Kaylah M Black (NPI# 1104337021, PAC ID# 6507101623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104337021 |
| PAC ID by PECOS | 6507101623 |
| Professional Enrollment ID | I20181218003136 |
| Full Name | Kaylah M Black |
| Organization Legal Name | RALEIGH MEDICAL GROUP, PA |
| Address |
2601 Lake Dr Suite 201 Raleigh NC 27607-6689 |
| Phone Number | 9197834888 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800874322 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340173 | WAKEMED, CARY HOSPITAL |
| 340114 | REX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 | 9197834888 | RALEIGH MEDICAL GROUP, PA |
| Organization Legal Name | RALEIGH MEDICAL GROUP, PA |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francine J Lapiche | Physician Assistant | Raleigh Medical Group, Pa | 2076 Nc Hwy 42 W 100, Clayton, NC 27520-5303 |
| Debra S Orr | Nurse Practitioner | Raleigh Medical Group, Pa | 1500 Sawmill Rd, Raleigh, NC 27615-4320 |
| Neeraj K Sachdeva | Gastroenterology | Raleigh Medical Group, Pa | 10540 Ligon Mill Rd, Suite 109, Wake Forest, NC 27587-6090 |
| Ginger E Smith | Physician Assistant | Raleigh Medical Group, Pa | 860 Perry Rd, Apex, NC 27502-7701 |
| Tina G Harris | Internal Medicine | Raleigh Medical Group, Pa | 3521 Haworth Dr, Raleigh, NC 27609-7216 |
| Scott C Bilbro | Internal Medicine | Raleigh Medical Group, Pa | 530 New Waverly Pl, Cary, NC 27518-7414 |
| Susan L Crittenden | Internal Medicine | Raleigh Medical Group, Pa | 530 New Waverly Pl, Cary, NC 27518-7414 |
| Renisse T Trillana | Physician Assistant | Raleigh Medical Group, Pa | 530 New Waverly Pl, Cary, NC 27518-7414 |
| Harmeet C Singh | Internal Medicine | Raleigh Medical Group, Pa | 3521 Haworth Dr, Raleigh, NC 27609-7216 |
| Michael S Rees | Internal Medicine | Raleigh Medical Group, Pa | 3521 Haworth Dr, Raleigh, NC 27609-7216 |
| Street Address |
2601 LAKE DR SUITE 201 |
| City | RALEIGH |
| State | NC |
| Zip | 27607-6689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke B Meier | Certified Registered Nurse Anesthetist (crna) | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Raja S Vadlamudi | Gastroenterology | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Melissa S Scott | Physician Assistant | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Ronald P Schwarz | Gastroenterology | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Erica A Burdo | Physician Assistant | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Christina Renee Maclean | Certified Registered Nurse Anesthetist (crna) | Raleigh Medical Group, Pa | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Goodson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Linda Brooke Thompson | Anesthesiology Assistant | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Karen A Rassette | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Laura L Wrenn | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Jennifer L St.jean | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Misti L Berrong | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Mary S Kennedy | Certified Registered Nurse Anesthetist | American Anesthesiology of North Carolina, Pllc | 2308 Wesvill Ct, Raleigh, NC 27607-2949 |
| Nisha Thannikkary Manickam | Infectious Disease | Raleigh Infectious Diseases Associates Pa | 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973 |
| Lorena Benavides | Obstetrics/gynecology | Uwh of North Carolina LLP | 2304 Wesvill Ct, Suite 210, Raleigh, NC 27607-2973 |
| John A Bullington | Nurse Practitioner | Raleigh Infectious Diseases Associates Pa | 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973 |
| Find all physicians in zip 27607 | |||
| City | RALEIGH |
| Zip Code | 27607 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RALEIGH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kaylah M Black.
| 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.