PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC (NPI# 1619509049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619509049 |
| Entity Type | Organization |
| Organization Name | PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC |
| Practice Address |
525 N Tryon St Ste 1600 Charlotte NC 28202-0213 |
| Mailing Address |
40 S Main St Ste 1300 Memphis TN 38103-5513 |
| Practice Telephone | 8669490108 |
| Mailing Telephone | 9014227608 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | MRS. KIMBERLY MANN (CREDENTIALING BILIING MANAGER) |
| Authorized Official Telephone | 9014227608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
525 N TRYON ST STE 1600 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-0213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073816963 | Heather Smith Burch | Psychologist | 525 N Tryon St Ste 1600, Charlotte, NC 28202 | 2010-12-15 |
| 1184232704 | Senora Bivins | Behavioral Analyst | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2020-07-20 |
| 1396369864 | Rachael Mary Cox | Behavioral Analyst | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2020-06-01 |
| 1265053573 | Malynda Irene Coffman | Behavioral Analyst | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2020-04-28 |
| 1578191276 | Smita Kedlaya | Behavioral Analyst | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2020-03-29 |
| 1699334219 | Cj's Home Health Incorporated | In Home Supportive Care | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2019-06-07 |
| 1881253581 | Donna Lynn Thomas | Dentist | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2019-06-07 |
| 1184188955 | Mckenzie Gabrielle Caldwell | Dietitian, Registered | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2019-01-25 |
| 1669968004 | Rosemary Elaine Dunning | Behavior Technician | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2018-07-09 |
| 1780173567 | Ashley Walton | Behavioral Analyst | 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881843076 | Hospice & Palliative Care Charlotte Region | Family Medicine | 7845 Little Ave, Charlotte, NC 28226-8198 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760458657 | Hospice of Yancey County, Inc. | Family Medicine | 856 Georges Fork Rd, Burnsville, NC 28714-7842 | 2006-02-28 |
| 1952371353 | Morris Jenkins | Family Medicine | 1266 Asheville Hwy, Transylvania Home Care, Suite 5, Brevard, NC 28712 | 2006-01-26 |
| 1093711160 | Walter B Guthrie | Family Medicine | 244 W Park Dr, Morganton, NC 28655-4218 | 2005-06-23 |
| 1770138984 | Cmc Geriatric Services | Family Medicine | 403 Fairview St, Clinton, NC 28328-2399 | 2019-08-05 |
| 1578127023 | Home Health and Hospice Care, Inc. | Family Medicine | 2402 Wayne Memorial Dr, Goldsboro, NC 27534-1728 | 2019-04-30 |
| 1467942029 | Hospice of Randolph County, Inc | Family Medicine | 416 Vision Dr, Asheboro, NC 27203-3855 | 2018-05-18 |
| 1871008540 | Hospice of Alamance-caswell Foundation, Inc. | Family Medicine | 914 Chapel Hill Rd, Burlington, NC 27215-6715 | 2017-12-04 |
| 1215398789 | Caromont Medical Group Inc | Family Medicine | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 | 2016-03-11 |
| 1366802118 | Novant Medical Group Inc | Family Medicine | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-03-07 |
| 1619234028 | Catawba Valley Medical Center | Family Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2012-04-23 |
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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.