Joe Douglas Revis Jr. (NPI# 1174174601, PAC ID# 7517390818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174174601 |
| PAC ID by PECOS | 7517390818 |
| Professional Enrollment ID | I20191126003233 |
| Full Name | Joe Douglas Revis Jr. |
| Organization Legal Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC. |
| Address |
356 Charlotte Rd Rutherfordton NC 28139-2916 |
| Phone Number | 8282545008 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7214028539 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 94 White Dr, Columbus, NC 28722-4439 | 8288942290 | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC. |
| 356 Charlotte Rd, Rutherfordton, NC 28139-2916 | 8282545008 | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC. |
| Organization Legal Name | FAMILY PRESERVATION SERVICES OF NORTH CAROLINA, INC. |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leighton Elizabeth Hannah | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 120 Chadwick Square Ct, Suite C, Hendersonville, NC 28739-3200 |
| Ashley M Adam | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Jacob D Lawrence | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 2300 Sardis Rd N, Suite M, Charlotte, NC 28227-7712 |
| Jonathan O Cox | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 1316 Patton Ave, D, Asheville, NC 28806-2652 |
| Amy L Fongemie | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 271 Callahan Koon Rd, Spindale, NC 28160-2207 |
| David R Sillars | Psychiatry | Family Preservation Services of North Carolina, Inc. | 1314 Patton Ave, Suite F, Asheville, NC 28806-2648 |
| Presley C Bright | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 941 W Andrews Dr, Henderson, NC 27536-2586 |
| Diane V Price | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 271 A Callahan Koon Rd, Spindale, NC 28160-2207 |
| Hannah S Myers | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 2300 Sardis Rd N, Suite M, Charlotte, NC 28227-7712 |
| Tamara N Minor | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Street Address |
356 CHARLOTTE RD |
| City | RUTHERFORDTON |
| State | NC |
| Zip | 28139-2916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Adam | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Tamara N Minor | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Tonya T Gilbert | Physician Assistant | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Wilburn Gregory Corn | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Kimberly Anne Disney | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Lisa B Hasan | Physician Assistant | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Laura Ashley Crawford | Clinical Social Worker | Family Preservation Services of North Carolina, Inc. | 356 Charlotte Rd, Rutherfordton, NC 28139-2916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Hughes | Chiropractic | 249 Us Hwy 64, Rutherfordton, NC 28139 | |
| Troy N Tevis | Optometry | 337 N Main St, Rutherfordton, NC 28139-2505 | |
| Terry Lee Ledford | Psychologist, Clinical | 126 N Toms St, Suite 1, Rutherfordton, NC 28139-2531 | |
| Lorry Lynn Cizek | Physician Assistant | Mission Community Anesthesiology Specialists LLC | 290 N Main St, Rutherfordton, NC 28139-2536 |
| Annie M Jackson | Neurology | 153 W Court St, Rutherfordton, NC 28139-2804 | |
| Anna P Burgess | Nurse Practitioner | Dlp Rutherford Physician Practices LLC | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Hong Catherine Li | Pathology | Arcadia Pathology Network, Pllc | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Heike Hermine Arrowood | Nurse Practitioner | Hospital Physician Services - Southeast Professional Corporation | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Awais Masood | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Margaret F Campbell | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 |
| Find all physicians in zip 28139 | |||
| City | RUTHERFORDTON |
| Zip Code | 28139 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RUTHERFORDTON + CLINICAL SOCIAL WORKER |
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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.