PANGEA HEALTHCARE ALLIANCE (NPI# 1205113487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205113487 |
| Entity Type | Organization |
| Organization Name | PANGEA HEALTHCARE ALLIANCE |
| Practice Address |
5111 Bodie Ln Greensboro NC 27455-3463 |
| Practice Telephone | 3362884950 |
| Mailing Telephone | 3362884950 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | MR. BRENDAN MARK FITZPATRICK (MANAGING DIRECTOR) |
| Authorized Official Telephone | 3364207246 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
5111 BODIE LN |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427292101 | The Heag Pain Management Center Pa | Point of Service | 1305 W Wendover Ave Ste A, Greensboro, NC 27408 | 2009-04-27 |
| 1861690877 | St. Gale's Manor | Point of Service | 1411 Lees Chapel Rd, Greensboro, NC 27405-1615 | 2007-07-11 |
| 1568823607 | Vectra Health | Point of Service | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2016-03-17 |
| 1942501382 | Guilford- Neighbor To Family, Inc | Point of Service | 1050 Revolution Mill Dr, Studio 5, Greensboro, NC 27405-5052 | 2010-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126092 | Vax Mobile Nc LLC | Point of Service | 204 Crestmont Ridge Dr, Apex, NC 27523-7119 | 2020-05-22 |
| 1285190926 | Roshonda Mcfadden | Point of Service | 12 Winding Creek Cir Apt P, Durham, NC 27705-1541 | 2019-02-19 |
| 1437640448 | Kevin Lamont Lane | Point of Service | 7149 Jennings Rd Ne, Leland, NC 28451-9431 | 2018-05-24 |
| 1639624034 | Choices for Recovery, LLC | Point of Service | 200 Queens Rd Ste 102, Charlotte, NC 28204-3252 | 2016-08-16 |
| 1891164869 | Amy Cleckler | Point of Service | 809 North St, Durham, NC 27701-2210 | 2015-09-21 |
| 1760859193 | Triad Health Solutions | Point of Service | 6420 Rains Davis Rd, Kernersville, NC 27284-0127 | 2015-09-02 |
| 1215331525 | Saylor Physical Therapy Cornelius LLC | Point of Service | 19460 Old Jetton Rd, Suite 202, Cornelius, NC 28031-6456 | 2014-10-15 |
| 1316385438 | Lauren M. Grantham | Point of Service | 1807 E Walnut St, Goldsboro, NC 27530-5330 | 2013-06-11 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1467729855 | Bridging The Gap of North Carolina | Point of Service | 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056-6002 | 2011-11-29 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on PANGEA HEALTHCARE ALLIANCE.
| 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.