AVAYA HEALTH SERVICES, LLC (NPI# 1649688953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649688953 |
Entity Type | Organization |
Organization Name | AVAYA HEALTH SERVICES, LLC |
Other Organization Name | AVAYA HEALTH SERVICES, LLC - SC |
Practice Address |
4921 Albemarle Rd Suite 111 Charlotte NC 28205-6654 |
Mailing Address |
6409 Fayetteville Rd Suite 120-302 Durham NC 27713-6297 |
Practice Telephone | 9194541672 |
Mailing Telephone | 9194541672 |
Enumeration Date | 2014-07-30 |
Last Update Date | 2014-07-30 |
Authorized Official Name | MR. DWAYNE GRAY (CEO/EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9194541672 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
Other Name | Type Code |
---|---|
Avaya Health Services, LLC - SC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609133693 | Avaya Health Services, LLC | Exclusive Provider Organization | 6409 Fayetteville Rd, Suite 120-302, Durham, NC 27713-6297 | 2012-04-16 |
Street Address |
4921 ALBEMARLE RD SUITE 111 |
City | CHARLOTTE |
State | NC |
Zip Code | 28205-6654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093137093 | Epiphany Integrated Care Services, LLC | Psychologist | 4921 Albemarle Rd, Suite 203, Charlotte, NC 28205-6654 | 2014-01-09 |
1649732843 | Angels From Heaven Home Care 08 Sc LLC | Home Health | 4921 Albemarle Rd, Suite 110, Charlotte, NC 28205 | 2019-04-05 |
1386058626 | Life Choices Group | Community/Behavioral Health | 4921 Albemarle Rd, Suite 116, Charlotte, NC 28205-6654 | 2014-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
Find all providers in zip 28205 |
Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1124291166 | Roger G. Tans, D.d.s., P.a. | Exclusive Provider Organization | 3121 Springbank Ln Ste D, Charlotte, NC 28226-3347 | 2008-04-10 |
1831596840 | Primary Care Solutions | Exclusive Provider Organization | 5601 Executive Center Dr Ste 200, Charlotte, NC 28212-8841 | 2014-11-20 |
1427487818 | Darryl Johnson Agency Inc | Exclusive Provider Organization | 715 N Church St, Ste 130, Charlotte, NC 28202-2294 | 2013-11-06 |
1023374915 | Embrace Services Nc | Exclusive Provider Organization | 1801 N Tryon St, Suite 324, Charlotte, NC 28206-2704 | 2012-04-05 |
1285905125 | Life Line Connection LLC | Exclusive Provider Organization | 9635 Southern Pine Blvd, Charlotte, NC 28273-5558 | 2012-01-24 |
1356640247 | No Bounds Care Inc. | Exclusive Provider Organization | 520 Collins Aikman Dr, Ste 208, Charlotte, NC 28262-3317 | 2011-03-18 |
1740457027 | Inspirational In-home Care Inc. | Exclusive Provider Organization | 5736 N Tryon St, 201-c, Charlotte, NC 28213-6850 | 2008-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
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1073071817 | Beacon Accountable Care LLC | Exclusive Provider Organization | 4050 Arendell St Ste E, Morehead City, NC 28557-2940 | 2019-03-12 |
1861930802 | Rico's Daycare | Exclusive Provider Organization | 809 Berwick Dr, Fayetteville, NC 28314-0837 | 2017-02-10 |
1013465269 | Marriageforkeeps Wellness Center LLC | Exclusive Provider Organization | 9600 Broad Brush Ave, Wake Forest, NC 27587-0004 | 2016-09-16 |
1467810143 | William R. Warren Dds,pa | Exclusive Provider Organization | 1241 W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2016-02-09 |
1992177505 | Dorita S. Berger | Exclusive Provider Organization | 1657 Snowmass Way, Durham, NC 27713-4514 | 2015-10-22 |
1578948832 | Carolina Care Giver Services,llc | Exclusive Provider Organization | 110 Memory Plz, Whiteville, NC 28472-2640 | 2015-07-28 |
1346636768 | My Omni Housecalls, LLC | Exclusive Provider Organization | 208 Bridford Downs Dr, Greensboro, NC 27407-2767 | 2015-04-13 |
1215341649 | New Beginning of Nc, LLC | Exclusive Provider Organization | 100 Westlake Rd Ste 100, Fayetteville, NC 28314-1660 | 2014-06-13 |
1255773792 | Amethyst LLC | Exclusive Provider Organization | 806 Ne Roundtree Street, Wilson, NC 27893-0806 | 2013-07-25 |
1952640765 | Sandhills Center for Md/dd/sas | Exclusive Provider Organization | 1120 7 Lakes Dr, West End, NC 27376-9082 | 2013-02-14 |
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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.