Nicole M Laird (NPI# 1568555621, PAC ID# 9032106752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568555621 |
| PAC ID by PECOS | 9032106752 |
| Professional Enrollment ID | I20040426001806 |
| Full Name | Nicole M Laird |
| Organization Legal Name | GREENVILLE CLINIC CORP. |
| Address |
101 Church St Georgiana AL 36033-4268 |
| Phone Number | 3343760380 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082666854 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010150 | L V STABLER MEMORIAL HOSPITAL |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010036 | ANDALUSIA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Church St, Georgiana, AL 36033-4268 | 3343760380 | GREENVILLE CLINIC CORP. |
| Organization Legal Name | GREENVILLE CLINIC CORP. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane J Williams | Pediatric Medicine | Greenville Clinic Corp. | 44 Medical Arts Ct, Greenville, AL 36037-3870 |
| Prithviraj R Chavan | Orthopedic Surgery | Greenville Clinic Corp. | 44 Medical Arts Ct, Greenville, AL 36037-3870 |
| Street Address |
101 CHURCH ST |
| City | GEORGIANA |
| State | AL |
| Zip | 36033-4268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheri Folk | Nurse Practitioner | Dlp Central Carolina Medical Group LLC | 101 Church St, Broadway, NC 27505-9394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn M Geohagan | Family Medicine | Southern Np Associates LLC | 206 S Palmer Ave, Georgiana, AL 36033-3300 |
| Ashley Huggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Rachel P Wiggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Roland A Yearwood | Internal Medicine | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| City | GEORGIANA |
| Zip Code | 36033 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GEORGIANA + NURSE PRACTITIONER |
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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.