Mandy Wilson Gravitte (NPI# 1730415894, PAC ID# 0840339396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1730415894 |
| PAC ID by PECOS | 0840339396 |
| Professional Enrollment ID | I20091123000569 |
| Full Name | Mandy Wilson Gravitte |
| Organization Legal Name | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Address |
414 W Lebanon St Mount Airy NC 27030-2954 |
| Phone Number | 9198658780 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7618161407 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 414 W Lebanon St, Mount Airy, NC 27030-2954 | 9198658780 | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Organization Legal Name | EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bright | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 913 N Carolina Ave, Statesville, NC 28677-3414 |
| Alison R Voyer | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Jozef Zelenak | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Deborah K Martin | Physician Assistant | Easter Seals Ucp North Carolina and Virginia Inc | 414 W Lebanon St, Mount Airy, NC 27030-2954 |
| Veronica J Guettler | Nurse Practitioner | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Darlene E Griffith | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 913 N Carolina Ave, Statesville, NC 28677-3414 |
| Marisha Mathis | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Jimmy Smith | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Terra C Caudill | Psychiatry | Easter Seals Ucp North Carolina and Virginia Inc | 100 Loop St, Clinton, NC 28328-4062 |
| Crystal A Dillard | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 33 Darlington Ave, Wilmington, NC 28403-1343 |
| Street Address |
414 W LEBANON ST |
| City | MOUNT AIRY |
| State | NC |
| Zip | 27030-2954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Martin | Physician Assistant | Easter Seals Ucp North Carolina and Virginia Inc | 414 W Lebanon St, Mount Airy, NC 27030-2954 |
| Elyssa D Rosenberg | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 414 W Lebanon St, Mount Airy, NC 27030-2954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bowers | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mark A Dodd | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Alison L Shiminski | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Michelle Combs | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Emily S Epling | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Elizabeth A Casstevens | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Jamie S Raymond | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Linda M Gatchel | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Frantz E Pierre | Psychiatry | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Find all physicians in zip 27030 | |||
| City | MOUNT AIRY |
| Zip Code | 27030 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MOUNT AIRY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mandy Wilson Gravitte.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.