Kelly L Gentry (NPI# 1285008235, PAC ID# 2961706122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285008235 |
| PAC ID by PECOS | 2961706122 |
| Professional Enrollment ID | I20160209000242 |
| Full Name | Kelly L Gentry |
| Organization Legal Name | DLP MARIA PARHAM PHYSICIAN PRACTICES LLC |
| Address |
568 Ruin Creek Rd Suite 3 Henderson NC 27536-5921 |
| Phone Number | 2524361080 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719153683 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340132 | MARIA PARHAM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 568 Ruin Creek Rd, Suite 3, Henderson, NC 27536-5921 | 2524361080 | DLP MARIA PARHAM PHYSICIAN PRACTICES LLC |
| Organization Legal Name | DLP MARIA PARHAM PHYSICIAN PRACTICES LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aidevo Sandra Igbide | Family Medicine | Dlp Maria Parham Physician Practices LLC | 511 Ruin Creek Rd, Suite 101, Henderson, NC 27536-5919 |
| Tariq Abo-kamil | Nephrology | Dlp Maria Parham Physician Practices LLC | 1501 N Bickett Blvd, Suite E, Louisburg, NC 27549-2178 |
| Kavitha Subramanian | Internal Medicine | Dlp Maria Parham Physician Practices LLC | 568 Ruin Creek Rd, Suite 1, Henderson, NC 27536-5921 |
| Estena P Bradley | Nurse Practitioner | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Devinderpal Randhawa | Hematology/oncology | Dlp Maria Parham Physician Practices LLC | 566 Ruin Creek Rd, Suite 106, Henderson, NC 27536-2927 |
| Hernan J Jimenez-medina | Physical Medicine and Rehabilitation | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Talitha Brown | General Surgery | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Darius D Divina | Orthopedic Surgery | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| David A Mack | Hematology/oncology | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Lisardo F Augustin | Psychiatry | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Street Address |
568 RUIN CREEK RD SUITE 3 |
| City | HENDERSON |
| State | NC |
| Zip | 27536-5921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish Singh | Critical Care (intensivists) | 568 Ruin Creek Rd, Suite 127, Henderson, NC 27536-2881 | |
| Kavitha Subramanian | Internal Medicine | Dlp Maria Parham Physician Practices LLC | 568 Ruin Creek Rd, Suite 1, Henderson, NC 27536-5921 |
| Willie J Session | Cardiovascular Disease (cardiology) | 568 Ruin Creek Rd, Suite 122, Henderson, NC 27536-5921 | |
| Joel Rapchik | Internal Medicine | 568 Ruin Creek Rd, Suite 118, Henderson, NC 27536-5921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Levina Kumar | Nurse Practitioner | Daymark Recovery Services Inc | 943 W Andrews Ave H, Henderson, NC 27536-2562 |
| Francis C Aniekwensi | Family Medicine | Beckford Avenue Medical Center Pa | 176 S Beckford Dr, Henderson, NC 27536-2562 |
| James E Kenney | Family Medicine | Beckford Avenue Medical Center Pa | 176 S Beckford Dr, Henderson, NC 27536-2562 |
| P Darleane Wilson | Physician Assistant | Beckford Avenue Medical Center Pa | 176 S Beckford Dr, Henderson, NC 27536-2562 |
| Presley C Bright | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 941 W Andrews Dr, Henderson, NC 27536-2586 |
| Jessica Leigh Deal | Nurse Practitioner | Carolina G I Associates PC | 120 Charles Rollins Rd, Suite 201, Henderson, NC 27536-2882 |
| Estena P Bradley | Nurse Practitioner | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Lynn G Eckert | Physician Assistant | Carolina G I Associates PC | 120 Charles Rollins Rd, Suite 201, Henderson, NC 27536-2882 |
| Hernan J Jimenez-medina | Physical Medicine and Rehabilitation | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Talitha Brown | General Surgery | Dlp Maria Parham Physician Practices LLC | 120 Charles Rollins Rd, Henderson, NC 27536-2882 |
| Find all physicians in zip 27536 | |||
| City | HENDERSON |
| Zip Code | 27536 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HENDERSON + 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.