Samuel Teferra (NPI# 1942394366, PAC ID# 4688733900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942394366 |
| PAC ID by PECOS | 4688733900 |
| Professional Enrollment ID | I20190401000471 |
| Full Name | Samuel Teferra |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Address |
9550 Rocky River Rd Suite 150 Charlotte NC 28215-9592 |
| Phone Number | 7043165281 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648174904 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 S College St, Suite 250, Charlotte, NC 28202-6035 | 7043841620 | NOVANT MEDICAL GROUP INC |
| 9550 Rocky River Rd, Suite 150, Charlotte, NC 28215-9592 | 7043165281 | CAROLINA MEDICORP ENTERPRISES, INC. |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Otniel Hernandez | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 3163 Gammon Ln, Clemmons, NC 27012-9052 |
| Jenna Lee Cameron | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1904 Jake Alexander W Blvd, Suite 301, Salisbury, NC 28147-1177 |
| Brent J Becnel | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 8540 Park Rd, Charlotte, NC 28210-5803 |
| Laura Campbell | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 6816 Matthews Mint Hill Rd, Suite 101, Mint Hill, NC 28227-9324 |
| Mariah L Butler | Physician Assistant | Carolina Medicorp Enterprises, Inc. | 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 |
| William C Richardson Iii | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 2620 N Main St, Suite 109, High Point, NC 27265-2735 |
| Linda G Royston | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1730 Woodlawn Rd, Suite D, Charlotte, NC 28209 |
| Robert K Beam | Family Medicine | Carolina Medicorp Enterprises, Inc. | 4136 Clemmons Rd, Clemmons, NC 27012-7520 |
| Marietta A Arocena | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 1122 Randolph St, Suite 110, Thomasville, NC 27360-5730 |
| Ashley S Vaughn | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 50 Miller St, Suite C, Winston Salem, NC 27104-4206 |
| Street Address |
9550 ROCKY RIVER RD SUITE 150 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28215-9592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl A Smart | Pulmonary Disease | Novant Medical Group Inc | 9550 Rocky River Rd, Suite 100, Harrisburg, NC 28075-8609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabina C Benel | Nurse Practitioner | 5252 B N Sharon Amity Rd, Charlotte, NC 28215-0053 | |
| Uwadiogbu Odinaka Ejindu | Pediatric Medicine | 7401 The Plz, Charlotte, NC 28215-1925 | |
| William D Kreft | Physician Assistant | Amity Medical Group Inc | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 |
| Jason Lamarr Hardin | Nurse Practitioner | Amity Medical Group Inc | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 |
| Julian Montague Seaton | Nurse Practitioner | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Collins F Fomunung | Nurse Practitioner | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Ugwuala Nwauche | Emergency Medicine | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Mary Jo Klingel | Clinical Social Worker | 6612 E W T Harris Blvd, Suite D, Charlotte, NC 28215-5135 | |
| Mitchell Samonte Montemayor | Physical Therapy | 4116 Swindon Ct, Charlotte, NC 28215-5355 | |
| Harriet Davis | Family Medicine | Novant Medical Group Inc | 8110 Healthcare Loop, Charlotte, NC 28215-7069 |
| Find all physicians in zip 28215 | |||
| City | CHARLOTTE |
| Zip Code | 28215 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARLOTTE + FAMILY MEDICINE |
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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.