WHITEVILLE MEDICAL CLINIC, LLC (NPI# 1073754636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073754636 |
| Entity Type | Organization |
| Organization Name | WHITEVILLE MEDICAL CLINIC, LLC |
| Practice Address |
2060 Us Highway 64 Suite C Whiteville TN 38075-7476 |
| Practice Telephone | 9016266626 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | DEE BLAKNEY (DNP) |
| Authorized Official Telephone | 9016266626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2060 US HIGHWAY 64 SUITE C |
| City | WHITEVILLE |
| State | TN |
| Zip Code | 38075-7476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998633 | Whiteville Community Pharmacy, Pllc | Pharmacist | 2060 Us Highway 64, Suite G, Whiteville, TN 38075-7476 | 2014-10-22 |
| 1821320466 | Whiteville Family Medical Clinic, LLC | Nurse Practitioner | 2060 Us Highway 64, Suite C, Whiteville, TN 38075-7476 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639193311 | George M. Mangle | Internal Medicine | 217 College St, Whiteville, TN 38075-4819 | 2006-07-27 |
| 1083806574 | Health and Healing Medical Services, PC | Clinic/Center | 217 College St, Whiteville, TN 38075-4819 | 2007-08-17 |
| 1003194044 | Tasma Graham Robertson | Nurse Practitioner | 1440 Union Springs Rd, Whiteville, TN 38075-7526 | 2011-07-25 |
| 1437499696 | Ollie Alicia Herron | Nurse Practitioner | 2520 Union Springs Rd, Whiteville, TN 38075-7548 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500242 | Jewell Hilbourn Fowler | Specialist/Technologist | 44 Furnie Hinson Rd, Whiteville, NC 28472-4837 | 2020-08-25 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1366093080 | T L C Agency Inc | In Home Supportive Care | 241 W Columbus St, Whiteville, NC 28472-4025 | 2019-09-24 |
| 1275189367 | Greater Love Home Care LLC | In Home Supportive Care | 426 S Lee St Ste C, Whiteville, NC 28472-4006 | 2019-08-14 |
| 1629584156 | Goshen Medical Center, Incorporated | Clinic/Center | 5 Whiteville Town Ctr, Whiteville, NC 28472-4929 | 2017-12-20 |
| 1760998678 | Ashley Kilpatrick Chauncey | Counselor | 100a Memory Plz, Whiteville, NC 28472-2640 | 2017-12-15 |
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| Find all providers in WHITEVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1437499696 | Ollie Alicia Herron | Nurse Practitioner | 2520 Union Springs Rd, Whiteville, TN 38075-7548 | 2013-02-26 |
| 1003194044 | Tasma Graham Robertson | Nurse Practitioner | 1440 Union Springs Rd, Whiteville, TN 38075-7526 | 2011-07-25 |
| 1033171053 | Patricia Louise Deskin | Nurse Practitioner | 40 Mcneill Plz, Whiteville, NC 28472-8602 | 2006-04-05 |
| 1174159529 | Krista Welch Inman | Nurse Practitioner | 5 Whiteville Town Ctr, Whiteville, NC 28472-4401 | 2020-03-17 |
| 1558991919 | Kimberly Godwin Mcpherson | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2020-01-23 |
| 1437789682 | Lisa Thomas | Nurse Practitioner | 500 Jefferson St, Whiteville, NC 28412 | 2020-01-16 |
| 1952878951 | Nicole H Britt | Nurse Practitioner | 282 Flowers Pridgen Rd, Whiteville, NC 28472-9110 | 2018-10-28 |
| 1124505219 | Theresa Joan Nelson | Nurse Practitioner | 805 S Madison St, Whiteville, NC 28472-4613 | 2018-07-23 |
| 1457870453 | Ashlee G Faulk | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2017-09-12 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 38075 |
Please comment or provide details below to improve the information on WHITEVILLE MEDICAL CLINIC, LLC.
| 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.