CORY WELLBORN (NPI# 1689949984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689949984 |
| Entity Type | Individual |
| Full Name | CORY WELLBORN |
| Credential | N.P. |
| Practice Address |
2076 Hwy 42 W Suite 300 Clayton NC 27520-9226 |
| Mailing Address |
2076 Hwy 42 W Clayton NC 27520-9226 |
| Practice Telephone | 9199387113 |
| Mailing Telephone | 9199387113 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5005515 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2076 HWY 42 W SUITE 300 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-9226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905395 | Jason Macdonald Coggins | Physician Assistant | 2076 Hwy 42 W, Clayton, NC 27520-5302 | 2006-01-06 |
| 1073829461 | Carla Sue Bennett | Nurse Practitioner | 2076 Hwy 42 W, Suite 300, Clayton, NC 27520-9226 | 2010-08-24 |
| 1578885406 | Johnston Radiation Oncology LLC | Clinic/Center | 2076 Hwy 42 W, Suite 120, Clayton, NC 27520-5303 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419369 | Angela Byrd | Nurse Practitioner | 109 Townsend Dr, Clayton, NC 27527-5221 | 2015-06-15 |
| 1639584253 | Altegra Health Connections, LLC | Nurse Practitioner | 120 S Central Ave, Clayton, MO 63105-1705 | 2014-06-23 |
| 1861440596 | Regina E Walker | Nurse Practitioner | 269 Ridgecrest Circle Suite 109, Clayton, GA 30525 | 2006-05-05 |
| 1679536429 | Shannon L Robinson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-04-11 |
| 1164421806 | Dava J Derrick | Nurse Practitioner | 1250 National Rd, Suite 400, Clayton, OH 45315-9505 | 2005-07-15 |
| 1669782470 | Shannon Brittain Mooring | Nurse Practitioner | 2076 Nc Highway 42 W, Ste. 230, Clayton, NC 27520-5302 | 2010-10-14 |
| 1730490715 | Gerald N Harper | Nurse Practitioner | 1020 N Lawson Boulevard, Clayton, OK 74536-0219 | 2010-06-24 |
| 1366615635 | Ashley Leah Thomas | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2008-04-08 |
| 1417141052 | Virginia Ann Mclean | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2007-08-28 |
| 1649362278 | Margaret Leigh Singer | Nurse Practitioner | 536 Highway 441 S, Clayton, GA 30525-5422 | 2006-09-29 |
| Find all providers in CLAYTON | ||||
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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.