SIMPLECLINIC PLLC (NPI# 1164887873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887873 |
| Entity Type | Organization |
| Organization Name | SIMPLECLINIC PLLC |
| Practice Address |
1074 Southern Ave Fayetteville NC 28306-1766 |
| Mailing Address |
Po Box 727 Stedman NC 28391-0727 |
| Practice Telephone | 9104891326 |
| Mailing Telephone | 9104891326 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | JONATHAN DANIEL HANCOCK (OWNER/PRACTITIONER) |
| Authorized Official Telephone | 9104891326 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201679 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998944 | Simpleclinic Pllc | Nurse Practitioner | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2019-05-29 |
| Street Address |
1074 SOUTHERN AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750490876 | Guardian Hart Medical Care | Clinic/Center | 1074 Southern Ave, Fayetteville, NC 28306 | 2006-08-30 |
| 1366076481 | Alexandra Whitney Carlton | Physician Assistant | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2020-02-27 |
| 1669941928 | Heather Lecomte Joslin | Nurse Practitioner | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2018-11-16 |
| 1003208992 | Massey Hill Medical Center | Clinic/Center | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2015-03-02 |
| 1942505813 | Lawrence Edwin Carlton Adair II | Physician Assistant | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2011-01-24 |
| 1881928810 | Nisha Lalit Patel | Physician Assistant | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2009-09-23 |
| 1780816223 | Jonathan Daniel Hancock | Nurse Practitioner | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603707 | Onyebuchi Nwaokolo | Nurse Practitioner | 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640 | 2017-04-16 |
| 1114300100 | Jennifer Oxford | Nurse Practitioner | 2629 N Sierra Ave, Fayetteville, AR 72703-3370 | 2015-07-08 |
| 1982228748 | Priscilla Anne Locklear | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2020-06-07 |
| 1548881279 | Divine Family Practice and Urgent Care, Pllc | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2020-05-05 |
| 1790305746 | Andrew Joseph Sanchez | Nurse Practitioner | 745 Glynn St S, Fayetteville, GA 30214-2049 | 2020-04-20 |
| 1356984280 | Taylor Anne Schubert | Nurse Practitioner | 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 | 2019-10-23 |
| 1245690288 | Shenilla Solomon | Nurse Practitioner | 2300 Ramsey Street, Fayetteville, NC 28301 | 2016-03-03 |
| 1114385374 | Tiffany Michelle Jackson | Nurse Practitioner | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2016-02-03 |
| 1467877340 | Taesha Cybille Nicole Winford | Nurse Practitioner | 3 East Appleby Road, Suite 301, Fayetteville, AR 72703 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
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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.