SOUTHERN GERIATRICS, LLC


Address: 1310 Se Maynard Rd, Suite 202, Cary, NC 27511-3615
Phone: 9194635600

SOUTHERN GERIATRICS, LLC (NPI# 1114183548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114183548
Entity Type Organization
Organization Name SOUTHERN GERIATRICS, LLC
Practice Address 1310 Se Maynard Rd
Suite 202
Cary
NC 27511-3615
Practice Telephone 9194635600
Mailing Telephone 9194635600
Enumeration Date 2008-08-05
Last Update Date 2008-08-05
Authorized Official Name DAVID WESLEY LOEWY- (CEO)
Authorized Official Telephone 9194635600
Authorized Official Credential PH.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1310 SE MAYNARD RD
SUITE 202
City CARY
State NC
Zip Code 27511-3615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417106006 Kennedy Care Home Health 1310 Se Maynard Rd, Suite 103, Cary, NC 27511-3615 2008-09-18

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NPI Name Taxonomy Address Enumeration
1730792615 Jill Manning West Pharmacy 118 Mackenan Dr., Suite 200, Cary, NC 27511 2020-08-28
1275145658 Next Level Counseling, Pllc Community/Behavioral Health Tele-therapy Only, Cary, NC 27511 2020-08-18
1801429568 Cheryl Perozek Reid Physical Therapist Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 2020-02-20
1912543075 Courtney Hansen Specialist/Technologist 103 Fountain Brook Circle, D2, Cary, NC 27511 2019-11-25
1619438512 Karlianna E.s Williams Behavior Technician 111 Mackenan, Cary, NC 27511 2019-03-25
1992272058 Best Medical Equipment LLC Durable Medical Equipment & Medical Supplies 590 E Chatham Street, Ste 108, Cary, NC 27511 2018-10-26
1275015620 Edward Michael Sleigh Marriage & Family Therapist 110 Iowa Ln, Ste 204, Cary, NC 27511 2018-09-02
1477044048 Leonard Deleon Pharmacist 1230 Se Maynard Rd # 202, Cary, NC 27511 2018-05-19
1932699030 Valerie Hunter Whidbee Specialist 139 E Chatham Street, Suite 105, Cary, NC 27511 2018-05-14
1588153878 Ashley Horak Gyori Speech-Language Pathologist 905 Balmoral Dr, Cary, NC 27511 2018-05-02
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194352963 Tracy Shabu Nurse Practitioner 714 Windy Peak Loop, Cary, NC 27519-1886 2020-03-23
1114386224 Linda Mayo Nurse Practitioner 609 Hogans Valley Way, Cary, NC 27513-5696 2016-02-17
1811502669 Brielle Reyes Nurse Practitioner 600 New Waverly Pl, Cary, NC 27518-7404 2020-09-09
1104200815 Heather Santori Nurse Practitioner 300 Keisler Dr, Cary, NC 27518-7083 2015-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891309662 Courtney Elaine Anderson Nurse Practitioner 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 2020-08-31
1649896150 Richard Kral Nurse Practitioner 1697 Tellico Rd, Franklin, NC 28734-5955 2020-06-20
1871133850 Stephanie M Canipe Nurse Practitioner 802 Woodmoore Ln, Kannapolis, NC 28081-5700 2020-01-08
1013551076 Michelle Lowery Nurse Practitioner 805 E Peach St, Rowland, NC 28383-8613 2019-11-03
1629533146 Kathy Parker Farley Nurse Practitioner 69 Darlington Dr, Broadway, NC 27505-9558 2019-02-08
1417427055 Megan M Ribbing Nurse Practitioner 287 East St. Suite 221, Pittsboro, NC 27312 2018-11-27
1619472057 Allyson Michele Baxter Nurse Practitioner 112 W Fire Tower Rd, Winterville, NC 28590-9475 2018-03-27
1669982039 Christian Bernard Mikesell Nurse Practitioner Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 2017-10-11
1467970160 Melissa Muller Rothrock Nurse Practitioner The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 2017-09-01
1073057329 Steven Angelos Marinos Nurse Practitioner 107 Regulator Dr, Clayton, NC 27520-8719 2016-12-06
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Competitor

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City CARY
Zip Code 27511

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Dataset Information

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.

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