MR. ALLEN J SOURS JR. (NPI# 1891767398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891767398 |
| Entity Type | Individual |
| Full Name | MR. ALLEN J SOURS JR. |
| Credential | PA-C |
| Practice Address |
Physician's Prime Care 3535 S. Memorial Dr. Suite C Greenville NC 27834-6766 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2523533111 |
| Practice Fax Number | 2523533114 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103459 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
PHYSICIAN'S PRIME CARE 3535 S. MEMORIAL DR. SUITE C |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116664 | Jennifer C Whitmire | Physician Assistant | St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 | 2011-04-18 |
| 1306143219 | Alexis Pierino Goss | Physician Assistant | 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 | 2011-02-13 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| 1205915360 | Dannie Burton Jonas | Physician Assistant | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2006-11-02 |
| 1952324246 | Toni Smith-whiteeagle | Physician Assistant | 5005 Live Oak St, Greenville, TX 75402 | 2006-07-26 |
| 1699719682 | Gary Marc Trube | Physician Assistant | 800 Moye Blvd, Greenville, NC 27834-3777 | 2006-06-16 |
| 1255384335 | Dean A Schrader | Physician Assistant | 8333 Crestview Dr, Greenville, MI 48838-8133 | 2006-05-18 |
| 1043262983 | Katherine Johnson Anderson | Physician Assistant | 215 Halton Rd, Greenville, SC 29607-3509 | 2006-05-17 |
| 1053383273 | Zenith Nelson | Physician Assistant | Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
| 1851379366 | Emily K Keel | Physician Assistant | 2380 Arlington Blvd, Emergency Medicine, Greenville, NC 27834 | 2006-01-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.