Charlie Lebron Swanson Jr. (NPI# 1497775688, PAC ID# 2466556188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1497775688 |
| PAC ID by PECOS | 2466556188 |
| Professional Enrollment ID | I20160329000447 |
| Full Name | Charlie Lebron Swanson Jr. |
| Organization Legal Name | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| Address |
24 Clay St Martinsville VA 24112-2810 |
| Phone Number | 2766327128 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0345215208 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24 Clay St, Martinsville, VA 24112-2810 | 2766327128 | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 5409817925 | CARILION MEDICAL CENTER |
| Organization Legal Name | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beautine Dempsey | Nurse Practitioner | Piedmont Regional Community Services Board | 22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 |
| John O Hurt Jr. | Psychiatry | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Tracy M Lange | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Pravinchandra C Patel | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Lisa Long | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Jennifer Yates | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Cynthia Shively | Nurse Practitioner | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Angel Bousman | Clinical Social Worker | Piedmont Regional Community Services Board | 30 Technology Dr, Rocky Mount, VA 24151-3008 |
| Mary A Harper | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Fran E Hobson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Street Address |
24 CLAY ST |
| City | MARTINSVILLE |
| State | VA |
| Zip | 24112-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Lange | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Pravinchandra C Patel | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Lisa Long | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Jennifer Yates | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Mary A Harper | Clinical Social Worker | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Fran E Hobson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Conrad H Daum | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Don S Tessman | Psychiatry | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Mary R Davidson | Nurse Practitioner | Piedmont Regional Community Services Board | 24 Clay St, Martinsville, VA 24112-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Edward Ford | Optometry | 240 Commonwealth W Blvd, Martinsville, VA 24112-1800 | |
| Candice Elise Earp | Nurse Practitioner | Medexpress Urgent Care, PC - Virginia | 105 Commonwealth Blvd W, Martinsville, VA 24112-1806 |
| Gina L Varner | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Amy M Bowles | Physician Assistant | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Sara M Swanson | Nurse Practitioner | Piedmont Access To Health Services Inc | 287 Commonwealth W Blvd, Martinsville, VA 24112-1820 |
| Kareem A Hamdy | General Surgery | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
| Terry Michelle Hamdy | Nurse Practitioner | K. A. Hamdy, M.d., P.C. | 110 Commonwealth Blvd W, Martinsville, VA 24112-1832 |
| Douglas M Christman | Optometry | 976 Commonwealth Blvd, Martinsville, VA 24112-1887 | |
| Faran D Rashid | Hospitalist | Apogee Medical Group Virginia | 320 Hospital Dr, Martinsville, VA 24112-1900 |
| Bennett I Fein | Gastroenterology | Martinsville Physician Practices LLC | 320 Hospital Dr, Martinsville, VA 24112-1900 |
| Find all physicians in zip 24112 | |||
| City | MARTINSVILLE |
| Zip Code | 24112 |
| Specialty | PSYCHIATRY |
| City + Specialty | MARTINSVILLE + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.