MS. SIMONE RENEE MEVS


Address: 2817 Reilly St, Fort Bragg, NC 28310-7324
Phone: 9106439409

MS. SIMONE RENEE MEVS (NPI# 1619207156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619207156
Entity Type Individual
Full Name MS. SIMONE RENEE MEVS
Credential PA-C
Practice Address 2817 Reilly St
Fort Bragg
NC 28310-7324
Mailing Address 2712 Crestridge Ct
Fayetteville
NC 28306-3659
Practice Telephone 9106439409
Practice Fax Number 9109076667
Mailing Telephone 9194343360
Enumeration Date 2010-01-06
Last Update Date 2016-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0010-02408 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2817 REILLY ST
City FORT BRAGG
State NC
Zip Code 28310-7324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225022874 Victoria Hoang-mai O'shea Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7324 2005-09-09
1831799063 Samantha Macchio Optometrist 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-10-27
1548869126 Carolyn Smith Registered Nurse 2817 Reilly St, Fort Bragg, NC 28310-7301 2020-10-23
1114534666 Lister Hokanson Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-09-29
1689289118 Joseph Stephen Wise Physical Therapist 2817 Reilly St, Fort Bragg, NC 28310-7394 2020-09-11
1063027779 James Pennington Mundy Jr. Pharmacist 2817 Reilly St, Fort Bragg, NC 28310-7394 2020-09-10
1548873003 James Coleman V Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-25
1740893171 Thomas William Woodroof Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-25
1740892389 Roger Wayne Webb Nurse Anesthetist, Certified Registered 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-08-17
1144838517 Josephine Kariuki Family Medicine 2817 Reilly St, Fort Bragg, NC 28310-7324 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780747956 Allen Ray Jones Physician Assistant 1reilly Rd, Fort Bragg, NC 28311 2006-12-19
1861580037 Wendy T Owen Physician Assistant 39 Donelson St, Fort Bragg, NC 28307-2024 2006-10-11
1609836758 John Alexander Millward Physician Assistant Wamc 2817 Reilly Rd, Fort Bragg, NC 28310-0001 2006-03-24
1356555247 Robert Shelton Heath Physician Assistant Womack Army Medical Ctr, Fort Bragg, NC 28310-0001 2007-05-09
1629137112 Robert R Howes Physician Assistant 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310-7324 2006-12-08
1437118916 Dale Lee Herd Physician Assistant Womack Army Medical Center, Fort Bragg, NC 28310-0001 2006-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174170575 Katherine Mccullough Physician Assistant Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 2019-08-20
1740845148 Brenda Kay Dushek Physician Assistant 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 2019-05-01
1851955579 Morgan Elizabeth Bridgers Physician Assistant 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 2019-04-29
1265947725 Molly Cunningham Pradhan Physician Assistant 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 2017-12-06
1497273700 Joseph Cameron Jones Physician Assistant 404 Westwood Ave Ste 303, High Point, NC 27262-4315 2017-09-07
1871011106 Tashianna Renee Stockton Physician Assistant 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 2017-09-07
1205365335 Joe Gates Physician Assistant 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 2017-06-12
1023547585 Audrey Catherine Fortezzo Physician Assistant 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 2017-06-08
1184013294 Danielle King Physician Assistant 3611 N Duke Street, Durham, NC 27704 2015-01-13
1629474978 Gary Lee Aldrich Jr. Physician Assistant 103a Mcalpine Ln, Laurinburg, NC 28352-4637 2014-11-14
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Competitor

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City FORT BRAGG
Zip Code 28310

Improve Information

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Dataset Information

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.

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