MR. CLYDE A EPPS (NPI# 1174740138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174740138 |
| Entity Type | Individual |
| Full Name | MR. CLYDE A EPPS |
| Credential | PA |
| Practice Address |
450 Country Club Road Lumberton NC 28360-9494 |
| Practice Telephone | 9102721230 |
| Practice Fax Number | 9102729397 |
| Mailing Telephone | 9102721230 |
| Mailing Fax Number | 9102729397 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP | 0169 | 01 |
| Street Address |
450 COUNTRY CLUB ROAD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841546744 | Shanna Breeahn Powell | Social Worker | 450 Country Club Road, Lumberton, NC 28360-1084 | 2012-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1265821995 | Randal Mclean | Physician Assistant | 5080 Kahn Dr, Lumberton, NC 28358-2302 | 2015-01-19 |
| 1366831067 | Jordan Michael Andrews | Physician Assistant | 4843 Pinedale Blvd, Lumberton, NC 28358-2101 | 2015-01-19 |
| 1932278876 | Charles Edwin Huggins | Physician Assistant | 209 W 27th St, Lumberton, NC 28358-3016 | 2006-11-07 |
| 1992795041 | Crystal Edwards | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-28 |
| 1982697355 | Arbus E. Locklear Jr. | Physician Assistant | 309 N Roberts Ave, Lumberton, NC 28358-5383 | 2005-08-31 |
| 1699305060 | Jacklynn Lindsey Hunt | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2020-01-24 |
| 1972143717 | Vasiliki Lambropoulos | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-01-09 |
| 1679115547 | Jayci Harrison | Physician Assistant | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2019-10-12 |
| 1447724430 | Courtney Paige Bradford | Physician Assistant | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2019-01-14 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.