Geranameo Vladmire Bullock (NPI# 1275821340, PAC ID# 8022258920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1275821340 |
| PAC ID by PECOS | 8022258920 |
| Professional Enrollment ID | I20160301002216 |
| Full Name | Geranameo Vladmire Bullock |
| Organization Legal Name | CHARIS MENTAL HEALTH PLLC |
| Address |
2470 Pruden Blvd Suffolk VA 23434-4206 |
| Phone Number | 7579228046 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2769754746 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 95 Magnolia Dr, Newport News, VA 23605-1135 | 7578695075 | AFFINITY HEALTH CARE LLC |
| 2470 Pruden Blvd, Suffolk, VA 23434-4206 | 7579228046 | CHARIS MENTAL HEALTH PLLC |
| 1313 Jamestown Rd, Suite 104, Williamsburg, VA 23185-3362 | 7572080509 | STEPPING STONE BEHAVIORAL HEALTH LLC |
| Organization Legal Name | CHARIS MENTAL HEALTH PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakeisha Keneti | Nurse Practitioner | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Street Address |
2470 PRUDEN BLVD |
| City | SUFFOLK |
| State | VA |
| Zip | 23434-4206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakeisha Keneti | Nurse Practitioner | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tysheena Lanee Jones | Nurse Practitioner | 4209 Ravine Gap Dr, Suffolk, VA 23434-3055 | |
| Thamiris V Palacios-kibler | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Alice V Wilkins-bryson | Nurse Practitioner | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| John R Sweeney Jr. | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Brandee Leigh Winkler | Physician Assistant | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Brinkley | Physician Assistant | Franklin Clinic Corp | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Sajko | Ophthalmology | Schneider Eye Physicians P C | 2016 Meade Pkwy, Suffolk, VA 23434-4259 |
| Susan C Vick | Occupational Therapy | Tidewater Physical Therapy LLC | 2007 Meade Pkwy, Suffolk, VA 23434-4259 |
| Michael Andrew Caines | Orthopedic Surgery | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Theresa G Jackson | Physical Medicine and Rehabilitation | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Find all physicians in zip 23434 | |||
| City | SUFFOLK |
| Zip Code | 23434 |
| Specialty | PSYCHIATRY |
| City + Specialty | SUFFOLK + PSYCHIATRY |
Please comment or provide details below to improve the information on Geranameo Vladmire Bullock.
| 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.