Colleen M Pettrey (NPI# 1023455425, PAC ID# 6103050307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1023455425 |
| PAC ID by PECOS | 6103050307 |
| Professional Enrollment ID | I20190227000020 |
| Full Name | Colleen M Pettrey |
| Organization Legal Name | MECKLENBURG MEDICAL GROUP |
| Address |
13640 Steelecroft Pkwy Suite 320 Charlotte NC 28278-7880 |
| Phone Number | 7043028900 |
| Gender | F |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9931196797 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 | 7043028900 | MECKLENBURG MEDICAL GROUP |
| Organization Legal Name | MECKLENBURG MEDICAL GROUP |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydney M Capodicasa | Nurse Practitioner | Mecklenburg Medical Group | 200 S College St, Suite 500, Charlotte, NC 28202-2067 |
| Ashley P W Dunigan | Physician Assistant | Mecklenburg Medical Group | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5087 |
| Terry B Short | Internal Medicine | Mecklenburg Medical Group | 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 |
| Joseph A Davis | Internal Medicine | Mecklenburg Medical Group | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5087 |
| Julio E De Pena Fernandez | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Beth Christina Butler | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Odile Kamanzi | Internal Medicine | Mecklenburg Medical Group | 200 S College St, Suite 500, Charlotte, NC 28202-2067 |
| Hana Alqariab | Nurse Practitioner | Mecklenburg Medical Group | 10650 Park Rd, Suite 420, Charlotte, NC 28210-8539 |
| Charlotte E Mcmanaman | Internal Medicine | Mecklenburg Medical Group | 16455 Statesville Rd, Suite 200, Huntersville, NC 28078-7125 |
| Sana Umair | Hospitalist | Mecklenburg Medical Group | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5087 |
| Street Address |
13640 STEELECROFT PKWY SUITE 320 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28278-7880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Dellinger | Certified Nurse Midwife (cnm) | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Terry B Short | Internal Medicine | Mecklenburg Medical Group | 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 |
| Eva G Stover | Certified Nurse Midwife (cnm) | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Beverly Elaine Holmes | Certified Nurse Midwife (cnm) | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Mitchell D Alvarez | Obstetrics/gynecology | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Hannah Bosdell Steele | Obstetrics/gynecology | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Senait F Efrem | Family Medicine | Mecklenburg Medical Group | 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 |
| Courtney Moynihan | Obstetrics/gynecology | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| Tina Marie Moreno | Certified Nurse Midwife (cnm) | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Suite 240, Charlotte, NC 28278-7799 |
| John G Phillips | Obstetrics/gynecology | Piedmont Gynecological and Obstetrical Associates | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7799 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neela Rao | Otolaryngology | Charlotte Eye Ear Nose and Throat Associates Pa | 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 |
| John A Tenini | Internal Medicine | Tryon Medical Partners, Pllc | 13557 Steelecroft Pkwy, Suite 1200, Charlotte, NC 28278-7556 |
| Alicia S Reams | Internal Medicine | Tryon Medical Partners, Pllc | 13557 Steelecroft Pkwy, Suite 1200, Charlotte, NC 28278-7556 |
| Melissa Y Coggin | Nurse Practitioner | Novant Medical Group Inc | 13557 Steelecroft Pkwy, Suite 2100, Charlotte, NC 28278-7559 |
| Steven D Bernal | Pediatric Medicine | Novant Medical Group Inc | 13557 Steelecroft Pkwy, Suite 2200, Charlotte, NC 28278-7559 |
| Juliana Ofori Mante | Pediatric Medicine | Novant Medical Group Inc | 13557 Steelecroft Pkwy, Suite 2200, Charlotte, NC 28278-7559 |
| Kao A Lor | Nurse Practitioner | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite B, Charlotte, NC 28278-8456 |
| Kendra R Richardson | Family Medicine | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite A, Charlotte, NC 28278-8456 |
| Robert Joseph Lejawa | Family Medicine | Novant Medical Group Inc | 8820 Rachel Freeman Way, Charlotte, NC 28278-9510 |
| City | CHARLOTTE |
| Zip Code | 28278 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHARLOTTE + PSYCHIATRY |
Please comment or provide details below to improve the information on Colleen M Pettrey.
| 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.