PRESBYTERIAN MEDICAL CARE CORP (NPI# 1184782419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184782419 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL CARE CORP |
| Other Organization Name | PROFESSIONAL SERVICES OF PRESBYTERIAN MATTHEWS |
| Practice Address |
1500 Matthews Township Pkwy Matthews NC 28105 |
| Mailing Address |
2085 Frontis Plaza Blvd 2nd Floor, Bd&s Winston Salem NC 27103-5614 |
| Practice Telephone | 7043846500 |
| Mailing Telephone | 3362771147 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | FRED M HARGETT (EVP / CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 0769R | 01 | |
| NC | 890769R | 05 |
| Other Name | Type Code |
|---|---|
| Professional Services of Presbyterian Matthews | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715537 | Presbyterian Medical Care Corp | General Acute Care Hospital | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2019-08-15 |
| 1487906590 | Presbyterian Medical Care Corp | Emergency Medicine | 1450 Matthews Township Pkwy, Suite 170, Matthews, NC 28105-2387 | 2012-10-12 |
| 1063463156 | Presbyterian Medical Care Corp | General Acute Care Hospital | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2006-05-13 |
| Street Address |
1500 MATTHEWS TOWNSHIP PKWY |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928999 | Randell A Hyler | Internal Medicine | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2005-11-02 |
| 1578189478 | Soumyaa Thushyanthan | Physician Assistant | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2020-06-17 |
| 1538715537 | Presbyterian Medical Care Corp | General Acute Care Hospital | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2019-08-15 |
| 1790243319 | Novant Medical Group, Inc | Internal Medicine | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2019-03-04 |
| 1215421656 | Anna Dang | Registered Nurse | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2018-06-19 |
| 1255825972 | Gwen House Mitchell | Pharmacist | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2018-06-16 |
| 1821462078 | Samantha Adcock | Physical Therapist | 1500 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-4656 | 2015-11-25 |
| 1003297342 | Anisha Jones | Registered Nurse | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2015-06-12 |
| 1467839050 | Michelle Easterly | Physical Therapist | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2015-05-03 |
| 1992182778 | Nicole Harkleroad | Physical Therapist | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942403 | Ubylee Healthcare Group | Specialist | 9723 Northeast Pkwy, Ste 100, Matthews, NC 28105-9719 | 2017-10-02 |
| 1215450960 | Temima Ali | Specialist | 10931 E Independence Blvd Ste A-11, Matthews, NC 28105-5057 | 2017-07-24 |
| 1356755284 | Gwendolyn Buckles | Specialist | 1110 Sam Newell Rd, Suite C, Matthews, NC 28105-5013 | 2014-06-18 |
| 1518175645 | Anita Binder | Specialist | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2007-05-21 |
| 1689606097 | Neurology & Sleep Center, P.a. | Specialist | 1220 Mann Drive, Matthews, NC 28105 | 2006-07-07 |
| 1558572297 | Center for Wellness, Pa | Specialist | 1258 Mann Dr, Suite 100, Matthews, NC 28105-5547 | 2007-05-24 |
| 1861436214 | Sara Elizabeth Sacco | Specialist | 1450 Matthews Township Pkwy, Ste. 340, Matthews, NC 28105-2387 | 2006-06-16 |
| 1053389460 | Carolinas Headache Clinic | Specialist | 1450 Matthews Township Pkwy, Suite 340, Matthews, NC 28105-2387 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1184248197 | Tunishia Chanel Parks | Specialist | 106 Daniels Ave, Battleboro, NC 27809-7503 | 2020-06-05 |
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1356962872 | Katherine Joy Griffin | Specialist | 1112 Bottle Brush Ln, Harrisburg, NC 28075-6716 | 2020-05-06 |
| 1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1215580949 | Felisha Cheadle | Specialist | 240 Appalachian Dr, Raeford, NC 28376-6342 | 2019-07-22 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
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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.