Billiejo Lee Dagenhart (NPI# 1043756794, PAC ID# 8022385764) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043756794 |
| PAC ID by PECOS | 8022385764 |
| Professional Enrollment ID | I20170530002042 |
| Full Name | Billiejo Lee Dagenhart |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Address |
600 W Trade St Dallas NC 28034-1543 |
| Phone Number | 9808349170 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577476258 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 600 W Trade St, Dallas, NC 28034-1543 | 9808349170 | CAROMONT MEDICAL GROUP INC |
| 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 | 7048618669 | CAROMONT MEDICAL GROUP INC |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca Beyder | Physician Assistant | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Kani M Smith | Nurse Practitioner | Caromont Medical Group Inc | 1220 Spruce St, Belmont, NC 28012-3370 |
| Christy P Bush | Nurse Practitioner | Caromont Medical Group Inc | 660 Summit Crossing Pl, Suite 301, Gastonia, NC 28054-2181 |
| Taylor M Gulley | Clinical Social Worker | Caromont Medical Group Inc | 1867 Remount Rd, Suite H, Gastonia, NC 28054-7401 |
| Tynisha K Hailes | Nurse Practitioner | Caromont Medical Group Inc | 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 |
| Louise Zhou | Medical Oncology | Caromont Medical Group Inc | 2711 X Ray Dr, Suite 3701, Gastonia, NC 28054-7491 |
| Kelly Bergen | Nurse Practitioner | Caromont Medical Group Inc | 2555 Court Dr, Suite 300, Gastonia, NC 28054-2179 |
| Cecily Robin Smith | Nurse Practitioner | Caromont Medical Group Inc | 815 Cox Rd, Gastonia, NC 28054-3453 |
| Kao A Lor | Nurse Practitioner | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite B, Charlotte, NC 28278-8456 |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Street Address |
600 W TRADE ST |
| City | DALLAS |
| State | NC |
| Zip | 28034-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew C Mossman | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Suite A, Dallas, NC 28034-1543 |
| Jacqueline D Folks | Internal Medicine | Caromont Medical Group Inc | 600 W Trade St, Suite A, Dallas, NC 28034-1543 |
| Barry A Scanlan | Internal Medicine | Caromont Medical Group Inc | 600 W Trade St, Suite A, Dallas, NC 28034-1543 |
| Misty W Wright | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Dallas, NC 28034-1543 |
| Aaron D Brown | Family Medicine | Caromont Medical Group Inc | 600 W Trade St, Suite A, Dallas, NC 28034-1543 |
| Kera R Selzer | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Suite A, Dallas, NC 28034-1543 |
| Georgina Ramsey | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Dallas, NC 28034-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Danielle Alston | Physician Assistant | Dallas Family Medicine, Pa | 824 Lower Dallas Hwy, Dallas, NC 28034-9368 |
| Joshua W Baker | Optometry | Gaston Eye Associates | 820 Lower Dallas Hwy, Dallas, NC 28034-9368 |
| Ron V Kirkpatrick | Physician Assistant | Dallas Family Medicine, Pa | 824 Lower Dallas Hwy, Dallas, NC 28034-9368 |
| Michael A Robinson | Physician Assistant | Dallas Family Medicine, Pa | 824 Lower Dallas Hwy, Dallas, NC 28034-9368 |
| City | DALLAS |
| Zip Code | 28034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DALLAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Billiejo Lee Dagenhart.
| 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.