James M Ware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275698235 PECOS PAC ID: 4486677093 Enrollment ID: I20060110000640 |
| Provider Name | Hector Picon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457416869 PECOS PAC ID: 1759312911 Enrollment ID: I20060110000685 |
| Provider Name | Gary Wetherington |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073678066 PECOS PAC ID: 7911920376 Enrollment ID: I20060111000846 |
| Provider Name | Martin J Lynch |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194887026 PECOS PAC ID: 5193739134 Enrollment ID: I20060130000635 |
| Provider Name | Matthew Cornforth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180759 PECOS PAC ID: 7719997634 Enrollment ID: I20060421000319 |
| Provider Name | Henry Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891717161 PECOS PAC ID: 9537103460 Enrollment ID: I20060424000455 |
| Provider Name | Dona F Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245271022 PECOS PAC ID: 7416960505 Enrollment ID: I20060712000210 |
| Provider Name | Lisa W Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861424004 PECOS PAC ID: 9032112636 Enrollment ID: I20060822000173 |
| Provider Name | Traci M Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093825010 PECOS PAC ID: 9234138934 Enrollment ID: I20061206000475 |
| Provider Name | Carlos Manuel Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700961257 PECOS PAC ID: 9638170525 Enrollment ID: I20070119000125 |
| Provider Name | Nicole B Swiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780691303 PECOS PAC ID: 2062510837 Enrollment ID: I20070604000123 |
| Provider Name | Pamela Beth Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487649786 PECOS PAC ID: 8820196462 Enrollment ID: I20070606000208 |
| Provider Name | Robert H Holcombe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245252584 PECOS PAC ID: 6608974886 Enrollment ID: I20070612000470 |
| Provider Name | Karen P Timberlake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891712535 PECOS PAC ID: 6507965407 Enrollment ID: I20070618000402 |
| Provider Name | Salman Baseer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821039637 PECOS PAC ID: 9830192244 Enrollment ID: I20070910000327 |
| Provider Name | Suni H Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033315122 PECOS PAC ID: 5193810950 Enrollment ID: I20071009000386 |
| Provider Name | Sherri L Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699764183 PECOS PAC ID: 2769571587 Enrollment ID: I20071203000002 |
| Provider Name | Pamela Hearn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619156981 PECOS PAC ID: 0941382493 Enrollment ID: I20080123000611 |
| Provider Name | Danny R Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083882211 PECOS PAC ID: 2567540784 Enrollment ID: I20080429000031 |
| Provider Name | Stacey a Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891965281 PECOS PAC ID: 3971674730 Enrollment ID: I20080623000082 |
| Provider Name | Anne Reis Cowan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679615884 PECOS PAC ID: 0143325043 Enrollment ID: I20080710000428 |
| Provider Name | Lori B Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235110263 PECOS PAC ID: 0941239057 Enrollment ID: I20080716000117 |
| Provider Name | Charmaine B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104096304 PECOS PAC ID: 6709935059 Enrollment ID: I20090518000175 |
| Provider Name | John J Desmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033112438 PECOS PAC ID: 1951453000 Enrollment ID: I20090721000216 |
| Provider Name | Jamie O Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366602153 PECOS PAC ID: 9032256268 Enrollment ID: I20091021000186 |
| Provider Name | Michael Gonsalves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477723120 PECOS PAC ID: 0749327252 Enrollment ID: I20091102000154 |
| Provider Name | Neil E Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376512301 PECOS PAC ID: 7214071737 Enrollment ID: I20100223000022 |
| Provider Name | Gina P Clevenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861599045 PECOS PAC ID: 3779611546 Enrollment ID: I20100514000751 |
| Provider Name | William Keith Montgomery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023095882 PECOS PAC ID: 8022062504 Enrollment ID: I20100602000224 |
| Provider Name | Christopher J. Pickens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447237268 PECOS PAC ID: 0749365245 Enrollment ID: I20100618000271 |
| Provider Name | James T Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962489732 PECOS PAC ID: 6709830318 Enrollment ID: I20100618000355 |
| Provider Name | James H Vick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083691703 PECOS PAC ID: 4981658598 Enrollment ID: I20100708000255 |
| Provider Name | Charles B Baggett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336357060 PECOS PAC ID: 3274692462 Enrollment ID: I20100811000797 |
| Provider Name | James E Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215958020 PECOS PAC ID: 5698809291 Enrollment ID: I20100818000666 |
| Provider Name | Keith E Hannay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730196452 PECOS PAC ID: 2365576972 Enrollment ID: I20100818000899 |
| Provider Name | Ashley C Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013193549 PECOS PAC ID: 6901922327 Enrollment ID: I20100923000054 |
| Provider Name | Wilma Briones -mull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013187293 PECOS PAC ID: 7618160714 Enrollment ID: I20101021000691 |
| Provider Name | Shanna B Holcomb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598897746 PECOS PAC ID: 2860687969 Enrollment ID: I20101115001172 |
| Provider Name | Savannah S Scoggins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427361914 PECOS PAC ID: 3173702719 Enrollment ID: I20110127000867 |
| Provider Name | Kimberly Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245314590 PECOS PAC ID: 9830292051 Enrollment ID: I20110301001145 |
| Provider Name | Jennifer Gober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235435173 PECOS PAC ID: 0648452201 Enrollment ID: I20110303000595 |
| Provider Name | Catherine M Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154510410 PECOS PAC ID: 1355421793 Enrollment ID: I20110502000134 |
| Provider Name | Edward Kearfott Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669448569 PECOS PAC ID: 7517142680 Enrollment ID: I20110505000258 |
| Provider Name | Douglas a Coran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972520526 PECOS PAC ID: 8729094453 Enrollment ID: I20110624000395 |
| Provider Name | Connie L Geimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659667095 PECOS PAC ID: 4385812619 Enrollment ID: I20110712000575 |
| Provider Name | Kristen Leezer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083893150 PECOS PAC ID: 6305015728 Enrollment ID: I20110801000728 |
| Provider Name | Christy R Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700047487 PECOS PAC ID: 8820267610 Enrollment ID: I20110811000899 |
| Provider Name | Ladonna L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508029166 PECOS PAC ID: 7012081029 Enrollment ID: I20110817000904 |
| Provider Name | Karla Crabbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679851554 PECOS PAC ID: 4284804311 Enrollment ID: I20110829000696 |
| Provider Name | Emily Bates Natarella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386847473 PECOS PAC ID: 0446376495 Enrollment ID: I20111003000365 |
| Provider Name | Ashley B Millican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033483060 PECOS PAC ID: 6709048424 Enrollment ID: I20120425000615 |
| Provider Name | Mark D Virtue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497980064 PECOS PAC ID: 8224293543 Enrollment ID: I20120711000232 |
| Provider Name | George P Hotz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568697696 PECOS PAC ID: 0840447678 Enrollment ID: I20120829000435 |
| Provider Name | Kelly V Culbertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265694491 PECOS PAC ID: 2567631518 Enrollment ID: I20121106000113 |
| Provider Name | Deyanira L Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144406604 PECOS PAC ID: 8022166453 Enrollment ID: I20121126000201 |
| Provider Name | Staci Robin Hastings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639437379 PECOS PAC ID: 3678728383 Enrollment ID: I20130304000237 |
| Provider Name | Joy K Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538413513 PECOS PAC ID: 2264677392 Enrollment ID: I20130320000678 |
| Provider Name | Jenni Charity Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659613966 PECOS PAC ID: 7012154297 Enrollment ID: I20130507000363 |
| Provider Name | Joseph Michael Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740420199 PECOS PAC ID: 7214175637 Enrollment ID: I20130524000182 |
| Provider Name | Danielle Y Epanchin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255658191 PECOS PAC ID: 1658505110 Enrollment ID: I20131016001104 |
| Provider Name | Patrick J Lynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740549138 PECOS PAC ID: 0345474839 Enrollment ID: I20131017000103 |
| Provider Name | Satoya L Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649817 PECOS PAC ID: 1153558325 Enrollment ID: I20131213000657 |
| Provider Name | Ashley a Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548685811 PECOS PAC ID: 6002049095 Enrollment ID: I20140428000913 |
| Provider Name | Amanda M Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285927491 PECOS PAC ID: 6305069618 Enrollment ID: I20140513002236 |
| Provider Name | Claire Slocumb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962630418 PECOS PAC ID: 8628297306 Enrollment ID: I20140910002421 |
| Provider Name | Jason Lane Herlong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891923546 PECOS PAC ID: 0648592022 Enrollment ID: I20141215001517 |
| Provider Name | Karen a Eberhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649539040 PECOS PAC ID: 7416274873 Enrollment ID: I20150323002260 |
| Provider Name | Shelle R Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003110743 PECOS PAC ID: 8022265644 Enrollment ID: I20150501001795 |
| Provider Name | Anthony M Nazione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467890533 PECOS PAC ID: 8325351265 Enrollment ID: I20150721001207 |
| Provider Name | Boniface C Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346355757 PECOS PAC ID: 1557330404 Enrollment ID: I20150805008289 |
| Provider Name | Craig H Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043229412 PECOS PAC ID: 1355598657 Enrollment ID: I20160310001502 |
| Provider Name | Farrah E Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477915569 PECOS PAC ID: 4981903408 Enrollment ID: I20160504000635 |
| Provider Name | Gorby Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911762 PECOS PAC ID: 6406158666 Enrollment ID: I20160616001441 |
| Provider Name | Maryann N Mugo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235173485 PECOS PAC ID: 1850327107 Enrollment ID: I20160808001595 |
| Provider Name | Pamela O Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588924997 PECOS PAC ID: 2365686623 Enrollment ID: I20160812001082 |
| Provider Name | Cody Shai Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326501 PECOS PAC ID: 5496040016 Enrollment ID: I20160822001990 |
| Provider Name | Dusty Ray Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477007219 PECOS PAC ID: 6709172109 Enrollment ID: I20160912001395 |
| Provider Name | Felicia Elizabeth Pressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356791511 PECOS PAC ID: 4880973270 Enrollment ID: I20161107001638 |
| Provider Name | Heather Michelle Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770010878 PECOS PAC ID: 3476821166 Enrollment ID: I20170621002681 |
| Provider Name | Manuel Colon-de Jesus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083702427 PECOS PAC ID: 4385618610 Enrollment ID: I20170725002820 |
| Provider Name | James Kevin Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699295105 PECOS PAC ID: 1951673938 Enrollment ID: I20170825001948 |
| Provider Name | Clifford a Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548781081 PECOS PAC ID: 4486920873 Enrollment ID: I20171031000874 |
| Provider Name | Sarah Lindsey Mccrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275061228 PECOS PAC ID: 4981961034 Enrollment ID: I20171128003546 |
| Provider Name | Michelle Teems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750818647 PECOS PAC ID: 8628335643 Enrollment ID: I20171129003687 |
| Provider Name | Alisha Moses Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972926921 PECOS PAC ID: 6709145014 Enrollment ID: I20180112000861 |
| Provider Name | Brittney Nichole Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821510983 PECOS PAC ID: 4688939051 Enrollment ID: I20180606000618 |
| Provider Name | Timothy W Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316439532 PECOS PAC ID: 8022365691 Enrollment ID: I20180727002284 |
| Provider Name | Amanda Chambers Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856401 PECOS PAC ID: 8426308867 Enrollment ID: I20180906001088 |
| Provider Name | Hannah Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255822771 PECOS PAC ID: 4789935289 Enrollment ID: I20180921002988 |
| Provider Name | Jasmine M Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750776761 PECOS PAC ID: 8527311315 Enrollment ID: I20181024001931 |
| Provider Name | John-scott Austen Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144603978 PECOS PAC ID: 7911210679 Enrollment ID: I20181107000095 |
| Provider Name | Abbey Lynne Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568970465 PECOS PAC ID: 8224373360 Enrollment ID: I20181218003632 |
| Provider Name | Stephanie L Stutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114366127 PECOS PAC ID: 3173824075 Enrollment ID: I20190202000117 |
| Provider Name | Lindsay Anne Moates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154801017 PECOS PAC ID: 4880933175 Enrollment ID: I20190304002814 |
| Provider Name | Stacy M Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120889 PECOS PAC ID: 6002154317 Enrollment ID: I20190311002136 |
| Provider Name | Lourdes C Irizar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043496029 PECOS PAC ID: 6507920568 Enrollment ID: I20190613003202 |
| Provider Name | Tina Annette Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942768296 PECOS PAC ID: 3779817697 Enrollment ID: I20190626004133 |
| Provider Name | Richard Tyler Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750630349 PECOS PAC ID: 4486984945 Enrollment ID: I20190925003266 |
| Provider Name | Cierra Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538694971 PECOS PAC ID: 4082981840 Enrollment ID: I20191008003486 |
| Provider Name | Amy Diane Brigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497399919 PECOS PAC ID: 2062848195 Enrollment ID: I20200207000874 |
| Provider Name | Chase Vaughn Grosse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780168526 PECOS PAC ID: 4284060377 Enrollment ID: I20200210000731 |
| Provider Name | Stacey Marie Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235629171 PECOS PAC ID: 1658700026 Enrollment ID: I20200406002260 |
| Provider Name | Sheena Nichole Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396378550 PECOS PAC ID: 5193154292 Enrollment ID: I20200409003468 |
| Provider Name | Kayla Brianne Benton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639606049 PECOS PAC ID: 6103249719 Enrollment ID: I20200714003286 |
| Provider Name | Kim Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049656 PECOS PAC ID: 8022435528 Enrollment ID: I20200828001911 |
| Provider Name | Lori Patricia Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831738368 PECOS PAC ID: 4082041124 Enrollment ID: I20200918000488 |
| Provider Name | Kayla Nicole Breeden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255935797 PECOS PAC ID: 0042623225 Enrollment ID: I20210107000786 |
| Provider Name | Kimberly Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588267066 PECOS PAC ID: 9234543380 Enrollment ID: I20210201000837 |
| Provider Name | Meghan Danielle Markham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326663717 PECOS PAC ID: 7719393040 Enrollment ID: I20210310001756 |
| Provider Name | Lisa P Acree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194703181 PECOS PAC ID: 9931091741 Enrollment ID: I20210322001132 |
| Provider Name | Piper West Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223982 PECOS PAC ID: 2062831340 Enrollment ID: I20210419002442 |
| Provider Name | Shelia Anne Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801488523 PECOS PAC ID: 1850700014 Enrollment ID: I20210429002181 |
| Provider Name | Jessica Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619561321 PECOS PAC ID: 6709295751 Enrollment ID: I20210504002811 |
| Provider Name | Gregory Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700344488 PECOS PAC ID: 0547593808 Enrollment ID: I20210604000604 |
| Provider Name | Jerry Todd Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869634 PECOS PAC ID: 5395147318 Enrollment ID: I20210714001051 |
| Provider Name | Amber Lea Crowder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114428422 PECOS PAC ID: 9335496173 Enrollment ID: I20210805000816 |
| Provider Name | Siping He |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285166686 PECOS PAC ID: 1355612052 Enrollment ID: I20210806000605 |
| Provider Name | Gregory Justin Tanner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336587203 PECOS PAC ID: 1153642350 Enrollment ID: I20210809001620 |
| Provider Name | Barbara Terica Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588872253 PECOS PAC ID: 3779825708 Enrollment ID: I20210827000281 |
| Provider Name | Kristine Aura Ortega-fonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063772309 PECOS PAC ID: 5799931226 Enrollment ID: I20210828000364 |
| Provider Name | Kristina L Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016747 PECOS PAC ID: 6103214440 Enrollment ID: I20211019002468 |
| Provider Name | Tonya R Bridges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558336024 PECOS PAC ID: 7113152539 Enrollment ID: I20211027002908 |
| Provider Name | Emma W Cordle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468101 PECOS PAC ID: 2365687258 Enrollment ID: I20211102001196 |
| Provider Name | Teri Danielle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905781 PECOS PAC ID: 1355735374 Enrollment ID: I20220308000822 |
| Provider Name | Angela Dawn Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574821 PECOS PAC ID: 2961897467 Enrollment ID: I20220321000618 |
| Provider Name | Michael Tyler Land |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184186033 PECOS PAC ID: 0244568079 Enrollment ID: I20220711000742 |
| Provider Name | Ashley Corey Schau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710542725 PECOS PAC ID: 8527393214 Enrollment ID: I20220712003570 |
| Provider Name | Mark Ricard Boudreau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659834323 PECOS PAC ID: 5597093146 Enrollment ID: I20220811001211 |
| Provider Name | Sasha Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376036558 PECOS PAC ID: 3274938204 Enrollment ID: I20220912001380 |
| Provider Name | Aaron Patrick Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240198 PECOS PAC ID: 5890171573 Enrollment ID: I20221004000765 |
| Provider Name | Ann Maria Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811461007 PECOS PAC ID: 4284966326 Enrollment ID: I20221025000773 |
| Provider Name | Jessica Morgan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568128809 PECOS PAC ID: 4981071271 Enrollment ID: I20221028001625 |
| Provider Name | Heinrich Von Ewegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891369021 PECOS PAC ID: 8325448996 Enrollment ID: I20221104001671 |
| Provider Name | Jason P Cucchiara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095416 PECOS PAC ID: 9830459312 Enrollment ID: I20221221001162 |
| Provider Name | Amber Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578272639 PECOS PAC ID: 9335510601 Enrollment ID: I20230124002348 |
| Provider Name | Tammy Anita Lyles-arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801861562 PECOS PAC ID: 8628433471 Enrollment ID: I20230428002863 |
| Provider Name | Ryan Bradley Davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407353246 PECOS PAC ID: 0840542015 Enrollment ID: I20230602000831 |
| Provider Name | Anna-belle Marie Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093332884 PECOS PAC ID: 1759749229 Enrollment ID: I20230615002933 |
| Provider Name | Terrell Jenrette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306471685 PECOS PAC ID: 4688086390 Enrollment ID: I20230713002455 |
| Provider Name | Naomi Safiya Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437788338 PECOS PAC ID: 9234599788 Enrollment ID: I20230717001053 |
| Provider Name | Joshua B Herndon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194354266 PECOS PAC ID: 9133546344 Enrollment ID: I20230719001909 |
| Provider Name | Seth F Einterz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942664701 PECOS PAC ID: 3577841915 Enrollment ID: I20230807000119 |
| Provider Name | Victoria Elaine Custer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689136855 PECOS PAC ID: 6103289426 Enrollment ID: I20230901002913 |
| Provider Name | Gregory Rusiecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982229175 PECOS PAC ID: 0840613303 Enrollment ID: I20231005001501 |
| Provider Name | Alaina Candice Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619750486 PECOS PAC ID: 0244685451 Enrollment ID: I20231009000668 |
| Provider Name | Jacob Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841940582 PECOS PAC ID: 2163879180 Enrollment ID: I20231114000589 |
| Provider Name | Simon Paulos Yohannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740819846 PECOS PAC ID: 2365868494 Enrollment ID: I20240320001510 |
| Provider Name | Kristen Barge Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518726538 PECOS PAC ID: 9436596202 Enrollment ID: I20240328002314 |
| Provider Name | Riley Weldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033972039 PECOS PAC ID: 6608217021 Enrollment ID: I20240515003287 |
| Provider Name | Peter Mikhail |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760019244 PECOS PAC ID: 6406279256 Enrollment ID: I20240524002948 |
| Provider Name | Kalynn Brown Matisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952362212 PECOS PAC ID: 7719900976 Enrollment ID: I20240611002602 |
| Provider Name | Kaylie Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124885058 PECOS PAC ID: 7315481165 Enrollment ID: I20240703001739 |
| Provider Name | Eric James Wetherington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265069660 PECOS PAC ID: 9830577972 Enrollment ID: I20240717000422 |
| Provider Name | Kristin Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548848641 PECOS PAC ID: 9931644697 Enrollment ID: I20240717003362 |
| Provider Name | Joanna M Ortega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366066979 PECOS PAC ID: 5890230585 Enrollment ID: I20240717004528 |
| Provider Name | Erin June Trantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578581328 PECOS PAC ID: 1355346594 Enrollment ID: I20240718003637 |
| Provider Name | Lewis Harvey Roberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699753236 PECOS PAC ID: 6103918107 Enrollment ID: I20240723004776 |
| Provider Name | Bradley Scott Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295186633 PECOS PAC ID: 6002103272 Enrollment ID: I20240730000524 |
| Provider Name | Heli Ashish Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467866418 PECOS PAC ID: 7810291663 Enrollment ID: I20240808004425 |
| Provider Name | Neil Edward Pressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114112091 PECOS PAC ID: 2769571355 Enrollment ID: I20240815001518 |
| Provider Name | John Paul Velasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598029704 PECOS PAC ID: 4981912730 Enrollment ID: I20240820000471 |
| Provider Name | Rachael Catherine Candela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730763426 PECOS PAC ID: 7911447826 Enrollment ID: I20240906000233 |
| Provider Name | Jessica Mae Ikinci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144901570 PECOS PAC ID: 1557895919 Enrollment ID: I20241108000413 |
| Provider Name | Jennifer Ackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588254213 PECOS PAC ID: 2466986781 Enrollment ID: I20241108003328 |
| Provider Name | Shanna Yvonne Pressley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588614283 PECOS PAC ID: 7113991795 Enrollment ID: I20241113003094 |
| Provider Name | Oluwakemi Edokpayi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992939805 PECOS PAC ID: 5698901338 Enrollment ID: I20241213000352 |
| Provider Name | Kelsey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487283156 PECOS PAC ID: 1052701505 Enrollment ID: I20241219002942 |
| Provider Name | Patricia Wiegand Grinton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497772362 PECOS PAC ID: 1658624820 Enrollment ID: I20241226000048 |
| Provider Name | William Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235158866 PECOS PAC ID: 5092706085 Enrollment ID: I20241229000024 |
| Provider Name | Jerona Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063687747 PECOS PAC ID: 0042481491 Enrollment ID: I20250102000183 |
| Provider Name | Mansi Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093369498 PECOS PAC ID: 3971936477 Enrollment ID: I20250107002444 |
| Provider Name | Rachael Esther Levine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669903381 PECOS PAC ID: 0143591495 Enrollment ID: I20250111000084 |
| Provider Name | Michael Resnick Parsons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114362621 PECOS PAC ID: 1850620691 Enrollment ID: I20250114003458 |
| Provider Name | Alexis Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013738327 PECOS PAC ID: 1052849239 Enrollment ID: I20250115003675 |
| Provider Name | Victoria Galloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992804645 PECOS PAC ID: 1254390560 Enrollment ID: I20250129000184 |
| Provider Name | Jocelyn Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386834224 PECOS PAC ID: 7012033863 Enrollment ID: I20250212002867 |
| Provider Name | Robert Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033134713 PECOS PAC ID: 0547709461 Enrollment ID: I20250218002656 |
| Provider Name | Lauren Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376786541 PECOS PAC ID: 0143374298 Enrollment ID: I20250220002508 |
| Provider Name | Jennifer Maclayne Heller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720714488 PECOS PAC ID: 2062934268 Enrollment ID: I20250318000209 |
| Provider Name | Allison Nichole Channell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487467007 PECOS PAC ID: 4688196702 Enrollment ID: I20250318003592 |
| Provider Name | Rajesh Solanki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417044900 PECOS PAC ID: 8527340181 Enrollment ID: I20250321001949 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20250324003024 |
| Provider Name | Leslie C Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336564202 PECOS PAC ID: 7113206137 Enrollment ID: I20250421000353 |
| Provider Name | Dara Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033460084 PECOS PAC ID: 1759506249 Enrollment ID: I20250421001944 |
| Provider Name | Barbara Danielle Chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457183394 PECOS PAC ID: 9638697527 Enrollment ID: I20250514002912 |
| Provider Name | Markeita Raynette Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750547360 PECOS PAC ID: 6406148493 Enrollment ID: I20250515001886 |
| Provider Name | Leap Seng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447508080 PECOS PAC ID: 2466602438 Enrollment ID: I20250528000736 |
| Provider Name | Carla Walkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396185054 PECOS PAC ID: 1254568280 Enrollment ID: I20250603001092 |
| Provider Name | Mario De Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194747063 PECOS PAC ID: 5193706307 Enrollment ID: I20250609001344 |
| Provider Name | Shallon Craddock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700088846 PECOS PAC ID: 9931388121 Enrollment ID: I20250618001926 |
| Provider Name | Megan Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841563707 PECOS PAC ID: 5092963819 Enrollment ID: I20250626002692 |
| Provider Name | Ronald Philip Dalton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407851413 PECOS PAC ID: 4486606043 Enrollment ID: I20250630001372 |
| Provider Name | Jacqueline Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235353673 PECOS PAC ID: 6002047651 Enrollment ID: I20250718000542 |
| Provider Name | Debbie Chavez-mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558598920 PECOS PAC ID: 4688825029 Enrollment ID: I20250718002719 |
| Provider Name | Emily Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182411 PECOS PAC ID: 8921348640 Enrollment ID: I20250728000365 |
| Provider Name | Lindsay Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518334994 PECOS PAC ID: 9931405479 Enrollment ID: I20250820004723 |
| Provider Name | Korah Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720428220 PECOS PAC ID: 4587996848 Enrollment ID: I20250822003280 |
| Provider Name | Anusha Sapan Kapadia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803829 PECOS PAC ID: 2668733437 Enrollment ID: I20250828001115 |
| Provider Name | Maria Westerfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689257909 PECOS PAC ID: 7517340284 Enrollment ID: I20250829000414 |
| Provider Name | Mandana Farhadieh Morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740274869 PECOS PAC ID: 8921410481 Enrollment ID: I20250903002143 |
| Provider Name | Kayse S Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558637009 PECOS PAC ID: 6901138700 Enrollment ID: I20250924000279 |
| Provider Name | Alexa Shull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881069003 PECOS PAC ID: 9830480953 Enrollment ID: I20251008002500 |
| Provider Name | Chanda Guptill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407005119 PECOS PAC ID: 5193974921 Enrollment ID: I20251008003642 |
| Provider Name | Kathleen Siegel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629439401 PECOS PAC ID: 6901105345 Enrollment ID: I20251015002876 |
| Provider Name | Shejal Bhakta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871153544 PECOS PAC ID: 8426387259 Enrollment ID: I20251021001809 |
| Provider Name | Neil Ekengren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326499781 PECOS PAC ID: 9436447984 Enrollment ID: I20251023000442 |
| Provider Name | Shayla Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679824064 PECOS PAC ID: 5890945810 Enrollment ID: I20251027002567 |
| Provider Name | Christina Taylor Mcshea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437251949 PECOS PAC ID: 4385743319 Enrollment ID: I20251029003756 |
| Provider Name | Sarah Arvelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594474 PECOS PAC ID: 3577841469 Enrollment ID: I20251103002583 |
| Provider Name | Chakosha Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932438421 PECOS PAC ID: 6002139532 Enrollment ID: I20251104004423 |
| Provider Name | Patricia Nuse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306816194 PECOS PAC ID: 3971542275 Enrollment ID: I20251105004487 |
| Provider Name | Brandy Fleurismond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366702649 PECOS PAC ID: 1658526157 Enrollment ID: I20251114003406 |
| Provider Name | Jonathan Cuthriell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568823383 PECOS PAC ID: 0244520047 Enrollment ID: I20251202003400 |
| Provider Name | Gracen Kelly Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184503807 PECOS PAC ID: 3870088339 Enrollment ID: I20251222002229 |
| Provider Name | Kelly St George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881900595 PECOS PAC ID: 3971628835 Enrollment ID: I20251229000110 |
| Provider Name | Sarah Westfall Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336109313 PECOS PAC ID: 9739344045 Enrollment ID: I20260106004207 |
| Provider Name | Virginia Synan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649992975 PECOS PAC ID: 3072091149 Enrollment ID: I20260129003863 |
| Provider Name | Nicole Jarman Schultes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104522382 PECOS PAC ID: 7315429420 Enrollment ID: I20260306000772 |
| Provider Name | Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013389451 PECOS PAC ID: 5092019380 Enrollment ID: I20260311003982 |
| Provider Name | Ruth Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033496930 PECOS PAC ID: 2264691906 Enrollment ID: I20260401003756 |
| Provider Name | Sarah Nicole Winnick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023607538 PECOS PAC ID: 2062987712 Enrollment ID: I20260409002681 |
| Provider Name | Leiteshia Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801243878 PECOS PAC ID: 3173048899 Enrollment ID: I20260511000588 |
| Provider Name | Rhonda Ardelean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174552020 PECOS PAC ID: 8921911934 Enrollment ID: I20260611004084 |
Coosa Valley Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Alabama Hwy Nw Ste 2, Rome, GA 30165 Phone: 904-302-3202 Fax: 706-739-7276 |
Redmond Family Care Center at East Rome Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-235-1102 Fax: 706-235-7188 |
Floyd County Regional Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 E 12th St Sw, Rome, GA 30161 Phone: 706-802-5343 Fax: 706-802-5681 |
Primary Health Care Center of Dade, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Crane St Sw, Rome, GA 30161 Phone: 706-756-6133 Fax: 706-657-2958 |
Northwest Georgia Medical Clinic 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N 5th Ave Ne, Rome, GA 30165 Phone: 404-943-0205 |
Adventhealth Total Health Management Dba Adventhealth Primary Care Rom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Turner Mccall Blvd Ne Unit B6-7, Rome, GA 30165 Phone: 706-368-8894 |