Eventus Wholehealth Aco LLC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Concord, NC
NPI 1023796307 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1023796307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- EVENTUS WHOLEHEALTH ACO LLC
- Practice address
- 101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781 - Phone
- (855) 743-2247
- Fax
- (855) 857-7333
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
Authorized official
- Name
- George Hall, MD
- Title
- Owner
- Phone
- (855) 743-2247
Practitioners 194
-
Paul Homeyer, LPC
-
Heather Lee Asbell, PA-C
-
Megan Suzanne Abbott, FNP-C
-
Kongit Achew, AGNP
-
Kristi Boles Adams, FNP-BC
-
Colette Nancy Affiah, PMHNP
-
Mosebolatan Arinola Akande, PMHNP
-
Tabitha Alford, FNP-C
-
Ayako Nitani Allen, FNP
-
Latesha Miller Allen, FNP-C
-
Emily Ann Beck, NP
-
Shannon Elizabeth Evans Belcher, PMHNP-BC
-
Alison Mae Bennett, FNP-C
-
Jennifer Tillman Boney, MSN, PMHNP-BC
-
Brittany Bowling, FNP
-
Elonda Brewington, AGNP-BC; NP-C
-
Courtney Ann Brockmiller, FNP-BC
-
Erin Patrice Brown, AGNP-C
-
Kandice Di-Ann Brown, AGNP-C
-
Trinia Lasonia Brown, FNP
-
Angela Maria Bryant, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230727003681 | NC | Part B Supplier - Clinic/Group Practice | 8921469651 |
Receives reassigned benefits from 191 practitioners Practice locations: Raleigh, NC |
| O20250107002223 | SC | Part B Supplier - Clinic/Group Practice | 8921469651 |
Receives reassigned benefits from 6 practitioners Practice locations: Columbia, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Mailing address
PO Box 5779
Carol Stream, IL 60197-5779
Phone (855) 743-2247
Other practice location 1
2 Office Park Ct Ste 103
Columbia, SC 29223-5948
Phone (855) 743-2247
Other providers in Concord, NC
- Eve'S Medical Enterprises
- Evelyn'S Care LLC
- Eventus Aco, LLC
- Eventus Value Care, LLC
- Eventus WH Midwest Care, LLC
- Eventus Wholehealth, PLLC
- Sonia Shaw Everhart
- Evernine Wellness LLC
- Kyndall Eveson
- Evolution Counseling Associates
All providers in Concord, NC · Geriatric Medicine (Internal Medicine) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.