| Privia Medical Group Of Georgia Llc | |
|
101 Yorktown Dr Fayetteville GA 30214-1578 | |
| (770) 460-4285 | |
| Not Available |
| Full Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Yorktown Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Jeannette Wood (VP REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3016722645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Of Georgia Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: () - | Privia Medical Group Of Georgia Llc 101 Yorktown Dr Fayetteville GA 30214-1578 Ph: (770) 460-4285 |
| NPI Number | 1013313857 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 4284951542 |
|---|---|
| Medicare Enrollment ID | O20150325000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013313857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph D Deveau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962552257 PECOS PAC ID: 3577456326 Enrollment ID: I20040205000256 |
| Provider Name | Paul S Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952349813 PECOS PAC ID: 5395638035 Enrollment ID: I20040205000770 |
| Provider Name | Loy D Cowart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912921065 PECOS PAC ID: 9830084037 Enrollment ID: I20040217000694 |
| Provider Name | David P Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942333158 PECOS PAC ID: 7113814229 Enrollment ID: I20040303000412 |
| Provider Name | Benjamin L Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124027842 PECOS PAC ID: 0648168708 Enrollment ID: I20040309001170 |
| Provider Name | Jon M Mcrae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700890274 PECOS PAC ID: 6002704327 Enrollment ID: I20040310000815 |
| Provider Name | Gordon B Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730109414 PECOS PAC ID: 1951291301 Enrollment ID: I20040318000767 |
| Provider Name | Wallace Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821153529 PECOS PAC ID: 6002707601 Enrollment ID: I20040323000961 |
| Provider Name | Don R Connell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740282003 PECOS PAC ID: 8325031560 Enrollment ID: I20040422000744 |
| Provider Name | Denise M Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780625293 PECOS PAC ID: 8527055565 Enrollment ID: I20040429001356 |
| Provider Name | Patricia P Shapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821096645 PECOS PAC ID: 2062400872 Enrollment ID: I20040503000085 |
| Provider Name | Tammie E Walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679572374 PECOS PAC ID: 7719976109 Enrollment ID: I20040511000272 |
| Provider Name | James A Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700845807 PECOS PAC ID: 4880684984 Enrollment ID: I20040512000971 |
| Provider Name | Patrick B Fenlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841259934 PECOS PAC ID: 3678563673 Enrollment ID: I20040513000076 |
| Provider Name | Holly G Coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720163868 PECOS PAC ID: 6800886136 Enrollment ID: I20040518000710 |
| Provider Name | Jerry D Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134133523 PECOS PAC ID: 4486542701 Enrollment ID: I20040519000472 |
| Provider Name | Dale R Nance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184650566 PECOS PAC ID: 8224011671 Enrollment ID: I20040608000981 |
| Provider Name | Steven M Brewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952377905 PECOS PAC ID: 0042294019 Enrollment ID: I20040616001150 |
| Provider Name | Michael L Gee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992774376 PECOS PAC ID: 4082698063 Enrollment ID: I20040616001209 |
| Provider Name | Jeffrey S Mandel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134128853 PECOS PAC ID: 7315921251 Enrollment ID: I20040617000112 |
| Provider Name | Todd E Lanier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902800980 PECOS PAC ID: 6103801287 Enrollment ID: I20040622001421 |
| Provider Name | Cheryl J Barnes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609838077 PECOS PAC ID: 3779569322 Enrollment ID: I20040625000157 |
| Provider Name | Stephanie D Croll |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154347490 PECOS PAC ID: 4880670801 Enrollment ID: I20040629000525 |
| Provider Name | Calvin J Reams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427131101 PECOS PAC ID: 7315924073 Enrollment ID: I20040701000515 |
| Provider Name | Vivian E Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245565340 PECOS PAC ID: 5799762365 Enrollment ID: I20040701000640 |
| Provider Name | Christopher J Oldfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073512877 PECOS PAC ID: 0446232466 Enrollment ID: I20040702000279 |
| Provider Name | Lawrence A Adjei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689637134 PECOS PAC ID: 5294710455 Enrollment ID: I20040712000000 |
| Provider Name | Earl S Yeager |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952300675 PECOS PAC ID: 1951371061 Enrollment ID: I20040727001311 |
| Provider Name | Micah D Riegner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073512802 PECOS PAC ID: 6608846571 Enrollment ID: I20040728000829 |
| Provider Name | Nenad R Avramovski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760480701 PECOS PAC ID: 2062482565 Enrollment ID: I20040730000815 |
| Provider Name | Larry N Elam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306844170 PECOS PAC ID: 2163495961 Enrollment ID: I20040819000122 |
| Provider Name | Firas Bannout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912068768 PECOS PAC ID: 1759355985 Enrollment ID: I20040824000443 |
| Provider Name | Edward D Sammons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104847425 PECOS PAC ID: 2264406123 Enrollment ID: I20040825000866 |
| Provider Name | Hollye Y Mcadams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346290285 PECOS PAC ID: 4789651019 Enrollment ID: I20040915000497 |
| Provider Name | Kathryn P Blocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316960123 PECOS PAC ID: 8921077314 Enrollment ID: I20041001000597 |
| Provider Name | Nancy Q Lefever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629158852 PECOS PAC ID: 6800878679 Enrollment ID: I20041001000838 |
| Provider Name | Richard R Hightower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487652285 PECOS PAC ID: 3870552359 Enrollment ID: I20041008001158 |
| Provider Name | Randy B Cronic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063438679 PECOS PAC ID: 5496716441 Enrollment ID: I20041025000270 |
| Provider Name | Ruthann F Rees |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194820753 PECOS PAC ID: 2163483074 Enrollment ID: I20041028000043 |
| Provider Name | Robert A Gadlage |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588753719 PECOS PAC ID: 7719949320 Enrollment ID: I20041029000147 |
| Provider Name | Gerald A Slagel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003966094 PECOS PAC ID: 8325002678 Enrollment ID: I20041116000799 |
| Provider Name | Harry Snapperman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598850703 PECOS PAC ID: 6305800350 Enrollment ID: I20041118000697 |
| Provider Name | James C Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588714653 PECOS PAC ID: 1254396146 Enrollment ID: I20041119000466 |
| Provider Name | Frank N Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568512549 PECOS PAC ID: 9931164829 Enrollment ID: I20041119000496 |
| Provider Name | Ferrol A Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477603553 PECOS PAC ID: 8527023449 Enrollment ID: I20041119000699 |
| Provider Name | David W Arnall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366591885 PECOS PAC ID: 6305801242 Enrollment ID: I20041119000849 |
| Provider Name | Michael E Obenshain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528153723 PECOS PAC ID: 6901861707 Enrollment ID: I20041122000147 |
| Provider Name | Kesavan G Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124016860 PECOS PAC ID: 0143288175 Enrollment ID: I20041222000437 |
| Provider Name | Edward J Fricker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316933823 PECOS PAC ID: 5193773406 Enrollment ID: I20050104000215 |
| Provider Name | Thomas W Hobby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497749733 PECOS PAC ID: 5092763318 Enrollment ID: I20050104000332 |
| Provider Name | Alford T Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467449272 PECOS PAC ID: 8628026960 Enrollment ID: I20050104000504 |
| Provider Name | George E Powell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821072398 PECOS PAC ID: 7113975129 Enrollment ID: I20050106000459 |
| Provider Name | Andrew J Diamond |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114905379 PECOS PAC ID: 1850294489 Enrollment ID: I20050112000645 |
| Provider Name | James T Tippett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235225822 PECOS PAC ID: 1759330798 Enrollment ID: I20050118000382 |
| Provider Name | Terry E Ham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306891650 PECOS PAC ID: 5092764761 Enrollment ID: I20050120000081 |
| Provider Name | Douglas A Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306844121 PECOS PAC ID: 0941253975 Enrollment ID: I20050302000033 |
| Provider Name | Wallace E Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501799 PECOS PAC ID: 4789584590 Enrollment ID: I20050302000050 |
| Provider Name | Steven K Corse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750320073 PECOS PAC ID: 2860446721 Enrollment ID: I20050303000813 |
| Provider Name | Mechelle Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861410342 PECOS PAC ID: 9537113634 Enrollment ID: I20050311000166 |
| Provider Name | Linda L Casteel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790717171 PECOS PAC ID: 1254386485 Enrollment ID: I20050321000451 |
| Provider Name | Anupama S Ravikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184719122 PECOS PAC ID: 7113974981 Enrollment ID: I20050404000855 |
| Provider Name | Kelly Kallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831244417 PECOS PAC ID: 0446299556 Enrollment ID: I20050428000298 |
| Provider Name | Simone S Whitmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932273877 PECOS PAC ID: 7719928258 Enrollment ID: I20050516000463 |
| Provider Name | David M Mozer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013916840 PECOS PAC ID: 8820032741 Enrollment ID: I20050613000327 |
| Provider Name | Philip J Dubose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730112723 PECOS PAC ID: 2365487741 Enrollment ID: I20050627000271 |
| Provider Name | Karen Y Luster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043322753 PECOS PAC ID: 7012953284 Enrollment ID: I20050629000002 |
| Provider Name | Shelly D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386805885 PECOS PAC ID: 8820024367 Enrollment ID: I20050715000138 |
| Provider Name | David J Gaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952340291 PECOS PAC ID: 4486681467 Enrollment ID: I20050721000153 |
| Provider Name | Wasil Khan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104828250 PECOS PAC ID: 0042248320 Enrollment ID: I20050728000357 |
| Provider Name | Linda D Stemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033153077 PECOS PAC ID: 8628052271 Enrollment ID: I20050818000154 |
| Provider Name | Mark Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770641953 PECOS PAC ID: 1456381532 Enrollment ID: I20050818000181 |
| Provider Name | James S Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407967854 PECOS PAC ID: 2567493802 Enrollment ID: I20050825000905 |
| Provider Name | William S Bohlke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225141997 PECOS PAC ID: 7719919026 Enrollment ID: I20050908000074 |
| Provider Name | Edward M Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154313229 PECOS PAC ID: 5991742009 Enrollment ID: I20050913000689 |
| Provider Name | Susan D Boyett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023036142 PECOS PAC ID: 4688609795 Enrollment ID: I20050928000164 |
| Provider Name | James D Darling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235188244 PECOS PAC ID: 6406747971 Enrollment ID: I20050928000580 |
| Provider Name | Clyde Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851311856 PECOS PAC ID: 9234164120 Enrollment ID: I20050930000474 |
| Provider Name | Bradford M Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396895033 PECOS PAC ID: 6406871615 Enrollment ID: I20051006000847 |
| Provider Name | David W Kunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363194 PECOS PAC ID: 3870518202 Enrollment ID: I20051014000431 |
| Provider Name | Gary H Dent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841255759 PECOS PAC ID: 0749209070 Enrollment ID: I20051116000519 |
| Provider Name | Robert Bruce Remler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316946114 PECOS PAC ID: 9436170339 Enrollment ID: I20051214000128 |
| Provider Name | Charles W Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285686766 PECOS PAC ID: 8123046687 Enrollment ID: I20051228000098 |
| Provider Name | Hy C Sussman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962466888 PECOS PAC ID: 1355333774 Enrollment ID: I20060104000226 |
| Provider Name | Wesley D Ensley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692790 PECOS PAC ID: 2264455310 Enrollment ID: I20060104000690 |
| Provider Name | Leigh S Barrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710098942 PECOS PAC ID: 7012931017 Enrollment ID: I20060117001074 |
| Provider Name | Jeremy W Poole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548343593 PECOS PAC ID: 0143278192 Enrollment ID: I20060315000671 |
| Provider Name | Howard S Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962410464 PECOS PAC ID: 5092723668 Enrollment ID: I20060324000011 |
| Provider Name | William C Adcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124086350 PECOS PAC ID: 6800804642 Enrollment ID: I20060405000221 |
| Provider Name | David G Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013971100 PECOS PAC ID: 0547279796 Enrollment ID: I20060417000193 |
| Provider Name | Kavinder Sahota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407914609 PECOS PAC ID: 2769492412 Enrollment ID: I20060426000399 |
| Provider Name | Olugbenga A Awe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841285087 PECOS PAC ID: 6204811524 Enrollment ID: I20060505000276 |
| Provider Name | Kristen Updegraff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538127519 PECOS PAC ID: 1254342512 Enrollment ID: I20060526000133 |
| Provider Name | Nance C Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508836602 PECOS PAC ID: 1951313121 Enrollment ID: I20060707000209 |
| Provider Name | Andrew A Wade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013908292 PECOS PAC ID: 6608889779 Enrollment ID: I20060714000033 |
| Provider Name | Charles H Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268810 PECOS PAC ID: 7416960836 Enrollment ID: I20060801000040 |
| Provider Name | Thomas Moriarity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669443065 PECOS PAC ID: 2365473469 Enrollment ID: I20060811000428 |
| Provider Name | Carter E Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437181138 PECOS PAC ID: 4587667522 Enrollment ID: I20060814000132 |
| Provider Name | Michelle L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932129822 PECOS PAC ID: 1759384662 Enrollment ID: I20060815000260 |
| Provider Name | William E Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699797324 PECOS PAC ID: 3476557802 Enrollment ID: I20060828000004 |
| Provider Name | Sunil Kini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215996681 PECOS PAC ID: 3678504230 Enrollment ID: I20060908000002 |
| Provider Name | Regina B. Dandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922064336 PECOS PAC ID: 6507860228 Enrollment ID: I20060911000427 |
| Provider Name | Russell L Sliker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245217983 PECOS PAC ID: 6103878210 Enrollment ID: I20061006000560 |
| Provider Name | Charlotte Grayson-mathis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497779391 PECOS PAC ID: 2668470212 Enrollment ID: I20061116000018 |
| Provider Name | Laura A Tsakiris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871561159 PECOS PAC ID: 3779502646 Enrollment ID: I20070131000001 |
| Provider Name | Ray Burnett Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841317138 PECOS PAC ID: 7416915772 Enrollment ID: I20070430000325 |
| Provider Name | Jody S Velie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457485690 PECOS PAC ID: 5597862060 Enrollment ID: I20070517000203 |
| Provider Name | Joshua L Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437174570 PECOS PAC ID: 3173621026 Enrollment ID: I20070531000325 |
| Provider Name | Teresa M Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922015452 PECOS PAC ID: 6608804760 Enrollment ID: I20070605000574 |
| Provider Name | Hernando Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396950994 PECOS PAC ID: 0840390944 Enrollment ID: I20070702000498 |
| Provider Name | James M Kyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306813704 PECOS PAC ID: 5799785796 Enrollment ID: I20070703000182 |
| Provider Name | Robert B Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730120999 PECOS PAC ID: 5395846117 Enrollment ID: I20070724000440 |
| Provider Name | Thomas M Meadows |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033309778 PECOS PAC ID: 0244324366 Enrollment ID: I20070920000376 |
| Provider Name | Leslie L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760569156 PECOS PAC ID: 1355437005 Enrollment ID: I20071011000337 |
| Provider Name | Philip R Kennedy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912903485 PECOS PAC ID: 4688762032 Enrollment ID: I20071119000149 |
| Provider Name | Denise Stripling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033319447 PECOS PAC ID: 2567430291 Enrollment ID: I20071126000176 |
| Provider Name | Anita D Sinnott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083835227 PECOS PAC ID: 4486743101 Enrollment ID: I20071204000228 |
| Provider Name | Rene Childree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750319463 PECOS PAC ID: 6305936733 Enrollment ID: I20071221000170 |
| Provider Name | Laura M Trice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093724015 PECOS PAC ID: 5092897223 Enrollment ID: I20080128000364 |
| Provider Name | Deborah Cothran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487842068 PECOS PAC ID: 4789766593 Enrollment ID: I20080201000342 |
| Provider Name | Bruce S Thombley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932165123 PECOS PAC ID: 1850473497 Enrollment ID: I20080205000000 |
| Provider Name | Sarah E Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922294909 PECOS PAC ID: 7719063957 Enrollment ID: I20080327000595 |
| Provider Name | William L Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477512663 PECOS PAC ID: 4880770858 Enrollment ID: I20080401000253 |
| Provider Name | James W Falconer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295704641 PECOS PAC ID: 7810073897 Enrollment ID: I20080401000313 |
| Provider Name | Joel L Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841265717 PECOS PAC ID: 2264480334 Enrollment ID: I20080502000002 |
| Provider Name | Jorge A Amador Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588619530 PECOS PAC ID: 6709955016 Enrollment ID: I20080513000185 |
| Provider Name | Joe K Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831198696 PECOS PAC ID: 8527138940 Enrollment ID: I20080528000307 |
| Provider Name | Donald B. Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972535615 PECOS PAC ID: 1355332362 Enrollment ID: I20080529000615 |
| Provider Name | Susan E Brickle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407876188 PECOS PAC ID: 0547330896 Enrollment ID: I20080529000656 |
| Provider Name | George A Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588684278 PECOS PAC ID: 2163592411 Enrollment ID: I20080529000674 |
| Provider Name | Vicki C Van |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124181086 PECOS PAC ID: 4082785639 Enrollment ID: I20080625000429 |
| Provider Name | Charity G Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851568869 PECOS PAC ID: 8325111057 Enrollment ID: I20080714000547 |
| Provider Name | Ana Concepcion-castro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174508576 PECOS PAC ID: 0749376291 Enrollment ID: I20080716000573 |
| Provider Name | Louis Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639260433 PECOS PAC ID: 0840363925 Enrollment ID: I20080723000116 |
| Provider Name | Jeremy R Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255514584 PECOS PAC ID: 0840364691 Enrollment ID: I20080729000069 |
| Provider Name | Joe H Morgan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427230150 PECOS PAC ID: 5799859567 Enrollment ID: I20080729000226 |
| Provider Name | Natalie R Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700042462 PECOS PAC ID: 1052487550 Enrollment ID: I20080908000231 |
| Provider Name | Nancy Rowell-crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346308525 PECOS PAC ID: 6204903669 Enrollment ID: I20080926000212 |
| Provider Name | Stephanie J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467540062 PECOS PAC ID: 4981762192 Enrollment ID: I20081016000338 |
| Provider Name | Jacqueline T Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295863256 PECOS PAC ID: 8022176833 Enrollment ID: I20081023000309 |
| Provider Name | Gregory B Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326066895 PECOS PAC ID: 9537229950 Enrollment ID: I20081114000642 |
| Provider Name | Jefferson T Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336167816 PECOS PAC ID: 3274587399 Enrollment ID: I20081114000696 |
| Provider Name | Amanda H Hendricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922044767 PECOS PAC ID: 1557421435 Enrollment ID: I20081121000512 |
| Provider Name | Laena M Karnstedt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528061611 PECOS PAC ID: 4082777263 Enrollment ID: I20090114000435 |
| Provider Name | Nizar Samih Eskandar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104833698 PECOS PAC ID: 4385746817 Enrollment ID: I20090114000449 |
| Provider Name | Lisa Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740427160 PECOS PAC ID: 2062576481 Enrollment ID: I20090130000145 |
| Provider Name | Robert G Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922192418 PECOS PAC ID: 1153486857 Enrollment ID: I20090212000409 |
| Provider Name | Timothy O Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699858605 PECOS PAC ID: 8527006568 Enrollment ID: I20090630000145 |
| Provider Name | Christina M Kile |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326072851 PECOS PAC ID: 4880698729 Enrollment ID: I20090713000327 |
| Provider Name | John S Inman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912991241 PECOS PAC ID: 8022110220 Enrollment ID: I20090811000610 |
| Provider Name | Latifat Tosin Agbeja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356575054 PECOS PAC ID: 4789738410 Enrollment ID: I20090814000490 |
| Provider Name | Bonny S Voyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851627624 PECOS PAC ID: 8022157593 Enrollment ID: I20091124000046 |
| Provider Name | Sabin Tomus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689616963 PECOS PAC ID: 4486689775 Enrollment ID: I20091229000223 |
| Provider Name | Gerald K Brantley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123920 PECOS PAC ID: 9335034990 Enrollment ID: I20100111000550 |
| Provider Name | Steven J Novack |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366488504 PECOS PAC ID: 7810038874 Enrollment ID: I20100113000146 |
| Provider Name | Donald Keith Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386688554 PECOS PAC ID: 2062553027 Enrollment ID: I20100113000184 |
| Provider Name | Kaveh Ehsanipoor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821037706 PECOS PAC ID: 1052455086 Enrollment ID: I20100215000484 |
| Provider Name | Amy E Geer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528141553 PECOS PAC ID: 2163460197 Enrollment ID: I20100308000066 |
| Provider Name | Charles R Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144303124 PECOS PAC ID: 4981642923 Enrollment ID: I20100308000107 |
| Provider Name | Bhavesh G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619976222 PECOS PAC ID: 1658411467 Enrollment ID: I20100309000412 |
| Provider Name | Julio P Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952309700 PECOS PAC ID: 4183764996 Enrollment ID: I20100309000559 |
| Provider Name | Alana M Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194718718 PECOS PAC ID: 7315964970 Enrollment ID: I20100316000227 |
| Provider Name | William Leicester Woodard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710963624 PECOS PAC ID: 7315949831 Enrollment ID: I20100323000540 |
| Provider Name | Robert P Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194724914 PECOS PAC ID: 9133029945 Enrollment ID: I20100324000162 |
| Provider Name | Joseph S Mclendon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357731 PECOS PAC ID: 8123153566 Enrollment ID: I20100324000263 |
| Provider Name | Kay C Kitchen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467448647 PECOS PAC ID: 1456486802 Enrollment ID: I20100324000318 |
| Provider Name | Anita Joyce Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104812387 PECOS PAC ID: 7315072774 Enrollment ID: I20100324000370 |
| Provider Name | Frank D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246608 PECOS PAC ID: 2264567627 Enrollment ID: I20100324000406 |
| Provider Name | Joseph W Stubbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528054020 PECOS PAC ID: 2264567635 Enrollment ID: I20100324000504 |
| Provider Name | Lisa M Bettio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699774356 PECOS PAC ID: 7416083753 Enrollment ID: I20100326000039 |
| Provider Name | Keith M Seibert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467451211 PECOS PAC ID: 1557401361 Enrollment ID: I20100329000390 |
| Provider Name | Suzanne L Nunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891772943 PECOS PAC ID: 3678609526 Enrollment ID: I20100330000647 |
| Provider Name | Robert L. Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487653168 PECOS PAC ID: 5193865913 Enrollment ID: I20100416000210 |
| Provider Name | Victor M Mcmillan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679542013 PECOS PAC ID: 9931246667 Enrollment ID: I20100427000262 |
| Provider Name | Harresh B Dulamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699773457 PECOS PAC ID: 8729128533 Enrollment ID: I20100429000901 |
| Provider Name | Christopher B Curry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770581530 PECOS PAC ID: 5193852721 Enrollment ID: I20100429000915 |
| Provider Name | Troy A Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178395 PECOS PAC ID: 7012057821 Enrollment ID: I20100506000570 |
| Provider Name | Daniel F Mitchell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447219548 PECOS PAC ID: 6406985704 Enrollment ID: I20100525000792 |
| Provider Name | Douglas A Hanzel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548268337 PECOS PAC ID: 7719027523 Enrollment ID: I20100610000492 |
| Provider Name | Theodore Geffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511861 PECOS PAC ID: 4082754890 Enrollment ID: I20100610000537 |
| Provider Name | Anna S Franklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679754691 PECOS PAC ID: 1557492659 Enrollment ID: I20100707000345 |
| Provider Name | Joseph Morgan Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811980352 PECOS PAC ID: 5092847202 Enrollment ID: I20100722000795 |
| Provider Name | Hiem Thong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184623993 PECOS PAC ID: 4284774001 Enrollment ID: I20100728000352 |
| Provider Name | Sandra Wordlaw-watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023151313 PECOS PAC ID: 6901930908 Enrollment ID: I20100812000583 |
| Provider Name | Zia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427122092 PECOS PAC ID: 2668436684 Enrollment ID: I20100825000476 |
| Provider Name | Jules Victor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306845029 PECOS PAC ID: 1759281561 Enrollment ID: I20100827000586 |
| Provider Name | C. Thomas Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619993102 PECOS PAC ID: 2567551112 Enrollment ID: I20100907000012 |
| Provider Name | J Michael Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760408272 PECOS PAC ID: 7719001296 Enrollment ID: I20100907000289 |
| Provider Name | David Arther Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851452254 PECOS PAC ID: 2163593187 Enrollment ID: I20101005000233 |
| Provider Name | Royce M Cannington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639268956 PECOS PAC ID: 8426194614 Enrollment ID: I20101015000415 |
| Provider Name | Victor Winthrop Rosenfeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407968290 PECOS PAC ID: 4385732882 Enrollment ID: I20101020000699 |
| Provider Name | Reneka L Dobbs-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134310147 PECOS PAC ID: 7315130440 Enrollment ID: I20101021001061 |
| Provider Name | William M George |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558354076 PECOS PAC ID: 2264404565 Enrollment ID: I20101026000743 |
| Provider Name | Jonathan L Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265612972 PECOS PAC ID: 6406040005 Enrollment ID: I20101027001264 |
| Provider Name | Elizabeth J Tye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013228568 PECOS PAC ID: 7315131703 Enrollment ID: I20101029000735 |
| Provider Name | Karen Lynn Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093886715 PECOS PAC ID: 2769677525 Enrollment ID: I20101108000117 |
| Provider Name | Carl Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023018561 PECOS PAC ID: 4688869704 Enrollment ID: I20101115000206 |
| Provider Name | Subhod Rao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033303821 PECOS PAC ID: 1355479197 Enrollment ID: I20101116000479 |
| Provider Name | Renee S King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376858555 PECOS PAC ID: 1658568431 Enrollment ID: I20101206000713 |
| Provider Name | Joseph A Howe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114996568 PECOS PAC ID: 5991993917 Enrollment ID: I20101217000156 |
| Provider Name | Troy Allan Clifton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114096617 PECOS PAC ID: 5496943763 Enrollment ID: I20101230000790 |
| Provider Name | Jayashree Chengalath Veliyath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992722920 PECOS PAC ID: 2062601990 Enrollment ID: I20110107000822 |
| Provider Name | Charles A Bergstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104886662 PECOS PAC ID: 0244429876 Enrollment ID: I20110112000493 |
| Provider Name | Afolarin Banjoko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083775779 PECOS PAC ID: 6103712005 Enrollment ID: I20110202000189 |
| Provider Name | Kerri Anne Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801096417 PECOS PAC ID: 4486835675 Enrollment ID: I20110222000104 |
| Provider Name | Michael Robert Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316057821 PECOS PAC ID: 0446232128 Enrollment ID: I20110314000229 |
| Provider Name | Christine A Swords |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003105727 PECOS PAC ID: 9931384443 Enrollment ID: I20110427000466 |
| Provider Name | Chryselle M Nazare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912167578 PECOS PAC ID: 7618145640 Enrollment ID: I20110719000392 |
| Provider Name | Chetan Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763011 PECOS PAC ID: 7113195082 Enrollment ID: I20110720000133 |
| Provider Name | Jarod F Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649432733 PECOS PAC ID: 4688842198 Enrollment ID: I20110727000221 |
| Provider Name | Adam Foster Novack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265699433 PECOS PAC ID: 6800064247 Enrollment ID: I20110729000347 |
| Provider Name | David Deuser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427237015 PECOS PAC ID: 2961672381 Enrollment ID: I20110823000241 |
| Provider Name | Sherma Peter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518127687 PECOS PAC ID: 4486824380 Enrollment ID: I20110901000518 |
| Provider Name | Marie Easterlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003008111 PECOS PAC ID: 6406027903 Enrollment ID: I20110913000683 |
| Provider Name | Elizabeth A Stargell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821379033 PECOS PAC ID: 8820260128 Enrollment ID: I20111010000597 |
| Provider Name | Jill Northover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326338609 PECOS PAC ID: 1355513292 Enrollment ID: I20111018000790 |
| Provider Name | Matthew Murray Johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972572923 PECOS PAC ID: 3870767742 Enrollment ID: I20111111000236 |
| Provider Name | Donna Leach |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003813791 PECOS PAC ID: 8426004482 Enrollment ID: I20111209000444 |
| Provider Name | Craig Kevin Skalla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265570691 PECOS PAC ID: 1052417342 Enrollment ID: I20111212000536 |
| Provider Name | Kim S Hulsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558432757 PECOS PAC ID: 3577738731 Enrollment ID: I20111216000230 |
| Provider Name | Douglas G Gresham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629155676 PECOS PAC ID: 9830270719 Enrollment ID: I20120126000296 |
| Provider Name | Leah D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689945644 PECOS PAC ID: 8820255300 Enrollment ID: I20120210000768 |
| Provider Name | Rita A Judy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073849675 PECOS PAC ID: 5193983971 Enrollment ID: I20120224000489 |
| Provider Name | Akita Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801007026 PECOS PAC ID: 2365605102 Enrollment ID: I20120515000451 |
| Provider Name | Sharon G Haggerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295061612 PECOS PAC ID: 0749443463 Enrollment ID: I20120516000544 |
| Provider Name | Elving Colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104051119 PECOS PAC ID: 6800051996 Enrollment ID: I20120621000651 |
| Provider Name | James M Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083811442 PECOS PAC ID: 3173671112 Enrollment ID: I20120627000095 |
| Provider Name | Jennifer D Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003185570 PECOS PAC ID: 7416112065 Enrollment ID: I20120703000637 |
| Provider Name | Anuj Mohan Tewari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629258066 PECOS PAC ID: 0345405783 Enrollment ID: I20120710000064 |
| Provider Name | Thomas Eugene Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558599159 PECOS PAC ID: 1658536842 Enrollment ID: I20120714000053 |
| Provider Name | Jami Beth Scanlon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366545329 PECOS PAC ID: 3274799473 Enrollment ID: I20120716000140 |
| Provider Name | Amber W Rodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497018063 PECOS PAC ID: 3678739612 Enrollment ID: I20120719000413 |
| Provider Name | Kurt S. Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295969228 PECOS PAC ID: 8921256587 Enrollment ID: I20120924000715 |
| Provider Name | Natashia L Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659347581 PECOS PAC ID: 1951375575 Enrollment ID: I20121231000310 |
| Provider Name | Julie Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033406517 PECOS PAC ID: 0244409654 Enrollment ID: I20130208000235 |
| Provider Name | Michael John Renner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386602662 PECOS PAC ID: 9335166578 Enrollment ID: I20130228000306 |
| Provider Name | Scott E Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356535322 PECOS PAC ID: 7719132141 Enrollment ID: I20130308000327 |
| Provider Name | Allyson Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083968648 PECOS PAC ID: 0446496160 Enrollment ID: I20130424000648 |
| Provider Name | Sherri C. Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437309861 PECOS PAC ID: 9931346509 Enrollment ID: I20130520000367 |
| Provider Name | Garrett D White |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225031842 PECOS PAC ID: 8729972831 Enrollment ID: I20130524000410 |
| Provider Name | Charles Harry Kemp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093035784 PECOS PAC ID: 0749420453 Enrollment ID: I20130701000117 |
| Provider Name | Amanda J Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861600975 PECOS PAC ID: 0143465344 Enrollment ID: I20130806000377 |
| Provider Name | Patricia Carol Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649616392 PECOS PAC ID: 5890938617 Enrollment ID: I20130827000413 |
| Provider Name | Stacey Hodges Williford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740616721 PECOS PAC ID: 7416183702 Enrollment ID: I20131114001270 |
| Provider Name | Kari Lowery Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689007049 PECOS PAC ID: 4486880556 Enrollment ID: I20131119001602 |
| Provider Name | Joshua P Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649485160 PECOS PAC ID: 1456483478 Enrollment ID: I20131216000437 |
| Provider Name | Braxton Jordan Fields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528220274 PECOS PAC ID: 8224268768 Enrollment ID: I20140303001583 |
| Provider Name | Sabrina Simokaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174952758 PECOS PAC ID: 1052542255 Enrollment ID: I20140402000411 |
| Provider Name | Leland Reamer Dampier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821388893 PECOS PAC ID: 5496988206 Enrollment ID: I20140501001641 |
| Provider Name | Stacey Favre Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043633985 PECOS PAC ID: 4688807415 Enrollment ID: I20140520002634 |
| Provider Name | Rebecca Leanne Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457776189 PECOS PAC ID: 0547483901 Enrollment ID: I20140603002491 |
| Provider Name | Shannon Christie-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144648395 PECOS PAC ID: 2466676200 Enrollment ID: I20140617001420 |
| Provider Name | Kimberly R Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134310824 PECOS PAC ID: 1850475286 Enrollment ID: I20140707001301 |
| Provider Name | Joseph K Obuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043630627 PECOS PAC ID: 6709002967 Enrollment ID: I20140723002167 |
| Provider Name | Jason R Pearce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699909598 PECOS PAC ID: 4385880392 Enrollment ID: I20140806002020 |
| Provider Name | Jinne N Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497162325 PECOS PAC ID: 8123246741 Enrollment ID: I20140822002576 |
| Provider Name | Linda Tatman Durden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093132219 PECOS PAC ID: 9234358532 Enrollment ID: I20140918001981 |
| Provider Name | Susan B Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396795 PECOS PAC ID: 3971723230 Enrollment ID: I20141008001981 |
| Provider Name | Kelsey R Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952717431 PECOS PAC ID: 6103046271 Enrollment ID: I20141013002397 |
| Provider Name | Jessica Marie Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700226107 PECOS PAC ID: 8628299005 Enrollment ID: I20141028002827 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20141106001255 |
| Provider Name | Wendy Swayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730580010 PECOS PAC ID: 6103048947 Enrollment ID: I20141112001039 |
| Provider Name | Jennifer N Hallford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689079584 PECOS PAC ID: 2961726906 Enrollment ID: I20150121001627 |
| Provider Name | Susan Alyce Dressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964450 PECOS PAC ID: 6709100407 Enrollment ID: I20150129001551 |
| Provider Name | Susan Leanne Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336544683 PECOS PAC ID: 4385961069 Enrollment ID: I20150317001404 |
| Provider Name | Alice R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487622825 PECOS PAC ID: 1052203585 Enrollment ID: I20150402001177 |
| Provider Name | Leslie Renee Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285022541 PECOS PAC ID: 3274851290 Enrollment ID: I20150422002075 |
| Provider Name | Aimee Pflugrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370465 PECOS PAC ID: 3476872458 Enrollment ID: I20150427000428 |
| Provider Name | Jaclyn Camille Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124424536 PECOS PAC ID: 0345569232 Enrollment ID: I20150427000968 |
| Provider Name | Greta S Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447644265 PECOS PAC ID: 6305165002 Enrollment ID: I20150430002089 |
| Provider Name | Joshua W Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827408 PECOS PAC ID: 2769620475 Enrollment ID: I20150616002525 |
| Provider Name | Susan Goethe Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750776720 PECOS PAC ID: 8325069586 Enrollment ID: I20150623002856 |
| Provider Name | Melissa A Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457730038 PECOS PAC ID: 3971816950 Enrollment ID: I20150720002762 |
| Provider Name | Ian B Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144464801 PECOS PAC ID: 7517270317 Enrollment ID: I20150722006449 |
| Provider Name | Scott Rappe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922249267 PECOS PAC ID: 5294995577 Enrollment ID: I20150724012566 |
| Provider Name | Caroline Lukano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498466 PECOS PAC ID: 5597071241 Enrollment ID: I20150826001800 |
| Provider Name | Margaret Bates Mccormack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376809053 PECOS PAC ID: 6608183421 Enrollment ID: I20150910003064 |
| Provider Name | Christa Lynn Jillard Ilic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811125966 PECOS PAC ID: 4082831912 Enrollment ID: I20150925001187 |
| Provider Name | Zachary David Ownbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131924 PECOS PAC ID: 0042529919 Enrollment ID: I20151014003410 |
| Provider Name | Kimberly Blaine Crosland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861637449 PECOS PAC ID: 9436395100 Enrollment ID: I20151020002103 |
| Provider Name | Tracy O. Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383876 PECOS PAC ID: 7214247394 Enrollment ID: I20151102000402 |
| Provider Name | Anthony Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104186246 PECOS PAC ID: 4880850692 Enrollment ID: I20151102000983 |
| Provider Name | Courtney Callaway Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466392 PECOS PAC ID: 3779893110 Enrollment ID: I20151113002251 |
| Provider Name | Tina K Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255703088 PECOS PAC ID: 0840590014 Enrollment ID: I20151120000872 |
| Provider Name | Jeffrey Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281132 PECOS PAC ID: 5597065516 Enrollment ID: I20151124000870 |
| Provider Name | Rose M Delva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831586791 PECOS PAC ID: 7416257902 Enrollment ID: I20151207000895 |
| Provider Name | Bethany Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212913 PECOS PAC ID: 6002036217 Enrollment ID: I20151207001837 |
| Provider Name | Rainey Sellers Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610031 PECOS PAC ID: 0840510673 Enrollment ID: I20151211001199 |
| Provider Name | Rocio J Urena Ducasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568478899 PECOS PAC ID: 0648274571 Enrollment ID: I20151222001383 |
| Provider Name | Caitlin B Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924474 PECOS PAC ID: 0143523506 Enrollment ID: I20160120000247 |
| Provider Name | Holly Lavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639535628 PECOS PAC ID: 8527361567 Enrollment ID: I20160125001933 |
| Provider Name | Brett Allen Forehand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427430180 PECOS PAC ID: 3870896848 Enrollment ID: I20160126000132 |
| Provider Name | Laura Danielle Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346606225 PECOS PAC ID: 9133423866 Enrollment ID: I20160201001623 |
| Provider Name | Alicia J Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386004810 PECOS PAC ID: 9436456860 Enrollment ID: I20160329002268 |
| Provider Name | Dawn Anne Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629449285 PECOS PAC ID: 2365731841 Enrollment ID: I20160523002743 |
| Provider Name | Andrew Charles Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922059252 PECOS PAC ID: 9830482512 Enrollment ID: I20160719001872 |
| Provider Name | Jocelyn K Bayliss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679860522 PECOS PAC ID: 1052551652 Enrollment ID: I20160808002689 |
| Provider Name | Walter Blun Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336466366 PECOS PAC ID: 1456595651 Enrollment ID: I20160808002753 |
| Provider Name | Sarah Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720385412 PECOS PAC ID: 9133359227 Enrollment ID: I20160809002609 |
| Provider Name | Catherine Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861841579 PECOS PAC ID: 6204120488 Enrollment ID: I20160810002616 |
| Provider Name | Kyle W Schuller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578880373 PECOS PAC ID: 8022254978 Enrollment ID: I20160815001160 |
| Provider Name | Ashley Marie Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016895 PECOS PAC ID: 2769777333 Enrollment ID: I20160822000601 |
| Provider Name | Valerie L Mainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245580471 PECOS PAC ID: 9335434844 Enrollment ID: I20160823002301 |
| Provider Name | Vanesa Womack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063629061 PECOS PAC ID: 4183657943 Enrollment ID: I20160829001309 |
| Provider Name | Robin O Hern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922298009 PECOS PAC ID: 5698061950 Enrollment ID: I20160913000926 |
| Provider Name | Melissa A Iler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083198 PECOS PAC ID: 6901193739 Enrollment ID: I20160922001273 |
| Provider Name | Stacey Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784500 PECOS PAC ID: 8820385529 Enrollment ID: I20160923000859 |
| Provider Name | Furhan Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20161003000499 |
| Provider Name | Scott Edward Rojas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285609784 PECOS PAC ID: 5496705824 Enrollment ID: I20161003001021 |
| Provider Name | Justin D Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457806184 PECOS PAC ID: 4486932514 Enrollment ID: I20161025001222 |
| Provider Name | Hannah N Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952854572 PECOS PAC ID: 3173801909 Enrollment ID: I20161031000985 |
| Provider Name | Kathy A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780033118 PECOS PAC ID: 8729367172 Enrollment ID: I20161108001190 |
| Provider Name | Mcfrances George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669926663 PECOS PAC ID: 0244510659 Enrollment ID: I20161130002268 |
| Provider Name | Scott Callaghan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497747018 PECOS PAC ID: 4385696582 Enrollment ID: I20161216001720 |
| Provider Name | Holley V Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962653386 PECOS PAC ID: 9537441183 Enrollment ID: I20170117000979 |
| Provider Name | Lindsey Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629772 PECOS PAC ID: 2163704305 Enrollment ID: I20170123001785 |
| Provider Name | Amber M Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487198974 PECOS PAC ID: 1557644044 Enrollment ID: I20170207002077 |
| Provider Name | Jessica Brooke Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124563713 PECOS PAC ID: 9335422849 Enrollment ID: I20170208000042 |
| Provider Name | Lakeisha Blair-watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073755195 PECOS PAC ID: 0547402828 Enrollment ID: I20170313000725 |
| Provider Name | Althea Dimaculangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609255066 PECOS PAC ID: 0345525036 Enrollment ID: I20170320002236 |
| Provider Name | Stephanie E Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406162 PECOS PAC ID: 8820389224 Enrollment ID: I20170322000902 |
| Provider Name | Agnes Oyewo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023429990 PECOS PAC ID: 6103101456 Enrollment ID: I20170328002543 |
| Provider Name | Keldreca Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797600 PECOS PAC ID: 5799062501 Enrollment ID: I20170504000954 |
| Provider Name | Sunny Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700325230 PECOS PAC ID: 7719263250 Enrollment ID: I20170705003231 |
| Provider Name | Khoa D Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548550460 PECOS PAC ID: 6406092402 Enrollment ID: I20170712001245 |
| Provider Name | Laura Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497190953 PECOS PAC ID: 0840569497 Enrollment ID: I20170713000588 |
| Provider Name | Christina Marie Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245620079 PECOS PAC ID: 6709183452 Enrollment ID: I20170801002760 |
| Provider Name | Lindsay Thrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194265975 PECOS PAC ID: 9739450230 Enrollment ID: I20170801003908 |
| Provider Name | James Mcclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083696561 PECOS PAC ID: 4587839311 Enrollment ID: I20170822002702 |
| Provider Name | Arthur G Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366962227 PECOS PAC ID: 8527330679 Enrollment ID: I20170824000145 |
| Provider Name | Ruby W Pontello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538162185 PECOS PAC ID: 7618061672 Enrollment ID: I20170908002956 |
| Provider Name | Doriann T Stempinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417477811 PECOS PAC ID: 0547533622 Enrollment ID: I20170912002370 |
| Provider Name | Linda Peabody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104201417 PECOS PAC ID: 8729351739 Enrollment ID: I20170913000500 |
| Provider Name | Adejoke Ojumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164957163 PECOS PAC ID: 3072887751 Enrollment ID: I20170919001797 |
| Provider Name | Kasheen Faustin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134645948 PECOS PAC ID: 8426322736 Enrollment ID: I20170926002155 |
| Provider Name | Sanjeev Kishin Bhavnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578663951 PECOS PAC ID: 9436156759 Enrollment ID: I20170927000160 |
| Provider Name | Hyacinth Dennis-crooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912161381 PECOS PAC ID: 4981979895 Enrollment ID: I20171003005802 |
| Provider Name | Pamela Jean Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215454020 PECOS PAC ID: 8527334424 Enrollment ID: I20171020000900 |
| Provider Name | Stacy Jane Slaght |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740706449 PECOS PAC ID: 8628344207 Enrollment ID: I20171026000957 |
| Provider Name | Joy Blumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437675394 PECOS PAC ID: 7618243221 Enrollment ID: I20171026002533 |
| Provider Name | Kimberly Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336685544 PECOS PAC ID: 6709142094 Enrollment ID: I20171101002545 |
| Provider Name | Andrea P Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427433945 PECOS PAC ID: 6608178272 Enrollment ID: I20171103001071 |
| Provider Name | Ksena Mclean Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558711127 PECOS PAC ID: 7810253689 Enrollment ID: I20171110000724 |
| Provider Name | Amie Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146698 PECOS PAC ID: 9436415015 Enrollment ID: I20171115000738 |
| Provider Name | Brandy Stevens Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871018937 PECOS PAC ID: 6800152380 Enrollment ID: I20171116001385 |
| Provider Name | Pamela E Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598205270 PECOS PAC ID: 3577820919 Enrollment ID: I20171120002631 |
| Provider Name | Kacie Parrish Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003287533 PECOS PAC ID: 6002173242 Enrollment ID: I20171127001736 |
| Provider Name | Melissa Diane Rusterucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963892 PECOS PAC ID: 9739446469 Enrollment ID: I20171205000752 |
| Provider Name | Charles Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437417359 PECOS PAC ID: 1153688858 Enrollment ID: I20171205003377 |
| Provider Name | Emily Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245771070 PECOS PAC ID: 2163781642 Enrollment ID: I20180108001439 |
| Provider Name | Sheela Lohiya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902124738 PECOS PAC ID: 5799927380 Enrollment ID: I20180127000089 |
| Provider Name | Crystal Belflower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427567841 PECOS PAC ID: 0941560239 Enrollment ID: I20180206001233 |
| Provider Name | Lokhana Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174041404 PECOS PAC ID: 4789948043 Enrollment ID: I20180514002466 |
| Provider Name | Fred Vaughan Legg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346791878 PECOS PAC ID: 2769747393 Enrollment ID: I20180531000429 |
| Provider Name | Patrice Janice Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003318833 PECOS PAC ID: 4981969482 Enrollment ID: I20180605000771 |
| Provider Name | Amy Elizabeth Reisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164688164 PECOS PAC ID: 6103992888 Enrollment ID: I20180712002904 |
| Provider Name | Jeanette Dormio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427561836 PECOS PAC ID: 9234486309 Enrollment ID: I20180719003485 |
| Provider Name | Ashley Keen Gavelek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082190 PECOS PAC ID: 7214284207 Enrollment ID: I20180723000770 |
| Provider Name | Latoya Katrese Buford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738909 PECOS PAC ID: 2769739606 Enrollment ID: I20180723003473 |
| Provider Name | Robert Glenn Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154769974 PECOS PAC ID: 2466695291 Enrollment ID: I20180726000552 |
| Provider Name | Vannessa Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467968099 PECOS PAC ID: 9638426216 Enrollment ID: I20180728000079 |
| Provider Name | Remonne Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801252176 PECOS PAC ID: 0941558563 Enrollment ID: I20180730002081 |
| Provider Name | Jesse M Coleman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871618538 PECOS PAC ID: 5698023497 Enrollment ID: I20180810001674 |
| Provider Name | Morgan Charlotte Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033621776 PECOS PAC ID: 5698024156 Enrollment ID: I20180816003450 |
| Provider Name | William B Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356621890 PECOS PAC ID: 9436467164 Enrollment ID: I20180820003665 |
| Provider Name | Brandon Patrick Merrill |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285983734 PECOS PAC ID: 7810122546 Enrollment ID: I20180827000392 |
| Provider Name | Angela Kennedy Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681495 PECOS PAC ID: 1355691155 Enrollment ID: I20180828003651 |
| Provider Name | Whittnye Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578059150 PECOS PAC ID: 1254681232 Enrollment ID: I20180912003488 |
| Provider Name | Maci Michele Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801341318 PECOS PAC ID: 2860743077 Enrollment ID: I20180927002242 |
| Provider Name | Shakia Tramaine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528420452 PECOS PAC ID: 9133414642 Enrollment ID: I20181001002690 |
| Provider Name | Manisha Vijay Shroff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699708750 PECOS PAC ID: 9234134404 Enrollment ID: I20181003003393 |
| Provider Name | Crystal Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780707166 PECOS PAC ID: 1254683717 Enrollment ID: I20181010002796 |
| Provider Name | Leslie Birdsong Sizemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356608723 PECOS PAC ID: 3870732357 Enrollment ID: I20181126001767 |
| Provider Name | Pamela Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528546652 PECOS PAC ID: 6204170822 Enrollment ID: I20181207000714 |
| Provider Name | Matthew B Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871976803 PECOS PAC ID: 0143565267 Enrollment ID: I20181218003104 |
| Provider Name | Emma S Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316375017 PECOS PAC ID: 7113262957 Enrollment ID: I20181221002360 |
| Provider Name | Holly Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996577 PECOS PAC ID: 5092050633 Enrollment ID: I20181229000034 |
| Provider Name | Marjorie Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790261535 PECOS PAC ID: 5698012607 Enrollment ID: I20190129003711 |
| Provider Name | Heather W E Latham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548691736 PECOS PAC ID: 5890915961 Enrollment ID: I20190213000005 |
| Provider Name | Deepak Nathani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538125794 PECOS PAC ID: 5698852978 Enrollment ID: I20190408002743 |
| Provider Name | Michaela Seward Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437634540 PECOS PAC ID: 3870834484 Enrollment ID: I20190409001607 |
| Provider Name | Lyudmila P Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285071340 PECOS PAC ID: 6901049378 Enrollment ID: I20190410002175 |
| Provider Name | Tausha Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134691512 PECOS PAC ID: 8628319142 Enrollment ID: I20190410002923 |
| Provider Name | Ashley D Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336626076 PECOS PAC ID: 1658614771 Enrollment ID: I20190513001709 |
| Provider Name | April L Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003809534 PECOS PAC ID: 2668438755 Enrollment ID: I20190516000356 |
| Provider Name | Jennifer Lee Reffeor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730646811 PECOS PAC ID: 1052654654 Enrollment ID: I20190522003389 |
| Provider Name | Mark A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112456 PECOS PAC ID: 4880927797 Enrollment ID: I20190607002634 |
| Provider Name | Holly M Loesch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871519330 PECOS PAC ID: 4284680455 Enrollment ID: I20190624003059 |
| Provider Name | Tracey L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508071515 PECOS PAC ID: 1052645108 Enrollment ID: I20190625000409 |
| Provider Name | Elizabeth Hesley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912477670 PECOS PAC ID: 4981930542 Enrollment ID: I20190719002768 |
| Provider Name | Angela Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407412042 PECOS PAC ID: 7911233044 Enrollment ID: I20190729000560 |
| Provider Name | David Michael Carstens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679924252 PECOS PAC ID: 7719216886 Enrollment ID: I20190916001237 |
| Provider Name | Katherine Conover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802409 PECOS PAC ID: 2264734821 Enrollment ID: I20190927001798 |
| Provider Name | Mijal M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164855714 PECOS PAC ID: 6608146881 Enrollment ID: I20191001001898 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164873261 PECOS PAC ID: 9436480456 Enrollment ID: I20191004003230 |
| Provider Name | Lauren Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498548 PECOS PAC ID: 9830420892 Enrollment ID: I20191007001696 |
| Provider Name | Jeffrey Michael Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427602424 PECOS PAC ID: 4688741754 Enrollment ID: I20191008000081 |
| Provider Name | Mary Deason Perritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164081311 PECOS PAC ID: 0345571204 Enrollment ID: I20191008002757 |
| Provider Name | Shonda Shanel Bailey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154515427 PECOS PAC ID: 8224288667 Enrollment ID: I20191016003860 |
| Provider Name | Randi Tatum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083062160 PECOS PAC ID: 0840521068 Enrollment ID: I20191018001393 |
| Provider Name | Kelsay Mcfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438619 PECOS PAC ID: 3072836816 Enrollment ID: I20191030002271 |
| Provider Name | Davelyne Leeann Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073162004 PECOS PAC ID: 8527490788 Enrollment ID: I20191111000528 |
| Provider Name | Chivas Michelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639647357 PECOS PAC ID: 3779915756 Enrollment ID: I20191112003661 |
| Provider Name | Rebecca Marshburn Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679937577 PECOS PAC ID: 3870925696 Enrollment ID: I20191118000468 |
| Provider Name | Ashley Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619523016 PECOS PAC ID: 6103258710 Enrollment ID: I20191120002629 |
| Provider Name | Sarah Coxwell Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761125 PECOS PAC ID: 3577995075 Enrollment ID: I20191122000110 |
| Provider Name | Haley Brooke Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912554841 PECOS PAC ID: 7416389861 Enrollment ID: I20191122002659 |
| Provider Name | Jodene Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198400 PECOS PAC ID: 1153755681 Enrollment ID: I20191216002936 |
| Provider Name | James William Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851935316 PECOS PAC ID: 2567897424 Enrollment ID: I20200122003356 |
| Provider Name | Daniel Aaron Brody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371731 PECOS PAC ID: 1052605656 Enrollment ID: I20200210001621 |
| Provider Name | Samantha Wilkinson Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992354443 PECOS PAC ID: 9537596994 Enrollment ID: I20200224002278 |
| Provider Name | Rachel Bennefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760028856 PECOS PAC ID: 2466889647 Enrollment ID: I20200227002646 |
| Provider Name | Robert S Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467011213 PECOS PAC ID: 8426484130 Enrollment ID: I20200316002510 |
| Provider Name | Leslie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962877506 PECOS PAC ID: 8224333737 Enrollment ID: I20200331000620 |
| Provider Name | Jamie Bleyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881936318 PECOS PAC ID: 7012146442 Enrollment ID: I20200401003213 |
| Provider Name | Jeffrey Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245457290 PECOS PAC ID: 7012009491 Enrollment ID: I20200401003571 |
| Provider Name | David Kammer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093941353 PECOS PAC ID: 1254595770 Enrollment ID: I20200403003073 |
| Provider Name | Carl Mccord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20200403003113 |
| Provider Name | Mark E Franke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114934650 PECOS PAC ID: 5395738017 Enrollment ID: I20200403003126 |
| Provider Name | Madjimbaye Namde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164611364 PECOS PAC ID: 5890820716 Enrollment ID: I20200403003143 |
| Provider Name | Sarah J Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164656922 PECOS PAC ID: 0840468757 Enrollment ID: I20200406002296 |
| Provider Name | Robert Steffens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215990817 PECOS PAC ID: 6800931189 Enrollment ID: I20200406002516 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20200406003047 |
| Provider Name | David Leader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336104181 PECOS PAC ID: 2062557465 Enrollment ID: I20200406003304 |
| Provider Name | Monique Jennifer Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174048474 PECOS PAC ID: 5991134389 Enrollment ID: I20200406003379 |
| Provider Name | Craig Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20200407000834 |
| Provider Name | William Pemberton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477998664 PECOS PAC ID: 5597066852 Enrollment ID: I20200407003265 |
| Provider Name | Susan Ahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649646688 PECOS PAC ID: 1951731041 Enrollment ID: I20200413001695 |
| Provider Name | Amber Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358485 PECOS PAC ID: 3476983388 Enrollment ID: I20200416002430 |
| Provider Name | Melissa Beth Harlacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326685280 PECOS PAC ID: 4587094024 Enrollment ID: I20200423001593 |
| Provider Name | Portia Chine Effinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467012906 PECOS PAC ID: 2961832282 Enrollment ID: I20200428000854 |
| Provider Name | Rebekah Laurance |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245861459 PECOS PAC ID: 3678994951 Enrollment ID: I20200522002597 |
| Provider Name | Holly Ann Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396376596 PECOS PAC ID: 7911328117 Enrollment ID: I20200526000898 |
| Provider Name | Necha Shani Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710460605 PECOS PAC ID: 7012338635 Enrollment ID: I20200605001091 |
| Provider Name | Katherine J Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20200606000090 |
| Provider Name | Danielle Mankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770831588 PECOS PAC ID: 3072863067 Enrollment ID: I20200607000020 |
| Provider Name | Rebecca S Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20200608000383 |
| Provider Name | Christel Leann Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336792928 PECOS PAC ID: 7012338460 Enrollment ID: I20200610003016 |
| Provider Name | Shishir Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20200616001360 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20200805001872 |
| Provider Name | Elaina Miranda Averett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811558901 PECOS PAC ID: 7911322003 Enrollment ID: I20200806001786 |
| Provider Name | Nancy Nicola Sage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678876 PECOS PAC ID: 0941421960 Enrollment ID: I20200812003625 |
| Provider Name | Erin Kathleen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548892474 PECOS PAC ID: 3274959333 Enrollment ID: I20200819003065 |
| Provider Name | Catrina Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981997 PECOS PAC ID: 8426343013 Enrollment ID: I20200824002562 |
| Provider Name | Erin Haskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235747221 PECOS PAC ID: 7719304518 Enrollment ID: I20200825001674 |
| Provider Name | Brooke B Halpern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184158248 PECOS PAC ID: 4688944887 Enrollment ID: I20200831001237 |
| Provider Name | Syeda Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366639221 PECOS PAC ID: 6103915756 Enrollment ID: I20200902001554 |
| Provider Name | Katherine Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760937684 PECOS PAC ID: 2264859354 Enrollment ID: I20200903002564 |
| Provider Name | Aslam Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053572123 PECOS PAC ID: 4385768522 Enrollment ID: I20201005000418 |
| Provider Name | Janice Carol Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399475 PECOS PAC ID: 2860812104 Enrollment ID: I20201026002349 |
| Provider Name | Matthew Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366723710 PECOS PAC ID: 1355637794 Enrollment ID: I20201116002969 |
| Provider Name | Meghan Anne Monsrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417555483 PECOS PAC ID: 9537570874 Enrollment ID: I20201118000636 |
| Provider Name | Heather Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538768866 PECOS PAC ID: 8325459365 Enrollment ID: I20201124001723 |
| Provider Name | Kim E. Schmitt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063486546 PECOS PAC ID: 5092783175 Enrollment ID: I20210104000645 |
| Provider Name | Kathryn Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730707456 PECOS PAC ID: 4981019775 Enrollment ID: I20210208001863 |
| Provider Name | Krista Marie Hartsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245826593 PECOS PAC ID: 7618383274 Enrollment ID: I20210304002340 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20210308000618 |
| Provider Name | Finbar Woitalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154339471 PECOS PAC ID: 0840343174 Enrollment ID: I20210311002113 |
| Provider Name | Chelsea Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376174706 PECOS PAC ID: 3375972573 Enrollment ID: I20210311003022 |
| Provider Name | Jake Paul Lundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348280 PECOS PAC ID: 8820405541 Enrollment ID: I20210325000688 |
| Provider Name | Randi Lynn Thomas-garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235724162 PECOS PAC ID: 2769890938 Enrollment ID: I20210428001298 |
| Provider Name | Alyssa Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801356027 PECOS PAC ID: 7911232236 Enrollment ID: I20210521000651 |
| Provider Name | Stephanie Marla Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715927 PECOS PAC ID: 0345670782 Enrollment ID: I20210525001906 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20210617000001 |
| Provider Name | Edward Flores |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912922386 PECOS PAC ID: 8224095203 Enrollment ID: I20210729003479 |
| Provider Name | Brandi Michelle Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508446857 PECOS PAC ID: 3870996606 Enrollment ID: I20210730001027 |
| Provider Name | Karen Whatley Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593045 PECOS PAC ID: 6709280480 Enrollment ID: I20210803000087 |
| Provider Name | Michelle Lee Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275106783 PECOS PAC ID: 5991109068 Enrollment ID: I20210811002704 |
| Provider Name | Alyssa Buono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437649019 PECOS PAC ID: 5294072187 Enrollment ID: I20210903002706 |
| Provider Name | Chelsea E Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487248837 PECOS PAC ID: 0840697470 Enrollment ID: I20210924001801 |
| Provider Name | Teena Jo Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053367193 PECOS PAC ID: 7416055934 Enrollment ID: I20210929001700 |
| Provider Name | Shantera Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020057 PECOS PAC ID: 6608274527 Enrollment ID: I20211007001273 |
| Provider Name | Cyenthia Lavone Zwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428667 PECOS PAC ID: 1850799404 Enrollment ID: I20211012001526 |
| Provider Name | Jacquelyn Kelly Esterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316557697 PECOS PAC ID: 8325436454 Enrollment ID: I20211022001020 |
| Provider Name | Carisalyn Nicole Cousin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124085972 PECOS PAC ID: 6608175443 Enrollment ID: I20211028000339 |
| Provider Name | Chelsea Renee Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063007623 PECOS PAC ID: 7416346648 Enrollment ID: I20211110000399 |
| Provider Name | Divya Chand Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487323994 PECOS PAC ID: 1557751799 Enrollment ID: I20211202002128 |
| Provider Name | Shivani Bishnoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528224839 PECOS PAC ID: 9739352725 Enrollment ID: I20211216000334 |
| Provider Name | Rachel L Klipstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578108601 PECOS PAC ID: 6305263831 Enrollment ID: I20220112000679 |
| Provider Name | Kayla Stuckey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376076224 PECOS PAC ID: 3870994262 Enrollment ID: I20220119001632 |
| Provider Name | Rebekah Marie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265196869 PECOS PAC ID: 6002196854 Enrollment ID: I20220407000591 |
| Provider Name | Cristina Helena Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722851 PECOS PAC ID: 4880071737 Enrollment ID: I20220513001555 |
| Provider Name | David Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316567928 PECOS PAC ID: 5597144006 Enrollment ID: I20220614000019 |
| Provider Name | Tiffany Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972955763 PECOS PAC ID: 4688969074 Enrollment ID: I20220615001130 |
| Provider Name | Jacob Anderson Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356800742 PECOS PAC ID: 3678999497 Enrollment ID: I20220629002537 |
| Provider Name | Alana Danielle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821660051 PECOS PAC ID: 7911389127 Enrollment ID: I20220804002813 |
| Provider Name | Joseph Lapinsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306371430 PECOS PAC ID: 4082957667 Enrollment ID: I20220823001512 |
| Provider Name | Breanna Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922668300 PECOS PAC ID: 6901131564 Enrollment ID: I20220823002964 |
| Provider Name | Ryan C Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487383675 PECOS PAC ID: 5698150670 Enrollment ID: I20220912001005 |
| Provider Name | Nicole D'angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477126118 PECOS PAC ID: 3072999689 Enrollment ID: I20221005002959 |
| Provider Name | Renee Green Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598377319 PECOS PAC ID: 2567830201 Enrollment ID: I20221130000880 |
| Provider Name | Heidi Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477196053 PECOS PAC ID: 8820424435 Enrollment ID: I20230313001916 |
| Provider Name | Crystal B. Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952017667 PECOS PAC ID: 4183099039 Enrollment ID: I20230407001024 |
| Provider Name | Canisha Gillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063981892 PECOS PAC ID: 0446597009 Enrollment ID: I20230414000045 |
| Provider Name | Stephanie Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710632302 PECOS PAC ID: 1557729589 Enrollment ID: I20230622002421 |
| Provider Name | James Everhart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760896427 PECOS PAC ID: 4880991504 Enrollment ID: I20230726001829 |
| Provider Name | Rebecca Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376243246 PECOS PAC ID: 9133580988 Enrollment ID: I20230726003929 |
| Provider Name | Catherine Elizabeth Waldron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720616949 PECOS PAC ID: 5496116634 Enrollment ID: I20230803002271 |
| Provider Name | Nicole Theresia Mette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316593262 PECOS PAC ID: 6608238324 Enrollment ID: I20230814000057 |
| Provider Name | Luis Wulff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144678392 PECOS PAC ID: 2163714742 Enrollment ID: I20230814003030 |
| Provider Name | Artiss Cosette Twibell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407545833 PECOS PAC ID: 6608238910 Enrollment ID: I20230818001084 |
| Provider Name | Moriah Harris Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477232130 PECOS PAC ID: 2668835232 Enrollment ID: I20230830000274 |
| Provider Name | Carrie Magan Aumsbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871278978 PECOS PAC ID: 2365806973 Enrollment ID: I20230915000992 |
| Provider Name | Sneha Tresia Cleetus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270860 PECOS PAC ID: 7810344223 Enrollment ID: I20231107001389 |
| Provider Name | Scarlette Garcia-avila |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104310093 PECOS PAC ID: 2062804891 Enrollment ID: I20231110002220 |
| Provider Name | Jacqueline Houde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285413401 PECOS PAC ID: 3173970142 Enrollment ID: I20231113002504 |
| Provider Name | Jessica Deanne Haralson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982480927 PECOS PAC ID: 8820449754 Enrollment ID: I20240104003706 |
| Provider Name | Paul Duane Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427654508 PECOS PAC ID: 4385095744 Enrollment ID: I20240110001219 |
| Provider Name | Andrew Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362182 PECOS PAC ID: 1052764891 Enrollment ID: I20240129002957 |
Fayette Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Highway 54 W Ste 101, Fayetteville, GA 30214 Phone: 770-719-4620 Fax: 770-719-4622 | |
Valentine Weight Loss & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 874 Lanier Ave W, Suite 210, Fayetteville, GA 30214 Phone: 770-833-7739 Fax: 770-629-1224 | |
Family Medicine Specialist, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Genevieve Ct, Fayetteville, GA 30215 Phone: 770-486-1818 Fax: 770-486-7303 | |
North Fayette Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St, Suite 902, Fayetteville, GA 30214 Phone: 770-716-8228 Fax: 770-716-6588 | |
Fayette Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Devant Street, Suite 105, Fayetteville, GA 30214 Phone: 678-519-3189 | |
Full Plate Industries, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W Ste 200, Fayetteville, GA 30214 Phone: 678-469-4212 |