Southlight Healthcare
A Medicare group practice based in Raleigh, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901947613), with 30 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901947613
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
- Enrolled in
- NC
- Enrollments
- 2
- Group size
- 16 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100104000134 | NC | Part B Supplier - Clinic/Group Practice | 1316268345 |
| O20200414000182 | NC | Part B Supplier - Opioid Treatment Program (Otp) | 1932300019 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southlight Healthcare
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1316268345
-
Southlight Healthcare
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1932300019
Practice locations
- Raleigh, NC3
- Fayetteville, NC1
- Durham, NC1
Clinicians 30
Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (16).
-
Alexander Averell, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
- NPI 1417325416
-
Caedora Marylouise Benton, NP, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
- NPI 1427607308
-
Abby Rae Carlquist, LCSW
- Clinical Social Worker
- Raleigh, NC
- NPI 1962834168
-
Chinyere Bassey Chima, DNP, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NC
- NPI 1912339961
-
Kimberly Hall Currin, MS, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
- NPI 1164775607
-
Vanessa Del Carmen, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1700494572
-
Kerron Harvey Elder, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1275269920
-
Letitia Marie Hazel, MD
- Family Medicine Physician
- Raleigh, NC
- NPI 1588641880
-
Miyoshi Umeki Jones-Tunstall, LPA
- Psychologist
- Raleigh, NC
- NPI 1578730214
-
Abigail Grace Kaufmann, MSW, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1245958677
-
Alexandra Kerr, LCSW, LCAS-A
- Clinical Social Worker
- Raleigh, NC
- NPI 1912627324
-
Elizabeth K Kinlaw, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1043095193
-
Jeffrey PC Lee, MD
- Psychiatry Physician
- Raleigh, NC
- NPI 1285262790
-
Melony Lee Malloy, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
- NPI 1033673736
-
Peter Manu, MD
- Internal Medicine Physician
- Raleigh, NC
- NPI 1306996681
-
Kenneth Maurer, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
- NPI 1811617921
-
Jojo Kienga Paka, NP
- Psychiatric/Mental Health Nurse Practitioner
- Reidsville, NC
- NPI 1265116750
-
Benjamin Powell IV, PA-C
- Physician Assistant
- Raleigh, NC
- NPI 1134668403
-
Danielle Curley Powell, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1093327561
-
Justin Ravizee, LCSW, LCASA
- Clinical Social Worker
- Raleigh, NC
- NPI 1124630561
-
Michelle Schneider, MSW, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1447979877
-
Catherine Spencer Mezzy, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1912613993
-
Robert Lewis Stuckey, LCSW, LCAS
- Clinical Social Worker
- Raleigh, NC
- NPI 1831564079
-
Jamie Sullivan, ARNP, FNP
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1760989560
-
Shaun Patrick Thomas, LCMHC, LCAS
- Mental Health Counselor
- Raleigh, NC
- NPI 1437675683
-
Carol Jane Vanderzwaag, M.D
- Psychiatry Physician
- Raleigh, NC
- NPI 1215161492
-
Brittney Whaley, LCMHC, LCAS
- Mental Health Counselor
- Raleigh, NC
- NPI 1356034136
-
Sherly Paraison Winkler, LCMHC, LMFT
- Mental Health Counselor
- Raleigh, NC
- NPI 1174856900
-
Alexanderia Clarke Young
- Clinical Social Worker
- Raleigh, NC
- NPI 1003431768
-
Erik Anthony Zuniga, LCSW, LCASA
- Clinical Social Worker
- Raleigh, NC
- NPI 1114657004
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.