| Vitae Health Medical North Carolina, Pllc | |
|
550 Glenwood Dr Mooresville NC 28115-2876 | |
| (704) 664-7494 | |
| (312) 276-8854 |
| Full Name | Vitae Health Medical North Carolina, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 Glenwood Dr, Mooresville, North Carolina |
| Authorized Official Name and Position | Abiola Familusi (PRESIDENT) |
| Authorized Official Contact | 3122626434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical North Carolina, Pllc Po Box 830525 Birmingham AL 35283-0525 Ph: (312) 262-6434 | Vitae Health Medical North Carolina, Pllc 550 Glenwood Dr Mooresville NC 28115-2876 Ph: (704) 664-7494 |
| NPI Number | 1265064414 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 7719317932 |
|---|---|
| Medicare Enrollment ID | O20200430000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265064414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard D Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891754800 PECOS PAC ID: 4486601515 Enrollment ID: I20050331001101 |
| Provider Name | James E Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783092 PECOS PAC ID: 4385678952 Enrollment ID: I20050922000846 |
| Provider Name | Eileen M Quilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891773008 PECOS PAC ID: 6709892250 Enrollment ID: I20060221000882 |
| Provider Name | Helen B Trahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205803103 PECOS PAC ID: 6800996729 Enrollment ID: I20070706000487 |
| Provider Name | Traci Dawn Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306802822 PECOS PAC ID: 8426159054 Enrollment ID: I20070725000681 |
| Provider Name | Charles Dunham |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1346268745 PECOS PAC ID: 6002906971 Enrollment ID: I20071214000657 |
| Provider Name | Jamal M Kalala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114931409 PECOS PAC ID: 6800965567 Enrollment ID: I20080521000087 |
| Provider Name | Terry D Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922307206 PECOS PAC ID: 9436337524 Enrollment ID: I20110620000212 |
| Provider Name | Benedetto Palombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255691150 PECOS PAC ID: 5294981171 Enrollment ID: I20120808000588 |
| Provider Name | Valerie Chess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255493847 PECOS PAC ID: 4183715907 Enrollment ID: I20120907000352 |
| Provider Name | Kathy K Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954689 PECOS PAC ID: 2062653934 Enrollment ID: I20130719000210 |
| Provider Name | Shukairo M. Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20130829000692 |
| Provider Name | Teofil L Misaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328240 PECOS PAC ID: 2961638762 Enrollment ID: I20131127000951 |
| Provider Name | Cathy Cook Arney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437583275 PECOS PAC ID: 6406089606 Enrollment ID: I20140423001362 |
| Provider Name | James Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001760 PECOS PAC ID: 5890914196 Enrollment ID: I20140918002256 |
| Provider Name | Nickcola Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112007 PECOS PAC ID: 1456572916 Enrollment ID: I20141027000254 |
| Provider Name | Maureen Teresa O'hanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154686244 PECOS PAC ID: 7719208271 Enrollment ID: I20150609001608 |
| Provider Name | Andrea D Dominick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407228521 PECOS PAC ID: 7113229105 Enrollment ID: I20160107002251 |
| Provider Name | Megan M Bumgarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699125070 PECOS PAC ID: 5294022307 Enrollment ID: I20160916001786 |
| Provider Name | Mary Ann Rather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336054 PECOS PAC ID: 5890083760 Enrollment ID: I20161007001485 |
| Provider Name | Victoria Linda Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417491960 PECOS PAC ID: 6901180215 Enrollment ID: I20170306002173 |
| Provider Name | Regina C Ingle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134647571 PECOS PAC ID: 8820364391 Enrollment ID: I20171027001679 |
| Provider Name | Stephanie Gregg Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399306 PECOS PAC ID: 1850650821 Enrollment ID: I20180119001480 |
| Provider Name | Arlette F Owens-mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342052 PECOS PAC ID: 1355602343 Enrollment ID: I20180308001733 |
| Provider Name | Cesar Nsumanganyi Kalombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935039 PECOS PAC ID: 3476892563 Enrollment ID: I20190307001842 |
| Provider Name | Martu Tennih Tamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323316 PECOS PAC ID: 7911230313 Enrollment ID: I20190617001742 |
| Provider Name | Aquicha Renee Duff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558714667 PECOS PAC ID: 0042542557 Enrollment ID: I20191104000892 |
| Provider Name | Shalon Evette Bobbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750593 PECOS PAC ID: 9739513649 Enrollment ID: I20200102000037 |
| Provider Name | Nateka Latrice Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558922096 PECOS PAC ID: 4587090576 Enrollment ID: I20200211002156 |
| Provider Name | Amish M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457502619 PECOS PAC ID: 4082801964 Enrollment ID: I20200430000666 |
| Provider Name | Rashaun Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20200618000185 |
| Provider Name | Ernestine Futrell Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831719376 PECOS PAC ID: 8224451505 Enrollment ID: I20200702002278 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20200722003650 |
| Provider Name | Meriah Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083250500 PECOS PAC ID: 1759705668 Enrollment ID: I20200724002278 |
| Provider Name | Binita Dahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003340019 PECOS PAC ID: 8224309075 Enrollment ID: I20200824000736 |
| Provider Name | Christie J Leath-warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558891523 PECOS PAC ID: 8224456496 Enrollment ID: I20200921001198 |
| Provider Name | Alicia Wilson Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114559283 PECOS PAC ID: 2668891631 Enrollment ID: I20200925000284 |
| Provider Name | Latara Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942821152 PECOS PAC ID: 1951721653 Enrollment ID: I20201019002485 |
| Provider Name | Kashari Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003428293 PECOS PAC ID: 4880004597 Enrollment ID: I20201109002608 |
| Provider Name | Davina Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475821 PECOS PAC ID: 6709293251 Enrollment ID: I20210329001599 |
| Provider Name | Alan Townes Grizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881295418 PECOS PAC ID: 9537577507 Enrollment ID: I20210413001786 |
| Provider Name | Brent Delac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255917423 PECOS PAC ID: 4385052703 Enrollment ID: I20210422002431 |
| Provider Name | Sinobuhle M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833875 PECOS PAC ID: 9133528755 Enrollment ID: I20210817002770 |
| Provider Name | Alicia S Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114419728 PECOS PAC ID: 4789934142 Enrollment ID: I20210823001818 |
| Provider Name | Sandra Baffour Kyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023786605 PECOS PAC ID: 0345647327 Enrollment ID: I20210916003468 |
| Provider Name | Vanessa R Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894056 PECOS PAC ID: 6002205523 Enrollment ID: I20211122001872 |
| Provider Name | Tayler Gabrielle Mebane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192597 PECOS PAC ID: 5092105585 Enrollment ID: I20211123002307 |
| Provider Name | Carrie Elizabeth Avery Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316179 PECOS PAC ID: 7113266362 Enrollment ID: I20211220000067 |
| Provider Name | Kristin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912667072 PECOS PAC ID: 6406248558 Enrollment ID: I20220121001421 |
| Provider Name | Lawanda Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932696861 PECOS PAC ID: 9133512205 Enrollment ID: I20220214000948 |
| Provider Name | Kristy Mcleod Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265185227 PECOS PAC ID: 2961899703 Enrollment ID: I20220426003162 |
| Provider Name | Kimberly Ann Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699423038 PECOS PAC ID: 0345627592 Enrollment ID: I20220510001099 |
| Provider Name | Lakeisha Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205580131 PECOS PAC ID: 3072996602 Enrollment ID: I20220815003509 |
| Provider Name | Emilia Lee Wunderlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881326718 PECOS PAC ID: 9739562141 Enrollment ID: I20220818000183 |
| Provider Name | Latifah Quanah Jeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184381659 PECOS PAC ID: 3870977960 Enrollment ID: I20220909000235 |
| Provider Name | April Jasmine Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234280 PECOS PAC ID: 9234514175 Enrollment ID: I20220914000103 |
| Provider Name | Lucy Dowdy Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790402428 PECOS PAC ID: 2769850437 Enrollment ID: I20221130002253 |
| Provider Name | Kareem C Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366179095 PECOS PAC ID: 1759751399 Enrollment ID: I20221223000352 |
| Provider Name | Afi Nono Kpakossou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463137 PECOS PAC ID: 7618382193 Enrollment ID: I20230119000494 |
| Provider Name | Jessica Lynn Vicic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730703950 PECOS PAC ID: 9335511179 Enrollment ID: I20230204000376 |
| Provider Name | Anthony Moncrieft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619692605 PECOS PAC ID: 1850765090 Enrollment ID: I20230329003329 |
| Provider Name | Sarah Christina Risch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346940707 PECOS PAC ID: 0749645893 Enrollment ID: I20230425002718 |
| Provider Name | Mary Angela Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891840542 PECOS PAC ID: 9234102427 Enrollment ID: I20230801000743 |
| Provider Name | Shean Kelly Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790223923 PECOS PAC ID: 0547604092 Enrollment ID: I20240223000005 |
| Provider Name | Latoyia Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407092117 PECOS PAC ID: 4789020595 Enrollment ID: I20240314001441 |
| Provider Name | Kimatia S Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538462254 PECOS PAC ID: 4789021239 Enrollment ID: I20240320002077 |
| Provider Name | Kellie Person |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669896148 PECOS PAC ID: 9234577685 Enrollment ID: I20240403003438 |
| Provider Name | Shandale Dawn Alcorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144892647 PECOS PAC ID: 4284073776 Enrollment ID: I20240417000249 |
| Provider Name | Anissa Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962076265 PECOS PAC ID: 6103268156 Enrollment ID: I20240522003841 |
| Provider Name | Ngozi Regina Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093410581 PECOS PAC ID: 7911349865 Enrollment ID: I20240523003738 |
| Provider Name | Electre Shemil Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821661422 PECOS PAC ID: 9830531649 Enrollment ID: I20240524001649 |
| Provider Name | Sherry Lynn Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558123323 PECOS PAC ID: 8527400357 Enrollment ID: I20240524002578 |
| Provider Name | Jasmine Reese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225646433 PECOS PAC ID: 7911349287 Enrollment ID: I20240531002627 |
| Provider Name | Macquinton Latroy Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063294445 PECOS PAC ID: 5799227724 Enrollment ID: I20240606000439 |
| Provider Name | Rosario Sralla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033567318 PECOS PAC ID: 1658711619 Enrollment ID: I20240606003427 |
| Provider Name | Lisa Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568170728 PECOS PAC ID: 2264975341 Enrollment ID: I20240617003875 |
| Provider Name | Natalie Nicole Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730742669 PECOS PAC ID: 4082157755 Enrollment ID: I20240621003769 |
| Provider Name | Olivia Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639761612 PECOS PAC ID: 2163968744 Enrollment ID: I20240718003632 |
| Provider Name | Kelly Lavette Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811736341 PECOS PAC ID: 4789120122 Enrollment ID: I20240722004156 |
| Provider Name | Peter Bertelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235766338 PECOS PAC ID: 1557710597 Enrollment ID: I20240806001702 |
| Provider Name | Diane Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033635305 PECOS PAC ID: 2163962119 Enrollment ID: I20240905002600 |
| Provider Name | Somonia M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710378765 PECOS PAC ID: 2668912064 Enrollment ID: I20240912001118 |
| Provider Name | Kimberly Grey Purser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588114847 PECOS PAC ID: 4183155294 Enrollment ID: I20241001000094 |
| Provider Name | Abiola Familusi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649351214 PECOS PAC ID: 5890608079 Enrollment ID: I20241004000452 |
| Provider Name | Sherry Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669202883 PECOS PAC ID: 6800328832 Enrollment ID: I20241016001102 |
| Provider Name | Shenita Colson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164262119 PECOS PAC ID: 4486187093 Enrollment ID: I20241104001596 |
| Provider Name | Nina Sheree Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265147003 PECOS PAC ID: 8123552759 Enrollment ID: I20241105002927 |
| Provider Name | Deanna Rock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073182945 PECOS PAC ID: 4587198544 Enrollment ID: I20241113002136 |
| Provider Name | Shatoya Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912479759 PECOS PAC ID: 0446785158 Enrollment ID: I20241118003826 |
| Provider Name | Cristina Bruington |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902212137 PECOS PAC ID: 4688109093 Enrollment ID: I20241121004524 |
| Provider Name | Angela Mclauchlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306680939 PECOS PAC ID: 5294260402 Enrollment ID: I20241125003772 |
| Provider Name | Erin Lavette Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372390 PECOS PAC ID: 8921303488 Enrollment ID: I20241204002708 |
| Provider Name | Marnda Nicole Leverette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548834658 PECOS PAC ID: 3173059763 Enrollment ID: I20241205003017 |
| Provider Name | Clercifie Leneus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073186524 PECOS PAC ID: 6204362338 Enrollment ID: I20241212000027 |
| Provider Name | Makeba Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821832064 PECOS PAC ID: 9830626878 Enrollment ID: I20250102002171 |
| Provider Name | Amina Santali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659192128 PECOS PAC ID: 6800325945 Enrollment ID: I20250117003529 |
| Provider Name | Anya Loraine Dobbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922583111 PECOS PAC ID: 1355871922 Enrollment ID: I20250212000267 |
| Provider Name | Christopher Nyakundi Arori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548424666 PECOS PAC ID: 6709306905 Enrollment ID: I20250218002912 |
| Provider Name | Casaundria Latrice Penn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669597225 PECOS PAC ID: 7416479795 Enrollment ID: I20250316000053 |
| Provider Name | Bridgette Bailey Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124477781 PECOS PAC ID: 8123540309 Enrollment ID: I20250317003330 |
| Provider Name | Lougens Dessalines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730908799 PECOS PAC ID: 4183147267 Enrollment ID: I20250328003428 |
| Provider Name | Rita Bih Bouh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215749767 PECOS PAC ID: 0345763397 Enrollment ID: I20250331001687 |
| Provider Name | Mary Catherine Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497569198 PECOS PAC ID: 0648795922 Enrollment ID: I20250418001731 |
| Provider Name | Anita Perry Christison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891048674 PECOS PAC ID: 1951827492 Enrollment ID: I20250429000165 |
| Provider Name | Tabatha Atkins Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164791240 PECOS PAC ID: 3779001763 Enrollment ID: I20250514000062 |
Iredell Physician Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-878-4500 Fax: 704-872-7924 | |
Harbor Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Williamson Rd, Suite B, Mooresville, NC 28117 Phone: 704-660-0321 Fax: 704-660-0765 | |
Wellcomemd Nc Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Kilson Dr Ste 201, Mooresville, NC 28117 Phone: 704-444-0999 Fax: 980-498-7007 | |
Greenbrook Tms Mooresville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Plantation Ridge Dr Ste 150, Mooresville, NC 28117 Phone: 855-910-4867 Fax: 855-920-4867 | |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lowes Blvd, Mooresville, NC 28117 Phone: 704-758-2000 Fax: 704-757-0510 | |
Iredell Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Brawley School Rd, Suite C, Mooresville, NC 28117 Phone: 704-360-9310 | |
Lake Norman Endocrinology & Diabetes, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-664-2936 |