Jennifer M Richardson (NPI# 1376784371, PAC ID# 2769531953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376784371 |
| PAC ID by PECOS | 2769531953 |
| Professional Enrollment ID | I20090518000615 |
| Full Name | Jennifer M Richardson |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Address |
1207 Highland Dr Washington NC 27889-3405 |
| Phone Number | 2529466515 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345343893 |
| Number of Group Practice Members | 650 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340186 | VIDANT BEAUFORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 N Main St, Kenansville, NC 28349-8801 | 9102962815 | VIDANT MEDICAL GROUP LLC |
| 417 N Main St B, Kenansville, NC 28349-8801 | 9102750027 | VIDANT MEDICAL GROUP LLC |
| 1207 Highland Dr, Washington, NC 27889-3405 | 2529466515 | VIDANT MEDICAL GROUP LLC |
| 608 E 12th St, Vidant Multispecialty Clinic Washiington, Washington, NC 27889-3409 | 2529747500 | VIDANT MEDICAL GROUP LLC |
| 628 E 12th St, Vidant Beaufort Hospitalists, Washington, NC 27889-3409 | 2529754178 | VIDANT MEDICAL GROUP LLC |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Physicians | 658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Peach | Radiation Oncology | Vidant Medical Group LLC | 1209 Brown St, Washington, NC 27889-4671 |
| Charnissa Nicole Batts | Nurse Practitioner | Vidant Medical Group LLC | 1308 Highland Dr, Washington, NC 27889-3424 |
| Lashaunda Brown | Clinical Social Worker | Vidant Medical Group LLC | 210 W Liberty St, Williamston, NC 27892-1712 |
| Deebah A Uddin | Internal Medicine | Vidant Medical Group LLC | 111 Hospital Dr, Tarboro, NC 27886-2011 |
| Madeline Winslow | Nurse Practitioner | Vidant Medical Group LLC | 1124 Harvey Point Rd, Hertford, NC 27944-9767 |
| Deepti Ananthula | Internal Medicine | Vidant Medical Group LLC | 1380 Cowell Farm Rd, Washington, NC 27889-3431 |
| Seetharamprasad Madala | Internal Medicine | Vidant Medical Group LLC | 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248 |
| John P Mcgee | Family Medicine | Vidant Medical Group LLC | 2450 Emerald Pl, Vidant Family Medicine Greenville, Greenville, NC 27834-5784 |
| Judith Tate Smithwick | Nurse Practitioner | Vidant Medical Group LLC | 1210 N Brown St, Vidant Womens Care Washington, Washington, NC 27889-4671 |
| David A Konzem | Physician Assistant | Vidant Medical Group LLC | 417 N Main St B, Kenansville, NC 28349-8801 |
| Street Address |
1207 HIGHLAND DR |
| City | WASHINGTON |
| State | NC |
| Zip | 27889-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Ainsworth | Pediatric Medicine | County of Beaufort | 1436 Highland Dr, Washington, NC 27889-3222 |
| Pamela L Brinn | Certified Nurse Midwife | County of Beaufort | 1436 Highland Dr, Washington, NC 27889-3222 |
| Timothy R Klugh | Optometry | Albemarle Eye Center, Pllc | 1730 Carolina Ave, Washington, NC 27889-3315 |
| William L Hickman | Physician Assistant | Albemarle Eye Center, Pllc | 1730 Carolina Ave, Washington, NC 27889-3315 |
| John R Scibal | Optometry | 570 Pamlico Plz, Washington, NC 27889-3337 | |
| James M Egbert | General Surgery | Vidant Medical Group LLC | 615 E 12th St, Washington, NC 27889-3408 |
| Gerhardt J Winkel Iii | General Surgery | Vidant Medical Group LLC | 615 E 12th St, Washington, NC 27889-3408 |
| George K Sangah Jr. | Internal Medicine | Vidant Medical Group LLC | 628 E 12th St, Vidant Beaufort Hospitalists, Washington, NC 27889-3409 |
| Richard H Mann | Internal Medicine | Vidant Medical Group LLC | 608 E 12th St, Vidant Multispecialty Clinic Washiington, Washington, NC 27889-3409 |
| Russell R Wilford Jr. | Internal Medicine | Vidant Medical Group LLC | 608 E 12th St, Vidant Multispecialty Clinic Washiington, Washington, NC 27889-3409 |
| Find all physicians in zip 27889 | |||
| City | WASHINGTON |
| Zip Code | 27889 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WASHINGTON + NURSE PRACTITIONER |
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| 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.