Raven Lionel Deloatch (NPI# 1740268598, PAC ID# 2466484241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740268598 |
| PAC ID by PECOS | 2466484241 |
| Professional Enrollment ID | I20050831000877 |
| Full Name | Raven Lionel Deloatch |
| Organization Legal Name | RURAL HEALTH GROUP INC |
| Address |
9425 Nc Hwy 305 Jackson NC 27845-9679 |
| Phone Number | 2525341661 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739090226 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340151 | HALIFAX REGIONAL MEDICAL CENTER INC |
| 340147 | NASH GENERAL HOSPITAL |
| 340099 | VIDANT ROANOKE CHOWAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9425 Nc Hwy 305, Jackson, NC 27845-9679 | 2525341661 | RURAL HEALTH GROUP INC |
| 200 S Main St, Rich Square, NC 27869-9582 | 2555392082 | RURAL HEALTH GROUP INC |
| Organization Legal Name | RURAL HEALTH GROUP INC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Ann Nilsen | Nurse Practitioner | Rural Health Group Inc | 108 Mosby Ave, Littleton, NC 27850-9411 |
| Ladonna Denise Richardson | Clinical Social Worker | Rural Health Group Inc | 110 Division St, Norlina, NC 27563-9041 |
| Connie Renee Boehman | Nurse Practitioner | Rural Health Group Inc | 105 Serailroad St, Whitakers, NC 27891 |
| Ayanna Saran Galloway | Physician Assistant | Rural Health Group Inc | 919 Jr High School Rd, Scotland Neck, NC 27874-1219 |
| Kari Suzanne Light | Physician Assistant | Rural Health Group Inc | 204 Evans Rd, Hollister, NC 27844-9247 |
| Stephanie Renee Pierce | Obstetrics/gynecology | Rural Health Group Inc | 1381 Medical Ctr Dr, Roanoke Rapid, NC 27870-5130 |
| Alison Dawn Bartel | Internal Medicine | Rural Health Group Inc | 100 Durham St, Stovall, NC 27582-9602 |
| Sharon Faye Lynch Jones | Nurse Practitioner | Rural Health Group Inc | 1096 E 10th St, Roanoke Rapids, NC 27870-3052 |
| Meena Sekaran | Internal Medicine | Rural Health Group Inc | 270 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Ronald Eugene Hughes | Family Medicine | Rural Health Group Inc | 100 College Dr, Bldg 700, Weldon, NC 27890-1121 |
| Street Address |
9425 NC HWY 305 |
| City | JACKSON |
| State | NC |
| Zip | 27845-9679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwennaye Cherie Coath | Family Medicine | Rural Health Group Inc | 9425 Nc Hwy 305, Jackson, NC 27845-9679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary F Bjarnason | Podiatry | 200 Hampton Woods Complex Rd, Jackson, NC 27845-9503 |
| City | JACKSON |
| Zip Code | 27845 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Raven Lionel Deloatch.
| 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.