PRIMAHEALTH IPA LLC


Address: 3710 University Dr, Suite 300, Durham, NC 27707-6203
Phone: 9194192600

PRIMAHEALTH IPA LLC (NPI# 1780677229) 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) 1780677229
Entity Type Organization
Organization Name PRIMAHEALTH IPA LLC
Practice Address 3710 University Dr
Suite 300
Durham
NC 27707-6203
Practice Telephone 9194192600
Practice Fax Number 9194908340
Mailing Telephone 9194192600
Mailing Fax Number 9194908340
Enumeration Date 2005-08-30
Last Update Date 2020-08-22
Authorized Official Name DR. ROBERT C PENNINGTON (CHAIRMAN OF THE BOARD)
Authorized Official Telephone 9194714484
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 3710 UNIVERSITY DR
SUITE 300
City DURHAM
State NC
Zip Code 27707-6203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740547603 Kidspeace National Centers of North America, Inc. Community/Behavioral Health 3710 University Dr, Suite 200, Durham, NC 27707-6203 2012-04-17
1861719056 Interim Healthcare of The Triangle, LLC Home Infusion 3710 University Dr, Suite 330, Durham, NC 27707-6203 2010-04-27
1194055756 Kidspeace National Centers of North America Inc Community/Behavioral Health 3710 University Dr, Suite 200, Durham, NC 27707-6203 2010-01-05
1043469950 Interim Healthcare of The Triangle, LLC Nursing Care 3710 University Dr, Suite 135, Durham, NC 27707-6203 2008-09-16
1740314095 Interim Healthcare of The Triangle, LLC Physical Therapist 3710 University Dr, Suite 130, Durham, NC 27707-6203 2007-03-16
1457485963 Interim Healthcare of The Triangle, LLC Registered Nurse 3710 University Dr, Suite 130, Durham, NC 27707-6203 2007-03-15
1659472207 Interim Healthcare of The Triangle, LLC Home Health 3710 University Dr, Suite 135, Durham, NC 27707-6203 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538785928 Ceara Smith Social Worker 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 2020-06-22
1114554094 Lauren Michelle Grosse Physician Assistant Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 2020-03-23
1386289635 Ashley Bailey Counselor 1801 Fayetteville Street, Durham, NC 27707 2019-11-11
1881249886 Erin Ramona Leger Physical Therapist 3706 Mayfair St, Ste 120, Durham, NC 27707 2019-08-06
1417417262 Carmen Elisabeth Sanchez Psychologist 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 2019-03-20
1477026144 Pope Behavioral Health and Wellness Counselor 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 2019-01-06
1043780778 Jessica Ann Revels Counselor 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 2018-11-26
1558830125 Michael Brown Counselor 1502 W Nc-54, Suite 505, Durham, NC 27707 2018-11-13
1780152827 Cassandra Gerwig Shaw Registered Nurse 5324 Mcfarland Dr Ste 310, Durham, NC 27707 2018-11-07
1942776232 Lisa J Keskitalo Physical Therapist 3708 Mayfair St Ste 120, Durham, NC 27707 2018-10-15
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1407078165 D.h.d. Group Home Exclusive Provider Organization 1229 Berkeley St, Durham, NC 27705-3530 2007-05-03
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1063690246 Diverse Family Services Exclusive Provider Organization 3020 Pickett Rd, Suite 135, Durham, NC 27705-6000 2008-02-09
1578743571 Gp Medical Corporation Exclusive Provider Organization 1200 Broad St, Suite 105, Durham, NC 27705-3579 2007-11-07
1619031085 Duke Eye Center Exclusive Provider Organization 2351 Erwin Rd, Durham, NC 27710-0001 2006-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1396282661 Lifepoint In-home Counseling Exclusive Provider Organization 9220 Fairway Ridge Rd, Charlotte, NC 28277-8753 2017-01-25
1013465269 Marriageforkeeps Wellness Center LLC Exclusive Provider Organization 9600 Broad Brush Ave, Wake Forest, NC 27587-0004 2016-09-16
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1467810143 William R. Warren Dds,pa Exclusive Provider Organization 1241 W Clemmonsville Rd, Winston Salem, NC 27127-4790 2016-02-09
1578948832 Carolina Care Giver Services,llc Exclusive Provider Organization 110 Memory Plz, Whiteville, NC 28472-2640 2015-07-28
1346636768 My Omni Housecalls, LLC Exclusive Provider Organization 208 Bridford Downs Dr, Greensboro, NC 27407-2767 2015-04-13
1215341649 New Beginning of Nc, LLC Exclusive Provider Organization 100 Westlake Rd Ste 100, Fayetteville, NC 28314-1660 2014-06-13
1255773792 Amethyst LLC Exclusive Provider Organization 806 Ne Roundtree Street, Wilson, NC 27893-0806 2013-07-25
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Competitor

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City DURHAM
Zip Code 27707

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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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