TERESA TRACY (NPI# 1073067492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073067492 |
| Entity Type | Individual |
| Full Name | TERESA TRACY |
| Credential | M.D. |
| Practice Address |
817 Mill Rd Goldsboro NC 27534-8947 |
| Practice Telephone | 9139805370 |
| Mailing Telephone | 9139805370 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
109103 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487800827 | Teresa Tracy | Occupational Therapist | 12140 Central Ave, Mitchellville, MD 20721-1932 | 2008-08-18 |
| 1063521839 | Teresa C Tracy | Audiologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-08-29 |
| Street Address |
817 MILL RD |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255762696 | Desmina Ayodele Friday | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-12-11 |
| 1326249871 | Michael Urda | Psychiatry & Neurology | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2007-05-31 |
| 1710034087 | Lu Ann Leidy | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2007-01-05 |
| 1235140682 | Suneetha Mattegunta | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2006-08-11 |
| 1821004862 | Paul Harlan Kartheiser | Psychiatry & Neurology | Cherry Hospital, 1401 W. Ash Street, Goldsboro, NC 27530-1078 | 2006-07-31 |
| 1619983756 | Thomas Carl Larson | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2006-07-31 |
| 1013948587 | Zahid Rauf | Psychiatry & Neurology | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432121 | North Carolina Neuropsychiatry, P.a. | Psychiatry & Neurology | 2080 Energy Dr, Apex, NC 27502-8722 | 2020-06-24 |
| 1659781581 | Il-gyu Cho | Psychiatry & Neurology | 101 Manning Dr. Cb#7160, Unc Department of Psychiatry, Chapel Hill, NC 27599 | 2014-04-30 |
| 1457770299 | Allison Foroobar | Psychiatry & Neurology | 400 Meadowmont Village Cir Ste 421, Chapel Hill, NC 27517-7505 | 2014-04-09 |
| 1386089894 | Christina Melissa Cruz | Psychiatry & Neurology | Department of Psychiatry Clb, 101 Manning Drive, Chapel Hill, NC 27599 | 2013-05-10 |
| 1497098420 | Neuropsychiatric Care Center, Pllc | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 210, Greensboro, NC 27410-5169 | 2013-03-27 |
| 1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1598063307 | Corine's Care Management, Inc. | Psychiatry & Neurology | 369 B C Hwy 13 South, Snow Hill, NC 28580-9515 | 2011-03-02 |
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| 1386962876 | Madlena Todorova Rush | Psychiatry & Neurology | Wamc, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2010-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.