Elizabeth R Fortner (NPI# 1801165196, PAC ID# 1759540982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801165196 |
| PAC ID by PECOS | 1759540982 |
| Professional Enrollment ID | I20120307000966 |
| Full Name | Elizabeth R Fortner |
| Organization Legal Name | PAIN MD, LLC |
| Address |
855 Bradley St A Concord NC 28025-2979 |
| Phone Number | 7047210535 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012147457 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340145 | CAROLINAS HEALTHCARE SYSTEM LINCOLN |
| 340032 | CAROMONT REGIONAL MEDICAL CENTER |
| 340143 | CATAWBA VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 855 Bradley St A, Concord, NC 28025-2979 | 7047210535 | PAIN MD, LLC |
| 294n Hwy 16 B, Denver, NC 28037-8741 | 7044838105 | PAIN MD, LLC |
| Organization Legal Name | PAIN MD, LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leann Carol Meredith | Nurse Practitioner | Pain Md, LLC | 125 Akers Farm Rd B, Christiansburg, VA 24073-4867 |
| Sandra Coates | Nurse Practitioner | Pain Md, LLC | 980 Professional Park Dr C, Clarksville, TN 37040-5251 |
| Margaret Gatlin | Nurse Practitioner | Pain Md, LLC | 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-2746 |
| Jonathan Group | Chiropractic | Pain Md, LLC | 906 Tusculum Blvd, Greeneville, TN 37745-4004 |
| Winston C V Parris | Anesthesiology | Pain Md, LLC | 1380 Eastchester Dr, Suite 111, High Point, NC 27265-2668 |
| Curry L Dudley | Nurse Practitioner | Pain Md, LLC | 1700 Pinebrook Dr, Suite 2, Kingsport, TN 37660-4365 |
| Jonathan S White | Physician Assistant | Pain Md, LLC | 144 Jack Farrar Ln B, Tullahoma, TN 37388-2398 |
| Maricruz Davis | Nurse Practitioner | Pain Md, LLC | 125 Akers Farm Rd B, Christiansburg, VA 24073-4867 |
| Daniel B Seeley | Nurse Practitioner | Pain Md, LLC | 1700 Pinebrook Dr, Suite 2, Kingsport, TN 37660-4365 |
| Rebecca Deanne Derby | Nurse Practitioner | Pain Md, LLC | 980 Professional Park Dr C, Clarksville, TN 37040-5251 |
| Street Address |
855 BRADLEY ST A |
| City | CONCORD |
| State | NC |
| Zip | 28025-2979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Rosco | Chiropractic | Pain Md, LLC | 855 Bradley St A, Concord, NC 28025-2979 |
| James Todd Boyd | Chiropractic | Pain Md, LLC | 855 Bradley St A, Concord, NC 28025-2979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONCORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth R Fortner.
| 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.