UNC Health Alliance Independent Providers: Primary Care ...

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ADDRESS CITY STATE ZIP PHONE # FAX # Blue Home Provider Affiliate Health Plan Provider Faraz Akhtar, MD Xiaohuan Li, MD 212 South Salem Street Apex NC 27502 9198333111 9198343118 Aloysius Abaya, FNP Zhongfei Liang, DDS 173 High House Road Cary NC 27511 9198333111 9198343118 Jeanne Bernat, FNP Maribel Medina de la Barrera, RD 130 North Judd Parkway NE Fuquay Varina NC 27526 9198333111 9198343118 Raina Briggs, LCSW Chigozirim Ogar, DDS 111 South Church Street Louisburg NC 27549 9198333111 9198343118 Terri Brown, PNP Rosedelia Okoro, AGNP 1011 Rock Quarry Road Raleigh NC 27610 9198333111 9198343118 Elizabeth Canas, NP Angela Plummer, FNP 1430 South Wilmington Street Raleigh NC 27603 9198333111 9198343118 Chinyere Chima, FNP Rebecca Reeves, DMD 400 South West Street Raleigh NC 27605 9198333111 9198343118 Emily Curlin, RD Charles Shavers, DDS Lauren Detweiler, FNP Pamela Smith, PMHNP Ziad El Tannir, PAC Thomas Sneed, MD Glenn Feole, MD Stacey Talarico, PNP Patera Foye-Fuller, PNP Elizabeth Tampe, LCSW Jenifer Habeeb, RD Adrienne Tounsel, MD Francis Heitmann, LCSW Robin Viviano, FNP Baljinder Kaur, FNP Clinton Walters, LCSW Ayesha Khan, MD Meriah Ward, FNP Nisha Kotecha, FNP Melody Washington, LCSW Alexander N Newman MD Blue Home Provider Affiliate Health Plan Provider Alexander Newman, MD Emily Volk, PAC 100 Parkway Office Court, Suite 106 Cary NC 27518 9198513934 9198513608 Alexandra McLaws, PAC Blue Home Provider Affiliate Health Plan Provider Brett Rosman, PAC Kingsley Ugochukmu, MD 441 Lakestone Commons Avenue Fuquay Varina NC 27526 9195770481 9195770512 Blue Home Provider Affiliate Health Plan Provider Norah Adeyemi, PAC Kari Husmann, FNPC 1801 Olive Chapel Road, Suite 107 Apex NC 27502 9192675862 9192675866 Feyisayo Adeyina, MD Loryn Jones, LCSW 115 Crescent Commons Drive, Suite 100 Cary NC 27518 9198033707 9198031969 Anna Afonso, MD Hilary Karabin, FNPC 7750 McCrimmon Parkway, Suite 100 Cary NC 27519 9192341577 9192340569 Faraz Akhtar, MD Wahiba Kartaoui, FNP 98 Chapelton Court, Suite 310 Chapel Hill NC 27516 9195909005 9192407234 Steven Alexander, MD Christina Keller, LMFT 2076 NC Highway 42 West, Suite 230 Clayton NC 27520 9195535711 9195535712 Thomas Arnold, PA William Kilgore, PAC 1821 Martin Luther King Jr. Parkway Durham NC 27707 9197484990 9197484991 Megan Balliet, FNPC Tobias King, FNP-C 876 Timber Drive Garner NC 27529 9198032285 9198032318 Alies Barton, LCSW Sharon Kirlik, LCSW 1004 Werrington Drive, Suite 200 Holly Springs NC 27540 9195529952 9195523062 Rickey Baskett, Jr., MD Tida Lam, DO 210 Hinton Oaks Boulevard, Suite E Knightdale NC 27545 9196793177 9193738002 Phuong Batouli, PAC Christopher Lane, PAC 6402 McCrimmon Parkway, Suite 100 Morrisville NC 27560 9196551000 9196551001 Andrew Bohunicky, PAC Heather Lauria, NP 12341 Strickland Road, Suite 102 Raleigh NC 27613 9198658000 9198658020 Phalan Bolden, FNP Nakalya Leggett, LCSW 815 Oberlin Road Raleigh NC 27605 9193224722 9193224729 UNC Health Alliance Independent Providers: Primary Care (effective as of March 1, 2021) PRACTICE NAME & PROVIDERS Family Medicine Avance Care Advance Community Health Angier Pediatrics & Adult Medical Center Page 1 of 42

Transcript of UNC Health Alliance Independent Providers: Primary Care ...

ADDRESS CITY STATE ZIP PHONE # FAX #

Blue Home

Provider

Affiliate Health

Plan Provider

Faraz Akhtar, MD Xiaohuan Li, MD 212 South Salem Street Apex NC 27502 9198333111 9198343118

Aloysius Abaya, FNP Zhongfei Liang, DDS 173 High House Road Cary NC 27511 9198333111 9198343118

Jeanne Bernat, FNP Maribel Medina de la Barrera, RD 130 North Judd Parkway NE Fuquay Varina NC 27526 9198333111 9198343118

Raina Briggs, LCSW Chigozirim Ogar, DDS 111 South Church Street Louisburg NC 27549 9198333111 9198343118

Terri Brown, PNP Rosedelia Okoro, AGNP 1011 Rock Quarry Road Raleigh NC 27610 9198333111 9198343118

Elizabeth Canas, NP Angela Plummer, FNP 1430 South Wilmington Street Raleigh NC 27603 9198333111 9198343118

Chinyere Chima, FNP Rebecca Reeves, DMD 400 South West Street Raleigh NC 27605 9198333111 9198343118

Emily Curlin, RD Charles Shavers, DDS

Lauren Detweiler, FNP Pamela Smith, PMHNP

Ziad El Tannir, PAC Thomas Sneed, MD

Glenn Feole, MD Stacey Talarico, PNP

Patera Foye-Fuller, PNP Elizabeth Tampe, LCSW

Jenifer Habeeb, RD Adrienne Tounsel, MD

Francis Heitmann, LCSW Robin Viviano, FNP

Baljinder Kaur, FNP Clinton Walters, LCSW

Ayesha Khan, MD Meriah Ward, FNP

Nisha Kotecha, FNP Melody Washington, LCSW

Alexander N Newman MDBlue Home

Provider

Affiliate Health

Plan Provider

Alexander Newman, MD Emily Volk, PAC 100 Parkway Office Court, Suite 106 Cary NC 27518 9198513934 9198513608

Alexandra McLaws, PACBlue Home

Provider

Affiliate Health

Plan Provider

Brett Rosman, PAC Kingsley Ugochukmu, MD 441 Lakestone Commons Avenue Fuquay Varina NC 27526 9195770481 9195770512Blue Home

Provider

Affiliate Health

Plan Provider

Norah Adeyemi, PAC Kari Husmann, FNPC 1801 Olive Chapel Road, Suite 107 Apex NC 27502 9192675862 9192675866

Feyisayo Adeyina, MD Loryn Jones, LCSW 115 Crescent Commons Drive, Suite 100 Cary NC 27518 9198033707 9198031969

Anna Afonso, MD Hilary Karabin, FNPC 7750 McCrimmon Parkway, Suite 100 Cary NC 27519 9192341577 9192340569

Faraz Akhtar, MD Wahiba Kartaoui, FNP 98 Chapelton Court, Suite 310 Chapel Hill NC 27516 9195909005 9192407234

Steven Alexander, MD Christina Keller, LMFT 2076 NC Highway 42 West, Suite 230 Clayton NC 27520 9195535711 9195535712

Thomas Arnold, PA William Kilgore, PAC 1821 Martin Luther King Jr. Parkway Durham NC 27707 9197484990 9197484991

Megan Balliet, FNPC Tobias King, FNP-C 876 Timber Drive Garner NC 27529 9198032285 9198032318

Alies Barton, LCSW Sharon Kirlik, LCSW 1004 Werrington Drive, Suite 200 Holly Springs NC 27540 9195529952 9195523062

Rickey Baskett, Jr., MD Tida Lam, DO 210 Hinton Oaks Boulevard, Suite E Knightdale NC 27545 9196793177 9193738002

Phuong Batouli, PAC Christopher Lane, PAC 6402 McCrimmon Parkway, Suite 100 Morrisville NC 27560 9196551000 9196551001

Andrew Bohunicky, PAC Heather Lauria, NP 12341 Strickland Road, Suite 102 Raleigh NC 27613 9198658000 9198658020

Phalan Bolden, FNP Nakalya Leggett, LCSW 815 Oberlin Road Raleigh NC 27605 9193224722 9193224729

UNC Health Alliance Independent Providers: Primary Care (effective as of March 1, 2021)PRACTICE NAME & PROVIDERS

Family Medicine

Avance Care

Advance Community Health

Angier Pediatrics & Adult Medical Center

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ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Sasha Bouldin, LCSW Lea Lott, PAC 7510 Ramble Way, Suite 107 Raleigh NC 27616 9197473033 9197473034

Amanda Burrafato, LMFT Michelle MacDonna, FNPC 7850 Brier Creek Parkway Raleigh NC 27617 9195787008 9195784886

Jacob Brayboy, MD Mindy McCullough, RD 1964 South Main Street Wake Forest NC 27587 9195540177 9195549277

Tishira Brewington, PAC Sharon McGee, LCSW

Stephenie Brinson, FNPC Daniel McKearney, PAC

Kaitlyn Brown, PAC Kathryn Meiners, LSCW

Nicole Brown, FNPC Kasey Mitchell, LCSW

Manuel Bulauitan, MD Kate Murphy, PAC

Philippe Bulauitan, MD Avneet Nagra, PAC

Erin Burke, RD Ayesha Nasir, MD

Philip Burton, MD Doris Nicholas-Mir, RD

Grace Burton, RD Godwin Nweke, FNPC

Kathryn Cassellius, RD Lindsay Palmeri, FNPC

Susan Catchings, FNPC Debra Parker, LCSW

Casey Clark, FNPC Amanda Paschall, FNPC

Daniel Corbin, FNPC Beena Patel, DO

Shannon Corlett, RD Ashwin Patkar, MD

Chad Cox, MD April Payne, LCSW

Christina Dauer, RD Jaime Pedraza, MD

Natalie Davis, NP Mari Phelan, FNP

Erin Decker, RD Nadeen Risi, RD

Elizabeth Elam, RD Mari-Jane Shaffer, FNPC

Alexandra Fitzgerald, PAC Jessica Shields, AGNP

Keri Fitzsimmons, MD Michael Stadiem, MD

Katie Fontaine, PAC Kristy Su, FNPC

Joanne Fruth, MD Amy Tammenga, FNPC

Colin Gage, PAC Erin Terry, LCP

Allison Gapinski, FNPC Brenda Thomas, PAC

Margaret Garehan, LPC Jason Thomas, PAC

Shivas Gilotra, FNP Amanda Thompson, FNPC

Wanda Godfrey, MD Chris Thompson, RD

Sarah Gray, PAC Jennifer Thompson, MD

Richard Grey, PAC Thomas Thompson, MD

Sehr Hafiz, PAC Donna Tuccero, MD

Kami Harris, PAC Bhavna Vaidya-Tank, MD

Daniel Hauschild, PsyD Li Wang, FNPC

Leah Hawkins, PAC Donna Whitt, MD

Andrew Heil, LCSW Bonnie Wilson, RD

Paul Henderson, MD Tracy Yellin, LCSW

Mary Holmes, FNPC Lashea Young, PA

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ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Edwin Houng, MDBlue Home

Provider

Affiliate Health

Plan Provider

Myron Adams, PAC Eugene Maynard, Jr., MD 3333 NC Highway 242 North Benson NC 27504 9198942011 9198947645

Amy-Jo Bekong, DO Elizabeth Mills, PharmD

Carlton Crain, PAC Kristen Seidel, PAC

Ellen Ashley Duke, ANPC Amanda Steventon, MD

Robert Matthews, MD Amanda Taylor, PAC

Bunn Medical CenterBlue Home

Provider

Affiliate Health

Plan Provider

Vanessa Brosan, FNP Dhruva Kumar, MD 285 Main Street Bunn NC 27508 9194966511 9194962889Blue Home

Provider

Affiliate Health

Plan Provider

James Manor, MD Mary Tolle, PAC 610 Jones Ferry Road, Suite 102 Carrboro NC 27510 9199291747 9199335168

Kathleen Shapely-Quinn, MD Kristin Timpy, NPBlue Home

Provider

Affiliate Health

Plan Provider

Jamie Bledsoe, FNP Stephen Keen, MD 22 Shipwash Drive Garner NC 27529 9196627600 9196627675

Marian Keen, PACBlue Home

Provider

Affiliate Health

Plan Provider

Cynthia Akpaka, FNP Monica Maldonado, DDS 70 Crape Myrtle Drive, Suite 104 Benson NC 27504 9199380875 9105675661

Phyllis Armstead, MD Nelly Morales, PAC 306 Beaman Street Clinton NC 28328 9105677107 9105675661

Zoila Baez, DMD Mohamed Osman, MD 73 Dixon Street Dublin NC 28332 9108791020 9105675661

Richelle Bangi, PAC Darlene Pressley, MD 3331 Easy Street Dunn NC 28334 9105676194 9105675552

Tina Bean, FNP Kevin Pressley, MD 1508 Maple Grove Church Road Dunn NC 28334 9105676194 9105674847

Cathy Belk, MD Rosemary Quagan, LCSW 100 Sanders Sreet Four Oaks NC 27524 9199636400 9105675661

Mashelle Brandford, DO Naureen Ridge, DDS 194 Tomahawk Highway Harrells NC 28444 9105676194 9105675661

Brittany Burkhard, DDS Shraddha Sharma, MD 1525 Ocean Isle Beach Road, Unit 2 Ocean Isle Beach NC 28469 9105799600 9105675661

April Burks, MD Umber Siddiqui, DDS 500 South Fayetteville Street Salemburg NC 28385 9105255515 9105675661

Christy Hawley, LPC Michael Smith, MD 341A Whiteville Road Shallotte NC 28470 9107548731 9105675661

Nataleigh Hitt, DDS Frieda Spragins, FNP 507 North Brightleaf Boulevard, Suite 209 Smithfield NC 27577 9199340850 9105675661

Gretchen Inkumsah, DO JodyLynne Suda, LCSW 4311 Old Ocean Highway Bolivia NC 28422 9105676194 9105675661

Lena Jackson, LCAS Jamie Sullivan, FNP 16526 NC Highway 87 West Tar Heel NC 28392 9108725700 9105675661

William Johnson, FNP Thanh Tran, PCC 5531 Eleanor Roosevelt Lane Willard NC 28478 9102850400 9105675661

Carlos Lewis, DO Lisa Witthar, LCSW

Caroline Lewis, MD Terron Yoder, DMD

Zhongfei Liang, DDS Keven Zibelin, FNP

Rachel Locey, DDS Lynn Zink, ARNP

Ann Lynch, PACBlue Home

Provider

Affiliate Health

Plan Provider

David Adams, MD Bryanna LaRose, NP 115 Kildaire Park Drive, Suite 301 Cary NC 27518 9192330410 9192330872

David P. Adams MD

Benson Health

CommWell Health

Carrboro Family Medicine Center

Cleveland Family Health Clinic

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ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Kelly Bombach, PA Matthew Ward, PA

East Cary Family Physicians Blue Home

Provider

Affiliate Health

Plan Provider

Gunjan Nigam, MD Lara Schoenebeck, FNP 103 Parkway Office Court, Suite 104 Cary NC 27518 9192006587 8556532362

Pedro Nunez, MDBlue Home

Provider

Affiliate Health

Plan Provider

Elaina Lee, MD Rodriguez Frankee, NP 1413 Carpenter Fletcher Road Durham NC 27713 9195446461 9193612487

Sabrina Mentock, MD Sarada Schossow, PACBlue Home

Provider

Affiliate Health

Plan Provider

Julian Brantley, MD Karen Lavieri, FNP 162 North Carolina Highway 33 East Tarboro NC 27886 2526410514 2526411668

Thanh Brooks, FNP ChunHo Ng, MD

Corina Buzard, PAC Nicholas Patrone, MD

Gonzalo Cabral, MD Elizabeth Pennington, PNP

Abrahan Chaparro, MD David Peterson, LCSW

Nicole Enyinnaya, AGNP Shawn Phillips, FNP

Amparito Fiallo, MD Immacula St. Louis, MD

Erika Guerra, FNP David Surovchak, PAC

Savannah Junkins, PAC George Talbot, MD

Tammy Kiger, MD Clifton Williams, PACBlue Home

Provider

Affiliate Health

Plan Provider

William Garlick, MD Annette Willette, NP 200 East Salisbury Street Pittsboro NC 27312 9195450580 9195450265Blue Home

Provider

Affiliate Health

Plan Provider

Julian Brantley, MD Karen Lavieri, FNP 8282 NC Highway 58 South, Building B Elm City NC 27822 2524437744 2524437611

Thanh Brooks, FNP ChunHo Ng, MD

Corina Buzard, PAC Nicholas Patrone, MD

Gonzalo Cabral, MD Elizabeth Pennington, PNP

Abrahan Chaparro, MD David Peterson, LCSW

Nicole Enyinnaya, AGNP Shawn Phillips, FNP

Amparito Fiallo, MD Immacula St. Louis, MD

Erika Guerra, FNP David Surovchak, PAC

Savannah Junkins, PAC George Talbot, MD

Tammy Kiger, MD Clifton Williams, PAC

Impact Primary and Urgent CareBlue Home

Provider

Affiliate Health

Plan Provider

Heather Montgomery, NP Kristen White, PA 315 Franklin Plaza Louisburg NC 27549 9194964976 9194964978

Demaura Russell, MDBlue Home

Provider

Affiliate Health

Plan Provider

Adolpha Bassett, LCSW Lisa Guerrieri-Herrmann, LCSW 517 North Brightleaf Boulevard Smithfield NC 27577 9199895200 9199895279

Tara Burnett Lewis, MD Elaine Howell, LPC

Harvest Family Health Center

Freedom Hill Community Health Center

Johnston County Health Department

Garlick & Murray Family Medicine

Family Care

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ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Trella Cooper, MD Kimberly Johnson, MD

Avis Dublin, LCSW Mia JonesSmith, PA

Henry Edmundson, MD Marilyn Pearson, MD

Jonahtan Echeverria, PA Amanda Pollard, PACynthia Gary, PA Erin Smith, NPUsha Guduru, MD Martin Willians, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Renee Watson, MD 713 Wilkins Street Smithfield NC 27577 9199341211 9199898189Blue Home

Provider

Affiliate Health

Plan Provider

Vincent Cheek, MD Olaf Massenburg, PAC 1309 Lees Chapel Road Greensboro NC 27455 3362865505 3362865586Scott Long, PAC Kimberly Millsaps, NP

NeighborHealth CenterBlue Home

Provider

Affiliate Health

Plan Provider

Emily Baldwin, AGNP Molly Jordan, PAC 4201 Lake Boone Trail, Suite 5 Raleigh NC 27607 9842228000 9842228001

Stacy Boulton, MD Betsy Joyner, PAC

Douglas Briggs, MD Rachel Lehman, FNP

David Comer, PAC Andrea Weathers, MD

Chelsey Hilscher, CNMBlue Home

Provider

Affiliate Health

Plan Provider

Nana Arkhurst-Arthur, FNPC Brianne Klinger, PMHNP 111 South Fairview Road Rocky Mount NC 27801 2524463333 2528225067

Karen Brown, FNP Emily Knight, PAC 300 North Grace Street Rocky Mount NC 27804 2522109856 2528225067

Priscilla Bryan Allan, PMHNP Erin Kratzer, LCSW 90 Guardian Court Rocky Mount NC 27804 2522123350 2522120322

Kenya Burton, LCSW Rosanna Lora, PhD 801 Williford Street Rocky Mount NC 27803 2524518519 2528225065

Theodora Desronvil, FNP Evelyn Majachani, PMHNP 260 Albemarle Avenue Rocky Mount NC 27801 2523168215 2522103115

Amanpreet Dhaliwal, PAC Valerie Northrup, PMHNP 1041 Noell Lane, Medical Plaza B Rocky Mount NC 27804 2523168205 2529623451

R. Nelson Ehly, PA-C Maisha Pesante, MD

Sarini Ettigi, PhD Glenda Pulliam, AGNP

Christa Fleming, PAC Shameca Ricks, LCSW

Davneatra Foster, LCSW Tisa Roberts, MD

Cherity Gurganus, PMHNP Tiffany Tyson, PMHNP

Michelle Highsmith, PMHNP Thalia Williams, PMHNP

Sheila Hunt, PMHNPBlue Home

Provider

Affiliate Health

Plan Provider

Christy Bridges, PA Jane Grace, FNP 2501 Homestead Road Chapel Hill NC 27516 9192452400 9199694777

Margaret Campbell, FNP Erica Pettigrew, MD 300 West Tryon Street Hillsborough NC 27278 9192452400 9196443328

Martha Carlough, MD Kim Powell, FNPBlue Home

Provider

Affiliate Health

Plan Provider

Elena Adamo, MD Linda Markley, PA 1214 Vaughn Road Burlington NC 27217 3365065840 3365065841

Lucy Angle, PA Melissa Marquez, LCSW 301 Lloyd Street Carrboro NC 27510 9199428741 9199421473

Johnston Family Medicine

Orange County Health Department

Lake Jeanette Urgent Care

OIC Family Medical Center

Piedmont Health Services

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ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Evan Ashkin, MD William Martin, MD 107 Conner Drive, Suite 100 Chapel Hill NC 27514 9199517600 9199298474

Ngwe Aycock, MD Verlissa Mason, LCSWA 221 North Graham-Hopedale Road Burlington NC 27217 3365703739 3365701215

Jill Baron, LCSW Gina Mauldin, PAC 1315 Martin Luther King Jr. Boulevard Chapel Hill NC 27514 9199132091 9199679774

Sylvia Becker-Dreps, MD Brenna McManus, PAC 7228 Pittsboro Moncure Road Moncure NC 27559 9195424991 9195423726

Abby Bender, MD Helen Mikul, CNM 322 Main Street Prospect Hill NC 27314 3365623311 3365624444

Dorothy Blake, LCSW Linda Miles, MD 5270 Union Ridge Road Burlington NC 27217 3364213247 3364213275

Laura Blanchard, MD Rebeca Moretto, CNM 224 South 10th Avenue Siler City NC 27344 9196631744 9196631635

Harriett Burns, MD Andrea Mulholland, FNP 7718 Sylvan Road Snow Cap NC 27349 3365060631 3363769910

Claudio Caceres Araya, LCSW Susan Myers, NP

Maria Castro, MD Rathika Nimalendran, MD

Molly Chadbourne, FNP Fareedat Oluyadi, MD

Elizabeth Childs, LCSW Nathalie Ortiz Pate, PA

Kim Christopher, FNP Maritza Parchment, LCSW

Giselle Corbie-Smith, MD Sarah Patel, MD

Anna Crawford, FNP Susan Pitts, MD

Savannah Crites, MD Elizabeth Pointer, FNP

Christina Cronk, MD Caroline Roberts, MD

Neal Dejong, MD Beth Rosenberg, MD

Abigail Devries, MD Jessica Rubio, FNP

Hallum Dickens, MD Jesus Ruiz Patino, MD

Laura Driggers, PA Jewel Scott, FNP

Danielle Drobot, FNP William Selvidge, MD

Carol Dubard, MD Emma Sheedy, LCSW

Joan East, MD Caroline Smith, MD

Sonia Echevarria, LPC Karen Smith, LCSW

Narges Farahi, MD Brenda Spach, FNP

Angelia Flanagan, MD Sheryl Starnes, MD

Karolyn Forbes, MD Sarah Stephens, MD

Melissa Gilmer-Scott, MD Nancy Tanguay, FNP

Emily Headrick, FNP Mary Tayloe, LCSWA

Dana Iglesias, MD Destry Taylor, FNP

Gillian Izlar, PAC Eli Tiller, MD

Lauren Johnson, MD Erin Van Scoyoc, MD

Ragan Johnson, FNP Nora Weatherby, CNM

Maureen Kelly, LCSW Robin Whitten, PAC

Rebecca Kooistra, FNP Netashia Wiley, LCSWA

Krishna Kothary, FNP Noah Wouk, MD

Angela Krider, LCSWA Thomas Wroth, MD

Teresa Leyva, PAC Rupal Yu, MD

Adrian Mancheno Revelo, MD

Page 6 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Carolyn Berlin, FNP Melynda Smith, FNP 3600 NW Cary Parkway, Suite 104 Cary NC 27513 9193199219 9194811716Katharine Mallory, FNP Elizabeth Vandergriff, MDSchquthia Peacock, FNP

Blue Home

Provider

Affiliate Health

Plan Provider

Mark Abel, MD Mark Kimpton, MD 804 English Road, Suite 100 Rocky Mount NC 27804 2524433133 2524436726

Allison Angott, MD John Lucas, PAC

Cristina Boston, PAC Julian McLeod, PAC

Heather Davis, PAC Richard Michal, MD

Lisa Genovese, FNP Rebekah Miller, PAC

Sarah Green, PAC Linda Prezioso, ANPC

Jennifer Hart, MD Judy Schauer, DOBlue Home

Provider

Affiliate Health

Plan Provider

Dipen Shah, MD Jennifer Wilkins, FNP 431 Keisler Drive, Suite 100 Cary NC 27518 9194686820 9194686484Jetal Shukla, FNP

Blue Home

Provider

Elizabeth Aronin, ANP Katherine Kulenic, FNP 1515 West NC Highway 54, Suite 130 Durham NC 27707 9194190242 9194014172Affiliate Health

Plan Provider

Katie Kulenic, FNP Tiffany Marum, MD 1515 West NC Highway 54, Suite 130 Durham NC 27707 9194190242 9194014172Blue Home

Provider

Affiliate Health

Plan Provider

Sujatha Sajeevan, MD 519 Keisler Drive, Suite 104 Cary NC 27518 9192338183 9194004365Blue Home

Provider

Affiliate Health

Plan Provider

Syed Shah, MD 2500 Blue Ridge Road, Suite 321 Raleigh NC 27607 9197875340 9197875340

Tri-City Family Medicine & Urgent Care ClinicBlue Home

Provider

Affiliate Health

Plan Provider

Kristen Geyer, FNP Chaitany Patel, MD 1106 Parkside Main Street Cary NC 27519 9192616446 9192616448

Hoa Nguyen, PAC 107 Hyannis Drive Holly Springs NC 27540 9193638666 9193638668Blue Home

Provider

Affiliate Health

Plan Provider

Kati Dessauer, MD Lindsay Hoffman, PAC 100 Ridgeview Drive Cary NC 27511 9198597044 9198597052

Davida Griffin, PAC Kathleen Lukasik, PAC

West Cary Family PhysiciansBlue Home

Provider

Affiliate Health

Plan Provider

Pedro Nunez, MD Carolyn Leitzell, FNP 265 Towne Village Drive Cary NC 27513 9194602015 9194602016

Gunjan Nigam, MDBlue Home

Provider

Affiliate Health

Plan Provider

Jessica Pulling, PNP Cynthia Young, MD 401 Keisler Drive, Suite 101 Cary NC 27518 9193781492 9192394670

Ivy Todd, PAC

Wellness Family Practice

Spectrum Family Medicine

Rocky Mount Family Medical Center

Syed Shah MD

Shah & Associates Family Practice

Southpoint Family Medicine

Preston Medical Associates

Southwest Durham Family Medicine

Western Wake Wellness

Page 7 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Julian Brantley, MD Karen Lavieri, FNP 303 Green Street East Wilson NC 27893 2522439800 2522439888

Thanh Brooks, FNP ChunHo Ng, MD

Corina Buzard, PAC Nicholas Patrone, MD

Gonzalo Cabral, MD Elizabeth Pennington, PNP

Abrahan Chaparro, MD David Peterson, LCSW

Nicole Enyinnaya, AGNP Shawn Phillips, FNP

Amparito Fiallo, MD Immacula St. Louis, MD

Erika Guerra, FNP David Surovchak, PAC

Savannah Junkins, PAC George Talbot, MD

Tammy Kiger, MD Clifton Williams, PAC

Blue Home

Provider

Affiliate Health

Plan Provider

Gerardo Arnaez Zapata, MD Kristin McNally, AGNPC 4692 Brownsboro Road Winston-Salem NC 27106 3362511114 3362511117

Stacey Ashe, FNPC Rafael Miranda, MD

Sue Auffinger, MD Rajan Mitchell, DO

Khashana Blake, MD Alexandra Nixon, NP

Greg Bugaj, MD Pacharo Ndupu, FNPC

Elspeth Clark, DO Esther Njuguna, FNPC

Allen Chamovitz, MD Akiko Omura, MD

Michelle Christian, PAC Dawn OwensWatterson, DO

Meredith Davis, ANPC Ashley Palmer, FNPC

Maria DiazValle, MD Carol Pilote, FNP

Kemi Douglas, ANPC Jennifer Powell, FNP

Julie Everidge, PAC Karen Reichow, MD

Robert Falge, MD Deborah Reid, PAC

Elizabeth Foster, AGNPC John Riser, PAC

Kristin Fowler, PAC Megan Rossiter, PAC

Allona Frazier, NP Bianca Rosso, MD

Ben Frazier, FNPC Elizabeth Sanders, FNPC

John Gambino, MD Scott Sheldon, MD

Laura Gladden, PAC Venezela SladeHartman, MD

Stephanie Goddard, FNPC Callie Stegall, PAC

Morgan Greer, FNPC Katherine Stieb, NP

Autumn Henson, ANPC LaMonica Stokes, ANPC

Christopher Herman, MD Chelsey Stovall, NP

Terry Icard, PAC Danielle Stovall, NP

Shannon Keef, AGNPC Karen Stukes, FNPC

Theresa Kelly, PAC Tiyika Sullivan, AGNP

Geriatric Medicine

Physicians Eldercare

Wilson Community Health Center

Page 8 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Sara Kitts, FNPC Karen Taylor, NP

Sean Larson, MD Latoya Williamson, ANPC

Sue Maultsby, PA Lee Yarber, NP

Ajey Golwala MDBlue Home

Provider

Affiliate Health

Plan Provider

Ajey Golwala, MD 1012 Procure Street Fuquay Varina NC 27526 9195525333 9195670004

2500 Blue Ridge Road, Suite 327 Raleigh NC 27607 9197875333 9195670004Blue Home

Provider

Affiliate Health

Plan Provider

Chelsea Boswell, NPC Shaukat Khan, MD 2905 Crouse Lane Burlington NC 27215 3365382497 9199336623

Kristin Cunningham, NPC Sheikh TejanSie, MD

Neelam Khan, MDBlue Home

Provider

Affiliate Health

Plan Provider

Valerie Jackson, NP Zakiya Karim, MD 3214 Charles B Root Wynd, Suite 213 Raleigh NC 27612 9197818780 9197818782

Md Abu Karim, MDBlue Home

Provider

Affiliate Health

Plan Provider

Anant B Soni, MD 3124 Blue Ridge Road, Suite 103 Raleigh NC 27612 9197825451 9197829289Blue Home

Provider

Affiliate Health

Plan Provider

Hisham Mohamed, MD 3214 Charles B Root Wynd, Suite 217 Raleigh NC 27612 9197890909 9197899168Blue Home

Provider

Affiliate Health

Plan Provider

Iftequar Ahmed, MD 3225 Blue Ridge Road, Suite 113 Raleigh NC 27612 9197890891 9197890893Blue Home

Provider

Affiliate Health

Plan Provider

Surinder Dhawan, MD 1024 South Horner Boulevard Sanford NC 27330 9197743680 9197743682Blue Home

Provider

Affiliate Health

Plan Provider

Bhavani Lagadapati, MD 101 Lattner Court, Suite 100 Morrisville NC 27560 9192970348 9192970349Blue Home

Provider

Affiliate Health

Plan Provider

Laura Andrews, MD Kellie Furin, FNP 127 Fidelity Street Carrboro NC 27510 9199338381 9199336623

Cory Annis, MD Iris Jackola, FNP

Deanna Branscom, MD Kerith Lawrence, MDBlue Home

Provider

Affiliate Health

Plan Provider

Laura Lisicki, FNP Robert Resnik, MD 930 SE Cary Parkway, Suite 200 Cary NC 27518 9198592566 9198595252Blue Home

Provider

Affiliate Health

Plan Provider

Vijay Juneja, MD Prashant Patel, MD 103 Baines Court, Suite 200 Cary NC 27511 9194676125 9194671728Blue Home

Provider

Affiliate Health

Plan Provider

Abhay Agarwal, MD Shiny Samuel, FNP 550 New Waverly Place, Suite 105 Cary NC 27518 9192332022 9192332212

Neelu Agarwal, MD Usha Soundarapandian, MD 6402 McCrimmon Parkway, Suite 200 Morrisville NC 27560 9196550202 9196550203

Carrboro Pediatrics & Internal Medicine

Carolina Primary Care & Women's Health

Blue Ridge Medical Group

Allmed Clinic

Cary Internal Medicine & The Diabetes Center

Cary Medical Clinic

Capital Internal Medicine & Geriatrics

Cary Adult Medicine

Carolina Doctors Med Care

Internal Medicine

Alliance Medical Associates

Anant B Soni MD

Page 9 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Bindit Patel, MD 401 High House Road, Suite 120 Cary NC 27513 9194629100 9194629313Blue Home

Provider

Affiliate Health

Plan Provider

Mazen Khusayem, MD 301 Amos Street Clayton NC 27520 9195506336 9195500180Blue Home

Provider

Affiliate Health

Plan Provider

Yu Liu, MD 2703 Jones Franklin Road, Suite 101 Cary NC 27518 9198542006 9194813637Blue Home

Provider

Affiliate Health

Plan Provider

Eric Dean, MD 1409 Yanceyville Street, Suite C Greensboro NC 27405 3369541007 3369541183Blue Home

Provider

Affiliate Health

Plan Provider

G. Patricia Herrera, MD 3200 Blue Ridge Road, Suite 224 Raleigh NC 27612 9197838334 9197838160Blue Home

Provider

Affiliate Health

Plan Provider

Himanshu Parikh, MD 401 Keisler Drive, Suite 200 Cary NC 27518 9198594740 9198594739

7780 Brier Creek Parkway, Suite 230 Raleigh NC 27617 9199261370 9198594739

Internal Medicine of WakefieldBlue Home

Provider

Affiliate Health

Plan Provider

Lavinia Reyes, MD 11081 Forest Pines Drive, Suite 124 Raleigh NC 27614 9194356111 9194356113

Josette Maria MDBlue Home

Provider

Affiliate Health

Plan Provider

Josette Maria, MD Temeka Wallace, PA 800 Susan Tart Road Dunn NC 28334 9108928892 9108921063

13840 NC Highway 210 South Spring Lake NC 28390 9104360648 9104360877

Med One Medical GroupBlue Home

Provider

Affiliate Health

Plan Provider

Tyler Cassidy, PA Emily Eustis, PA 7019 Harps Mill Road, Suite 200 Raleigh NC 27615 9198501300 9198500012

Cara Davis, MD Kerney Yu, FNP

Metro Internal MedicineBlue Home

Provider

Affiliate Health

Plan Provider

Kenneth Holt, MD 3320 Executive Drive, Building E, Suite 222 Raleigh NC 27609 9198771100 9198778118Blue Home

Provider

Affiliate Health

Plan Provider

Narender Arcot, MD Michael Josilevich, MD 31 Office Park Drive Jacksonville NC 28546 9103465016 9103464561

Sequia HollandEllis, MDBlue Home

Provider

Affiliate Health

Plan Provider

Naseem Masood, MD Syed Masood, MD 3214 Charles B Root Wynd, Suite 211 Raleigh NC 27612 9197879993 9197877073Blue Home

Provider

Affiliate Health

Plan Provider

Afaque Akhtar, MD 409 Wake Chapel Road Fuquay Varina NC 27526 9195679001 9195575540Blue Home

Provider

Affiliate Health

Plan Provider

Karen Brown-Jones, FNPC Charles Cook, MD 3372 Six Forks Road Raleigh NC 27609 9193222035 9193222051Blue Home

Provider

Affiliate Health

Plan Provider

Premier Health Center

Raleigh Associated Medical Specialists

Himanshu Parikh MD

Clayton Internal Medicine

Gloria Patricia Herrera MD

Dean Internal Medicine

CaryMed Primary Care

Cornerstone Internal Medicine

Onslow Internal Medicine and Primary Care

Piedmont Internal Medicine, Pulmonary and Infectious Diseases

Raleigh Primary Care Medicine

Page 10 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Balwinder Sidhu, MD 3200 Fairhill Drive, Suite 106 Raleigh NC 27612 9197816655 9197810306Blue Home

Provider

Affiliate Health

Plan Provider

Ghulam Shaikh, MD 171 Mast Drive Garner NC 27529 9197710503 9197710504Blue Home

Provider

Shubi Shahida MD 712 Wilkins Street, Suite A Smithfield NC 27577 9199899109 9199899821Blue Home

Provider

Affiliate Health

Plan Provider

Chawki Lahoud, MD 4505 Fair Meadow Lane, Suite 101 Raleigh NC 27607 9197874000 9197874009Blue Home

Provider

Affiliate Health

Plan Provider

John Bass, PA Jolene Jean-Gracia, DO 2704 Medical Office Place Goldsboro NC 27534 9197364724 9197361677

Gool Gupta, MD Jennifer Mazurek, FNP-BC

Jagmohan (J.D.) Gupta, MD Rebecca Waters, NP

Gregorio Jacob, MDBlue Home

Provider

Affiliate Health

Plan Provider

Farhath Kareem, MD 10300 Chapel Hill Road, Suite 500 Morrisville NC 27511 9194680911 9194680913Blue Home

Provider

Affiliate Health

Plan Provider

Ramesh Konduru, MD Vijaya Polavaram, MD 907 Kildaire Farm Road Cary NC 27511 9193196610 9198706365

Raj Polavaram, MD 7560 Carpenter Firestation Road Cary NC 27519 9192616677 9193196365

10640 Durant Road, Suite 101 Raleigh NC 27614 9198700197 9198700265

Blue Home

Provider

Affiliate Health

Plan Provider

Brett Rosman, PAC Kingsley Ugochukmu, MD 441 Lakestone Commons Avenue Fuquay Varina NC 27526 9195770481 9195770512Blue Home

Provider

Affiliate Health

Plan Provider

Kent Bonney, MD Dante Lewis, MD 530 West Webb Avenue Burlington NC 27217 3362288316 3362279750

Yun Boylston, MD David Mertz, MD 3804 South Church Street Burlington NC 27215 3365240304 3365844387

Hillary Carroll, MD Karin Minter, MD 3940 Arrowhead Boulevard, Suite 270 Mebane NC 27302 9195630202 9195630242

Alexandra Cupito, PhD Kristen Moffitt, MD

Trevor Downs, PA Catherine Mueller, PNP

Beverly Hockenberger, PAC Kristen Page, MD

Laura Landon, CPNP Tammy Schaub, PNPBlue Home

Provider

Affiliate Health

Plan Provider

Sarath Dommaraju, MD 400 Ashville Avenue, Suite 100 Cary NC 27518 9198580600 9198580540Blue Home

Provider

Affiliate Health

Plan Provider

Mari Emmet, MD Christian Nechyba, MD 2605 Blue Ridge Road, Suite 100 Raleigh NC 27607 9198819009 9198818463

Robert Foor, MD Jeffrey Tanaka, MD

Mary Beth Helton, MD Leanna Willey, MD

Care Pediatrics

Angier Pediatrics & Adult Medical Center

Pediatrics

Wayne Heart & Internal Medicine Associates

Shubi Shahida MD

Western Wake Internal Medicine

West Cary Medicine

Carolina Kids Pediatric Associates

Burlington Pediatrics

Shaikh Medical Clinic

Spectrum Medical Care

Page 11 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Laura Andrews, MD Kellie Furin, FNP 127 Fidelity Street Carrboro NC 27510 9199338381 9199336623Cory Annis, MD Iris Jackola, FNPDeanna Branscom, MD Kerith Lawrence, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Shana Bailey, PNP Ann Mcbride, MD 1021 West Williams Street Apex NC 27502 9192901090 9192901086Brian Bowman, MD Aaron Pankiewicz, DO 1001 Crescent Green Cary NC 27518 9194673211 9194675315Eleanor Cartledge, FNP Elizabeth Reichard, MD 316 Judd Place Drive Fuquay-Varina NC 27526 9195572362 9195572168Gary Dupuy, MD Hope Seidel, MDJennifer Durand-Smith, MD Jonathan Shoffner, MDKathleen Gallagher, MD Catherine Shumaker, PNPRenee Johnson, MD Ernesto Villareal, MDAmanda Long, PNP Sherri Zimmerman, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Carolyn Brookhart, MD Maroa Matijasevic, MD 301 Kildaire Road, Suite 200 Chapel Hill NC 27516 9199670771 9199679207

Katharine Delgado, MD Michael Minozzi, MD

Amy Fowler, MD Laura Windham, MDBlue Home

Provider

Affiliate Health

Plan Provider

Mary Braithwaite, MD Kathy Merritt, MD 205 Sage Road, Suite 100 Chapel Hill NC 27514 9199424173 9199333473

Mary Cooley, MD Christopher Morton, MD 249 East NC Highway 54, Suite 230 Durham NC 27713 9199424173 9199333473

Andrea Dunk, MD Shruti Nagaraj, MD

Russell Homan, MD T. Walker Robinson, MD

Sandra Hosford, MD George Stablein, MD

Charles Johnson, MD Jennifer Singleton, MD

Tracy Kelly, CPNP Robert Woodrum, MDBlue Home

Provider

Affiliate Health

Plan Provider

Priyanka Arora, MD 10880 Durant Road, Suite 215 Raleigh NC 27614 9192054410 9842002821Blue Home

Provider

Affiliate Health

Plan Provider

Samantha Dowell, PNP Olga Nilova, MD 106 Hyannis Drive Holly Springs NC 27540 9192494700 9192494701Blue Home

Provider

Affiliate Health

Plan Provider

Lori Bailey, CPNP Shelli Hoyes, FNP 101 Kellie Drive Smithfield NC 27577 9199383749 9199383795

Pennie Bliss, MD Debra Tetreault, MD

Kate Houghtalen, CPNPBlue Home

Provider

Affiliate Health

Plan Provider

Maria Guerra, MD Ceyhun "Jay" Ozturk, MD 13200 Strickland Avenue, Suite 120 Raleigh NC 27613 9197204876 8558610602Blue Home

Provider

Affiliate Health

Plan Provider

Emili Mack, MD 3721 Lynn Road, Suite 104 Raleigh NC 27613 9198253600 9842006001

Chapel Hill Pediatrics and Adolescents

Carrboro Pediatrics & Internal Medicine

Holly Springs Pediatrics

Chapel Hill Children & Adolescents' Clinic

Durant Road Pediatrics

Cary Pediatric Center

Kids Care Pediatrics

Little Oaks Pediatrics

Mack Pediatrics

Page 12 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Thomas Bodenstine, MD Angelica Swiersz, MD 1321 Oberlin Road, Suite A Raleigh NC 27608 9198284747 9198286765

Tina Burlerson, MD Suzanne Vining, MD

Elizabeth Galla, MD Joseph Vukin, MD

Laura Kelly, MD Bradley Wasserman, MD

Mary-Cassie Shaw, MDBlue Home

Provider

Affiliate Health

Plan Provider

Ramadevi Nanga, MD Reveendra Orugunta, MD 3100 NC Highway 55, Suite 202 Cary NC 27519 9193679833 9193679832Blue Home

Provider

Affiliate Health

Plan Provider

Maria Castro, MD 500 Holly Springs Road, Suite 101 Holly Springs NC 27540 9197625113 9197625130Blue Home

Provider

Affiliate Health

Plan Provider

Patrick Fennell, MD M. Beth Murnane, MD 1520 Sunday Drive, Suite 217 Raleigh NC 27607 9197880505 9197880519Blue Home

Provider

Affiliate Health

Plan Provider

Lauren Brookshire, CPNP Kimberly Fox, MD 1519 East Booker Dairy Road Smithfield NC 27577 9199382144 9199382944

Chelsea Delponte, PAC Rachel Serrano, PACBlue Home

Provider

Affiliate Health

Plan Provider

Radhika Sadagopan, MD 3434 Kildaire Farm Road, Suite 124 Cary NC 27518 9193627155 9193627153Blue Home

Provider

Affiliate Health

Plan Provider

Arlene Massaro, MD 1100 NW Maynard Road, Suite 110 Cary NC 27513 9194691989 9194692191Blue Home

Provider

Affiliate Health

Plan Provider

Kimberly Gush, MD Lisa Lane, PA 300 Market Street, Suite 112 Chapel Hill NC 27516 9199699611 9199699615

Melissa Fox, MD Lori Stiegemeier, DO

Blue Home

Provider

Affiliate Health

Plan Provider

Milton Sevilla, MD 11081 Forest Pines Drive, Suite 122 Raleigh NC 27614 9195707010 9195707020Blue Home

Provider

Affiliate Health

Plan Provider

Sharon Romney, MD 210 E. Thomas Street Rocky Mount NC 28701 2522109330 2522103493

Blue Home

Provider

Affiliate Health

Plan Provider

Ranjan Sharma, MD Meg Whelan, MD 3201 Brassfield Road, Suite 400 Greensboro NC 27410 3362822300 3362820034

Robert Van Winkle, MD 2280 South Church Street, Suite 202 Burlington NC 27215 3362271901 3362276616Blue Home

Provider

Affiliate Health

Plan Provider

Padmaja Gayam, MD 135 Parkway Office Court, Building 135, Suite 100 Cary NC 27612 9198512223 9198512291

Oberlin Road Pediatrics

Tots n Teens Pediatrics

Sunrise Pediatric Associates

R & R Pediatrics

Sunshine Pediatrics

Starlight Pediatrics

Village Pediatrics of Chapel Hill

UNC Health Alliance Independent Providers: Specialists (effective as March 1, 2021)

Triangle Allergy and Asthma

Wakefield Pediatrics & Adolescent Medicine

Allergy and Immunology

Wee Care Pediatrics

LeBauer Medical Center

Cardiology

Village Pediatrics

Page 13 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Carolina Heart CenterBlue Home

Provider

Affiliate Health

Plan Provider

Pankaj Parikh, MD 52 Shotwell Road Clayton NC 27520 9198817770 91951046003406 Six Forks Road Raleigh NC 27609 9198817770 9195104600

Blue Home

Provider

Affiliate Health

Plan Provider

Edward Deering, NP Pavlo Netrebko, MD 1 Medical Drive Benson NC 27504 9192330059 9192330343

Sunil Desai, MD Madeeha Saeed, MD 300 Keisler Drive, Suite 204 Cary NC 27518 9192330059 9192330343

Pratik Desai, MD Heather Santori, NP 145 Tilghman Drive Dunn NC 28334 9108917007 9192330343

Rama Garimella, MD Priyavadan Shah, MD 320 North Judd Parkway, Suite 228 Fuquay Varina NC 27526 9195867699 9192330343

Tina Jackson, NP Dhiren Shah, MD 100 S. 10th Street Lillington NC 27546 9192330059 9192330343

Joshua Macomber, MDBlue Home

Provider

Affiliate Health

Plan Provider

Tatjana Benedict, PA Rafael M. Moreschi, MD 105 Kilmayne Drive, Suite A Cary NC 27511 9194672253 9194672238

Blue Home

Provider

Affiliate Health

Plan Provider

Sankar Adusumilli, MD Afton Carducci, PAC 2501 Atrium Drive, Suite 305 Raleigh NC 27607 9192350216 9192350217

Blue Home

Provider

Affiliate Health

Plan Provider

Shelley Bunting, FNP Cathy Poole, FNP 501 Health Park Drive, Suite 150 Garner NC 27529 9197723487 9197723446

William Ketcham, MD

Blue Ridge Dermatology AssociatesBlue Home

Provider

Affiliate Health

Plan Provider

Maureen Aarons, MD Kendall Hash, MD 155 Parkway Office Court, Suite 204 Cary NC 27518 9197811050 9195105090

Carrie Alspaugh, MD Michele Lokitz, MD 3225 Blue Ridge Road, Suite 101 Raleigh NC 27612 9197811050 9195105090

Shelley Cathcart, MD Lavanya Nagaraj, MD

Caroline Day, PA Katherine O'Rourke, MD

Jayashri Ghate, MD

Central Coast DermatologyBlue Home

Provider

Affiliate Health

Plan Provider

Daniel Abraham, DO 215-B Station Street Jacksonville NC 28546 9105772363 9197822839Blue Home

Provider

Affiliate Health

Plan Provider

Rashmi Tomar, MD Rebecca Vaglio, PA 244 Medspring Drive Clayton NC 27520 9193590291 9195532907

Sanjay Tomar, MD Jessica Wagoner, PACBlue Home

Provider

Affiliate Health

Plan Provider

Lisa Abernethy Christman, MD Stephanie Knutson, PAC 110 Preston Executive Drive, Suite 100 Cary NC 27513 9196531344 9194630920

Jennifer Adair, PAC Laura Phillips, PAC 2238 Nelson Highway, Suite 100 Chapel Hill NC 27517 9194011994 9194011924

Anne Capsperson, PAC Rebecca ToddBell, MD 3000 Galloway Ridge Pittsboro NC 27312 9194011994 9194011924

Chih "Lynn" Cheng, PAC Ruth Walters, MD 1210 Central Drive Sanford NC 27330 9197765286 9197744226

Todd DeVries, MD Nadia Wang, MD

Colon and Rectal Surgery

Azalea Dermatology

Cary Cardiology

Dermatology

Rafael M. Moreschi, MD

Carolina Dermatology & Endocrinology

Carolina Colorectal Surgery

Central Dermatology Center

Page 14 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Beth Goldstein, MD Allison Weis, PAC

Amy Gagnon, MD Jennelle Williams, MD

Cheryl Jones, PACBlue Home

Provider

Affiliate Health

Plan Provider

Audrey Echt, MD Maybelle Madlock, PA 10931 Raven Ridge Road, Suite 101 Raleigh NC 27614 9198706600 9198701610

Andrew Ghassemian, MD Holly Martin, PA

Carol Lekan, MD

Midtown DermatologyBlue Home

Provider

Affiliate Health

Plan Provider

Sarah Djali, PAC Beth Schulz-Butulis, MD 5904 Six Forks Road, Suite 211 Raleigh NC 27609 9842420510 9842420520

Sandrivette Johnson, FNP 4056 Capital Drive Rocky Mount NC 27804Blue Home

Provider

Affiliate Health

Plan Provider

Elizabeth Ju, MD Vikas Patel, MD 7920 ACC Boulevard, Suite 100 Raleigh NC 27617 9195969600 9195969696

Katharine Kenyon-Hodinka, MDBlue Home

Provider

Affiliate Health

Plan Provider

Ginger Atkinson, PAC Michael Keene, PAC 800 Springfield Commons Drive, Suite 115 Raleigh NC 27609 9198763656 9198762351

Kristin Beal, PAC Fernando Puente, MD

Lisa Harewood, PAC Steffany Shearer DOBlue Home

Provider

Affiliate Health

Plan Provider

Margaret Boyse, MD Tracey Cloninger, PAC 4201 Lake Boone Trail, Suite 200 Raleigh NC 27607 9197822152 9197827929

Laura Briley, MD Stephanie Shannon, FNP 4201 Lake Boone Trail, Suite 207 Raleigh NC 27607

Eric Challgren, MD Gregory Wilmoth, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Michael Azrak, MD John Lilley, MD 2500 Blue Ridge Road, Suite 417 Raleigh NC 27607 9197879097 9197879097

Callie Barnes, PAC Morgan Lusk, PAC

Robert Brownstein, MD Arun Manikumar, MD

Daryl Carducci, PAC Gaea McCaig, PA

Colleen CaseyMIller, MD Damian McHugh, MD

Amy De Stefano, MD David Messerly, MD

Robert Denton, MD Kenneth II Michau, MD

Robert DiLorenzo, MD Gregory Mosteller, MD

Brian Donoghue, MD Ian Perkins, PA

Peter Fenn, PAC Elliot Poole, PAC

Terence Fleming, MD Robert Porter, PAC

Justin Gambini, PA Craig Purcell, PAC

John Goldfield, PAC Myriam Riboh, PAC

Andrea Haas, PAC Darryl Sandidge, PAC

Charul Haugan, MD Megan Schulz, PAC

Raleigh Emergency Medicine Associates

North Carolina Dermatology Associates

Raleigh Dermatology Associates

Echt Dermatology

Emergency Medicine

Southern Dermatology

Page 15 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Steven Hollosi, DO Christian Simpson, MD

Karen Hunt, MD Gregory Tallent, PA

Phillip Jernigan, PA Nancy Tallent, PA

Christine Knettel, MD Julia Terzin, PAC

Ryan Lamb, MD Christopher Van Ooteghem, PAC

Megan Giere, PA Elizabeth Weimann, PAC

Gregory Leamy, PA Rufus Williams, Jr., PAC

Blue Home

Provider

Affiliate Health

Plan Provider

Martha Dean, PAC Jessica Wagoner, PAC 244 Medspring Drive Clayton NC 27520 9193590291 9195532907

Rashmi Tomar, MD Shannon Wendt, PAC

Sanjay Tomar, MDBlue Home

Provider

Affiliate Health

Plan Provider

Aaron Burman, PAC Michael Thomas, MD 3840 Ed Drive, Suite 111 Raleigh NC 27612 9195713661 9195713290

Megha Karmalkar, PAC Erin Wetherill, PACBlue Home

Provider

Affiliate Health

Plan Provider

Rachel Griffin, PAC Margaret Rogers, PAC 100 Parkway Office Court, Suite 112 Cary NC 27518 9193782332 9193782333

Susan Hyde, PAC Sung-Eun Yoo, MD

Sarah Kim, AGNPBlue Home

Provider

Affiliate Health

Plan Provider

Carla Culhane, ANP Georgina Polanco Castillo, MD 8340 Bandford Way, Suite 001 Raleigh NC 27615 9198453332 9198453395

Jennipher Hiester, PAC Candy Stringer, PA

Andrea Kerick, RD Julia Warren-Ulanch, MD

Kay Patel, PA

Raleigh Endocrine AssociatesBlue Home

Provider

Affiliate Health

Plan Provider

Denis Becker, MD Glen Stall, MD 2709 Blue Ridge Road, Suite 320 Raleigh NC 27607 9198767692 9199543365

Corey Berlin, MD Shawnee Weir, MD

Sadia Ejaz, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Michael Brody, MD Jeevan Pai, MD 115 Kildaire Park Drive, Suite 201 Cary NC 27518 9198164948 9192337685

Stephen Furs, MD Shannon Scholl, MD 208 Village Walk Drive Holly Springs NC 27540 9192852801 9192337685

Juliana Miller, MD Jinyu Zhang, MD 3100 Duraleigh Road, Suite 203 Raleigh NC 27612 9197871644 9192337685

RMG GastroenterologyAffiliate Health

Plan Provider

Michael Battaglino, MD Kaylah Mckinley, PA 530 New Waverly Place, Suite 301 Cary NC 27518 9198580892 9193423472

Pilar Berg, PA Indira Reddy, MD 900 S. Lombard Street, Suite 106 Clayton NC 27520 9193413638 9193596290

Erica Burdo, PA Neeraji Sachdeva, MD 2601 Lake Drive, Suite 201 Raleigh NC 27607 9197834888 9197834887

Gastroenterology

Cary Gastroenterology Associates

Creedmoor Centre Endocrinology

Cary Endocrine & Diabetes Center

Carolina Endocrine

Carolina Dermatology & Endocrinology

Endocrinology

Page 16 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Subhash Gumber, MD Christopher Schwarz, MD 3200 Blue Ridge Road, Suite 226 Raleigh NC 27520 9197877226 9197874226

Angela Hutzenbuhler, MD Ronald Schwarz, MD 712C Wilkins Street Smithfield NC 27577 9197834888 9197834887

Sanjay Jagannath, MD Melissa Scott, PA 11200 Governor Manly Way suite 200 Wake Forest NC 27520 9195626589 9195627034

Tracy Jones, PA Renisse Trillana, PA 10540 Ligon Mill Road Wake Forest NC 27520 9195626589 9195627034

Francine Lapiche, PA Kerry Whitt, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Paul Becherer, MD Nisha Manickam, DO 2304 Wesvill Court, Suite 240 Raleigh NC 27607 9195711567 9197821472

Edwin Brown, MD Pamela Mbang, MD

John Bullington, ANP Ravindran Padmanabhan, MD

John Engemann, MD Priti Patwari, MD

Laurie Hogan, ANP Henry Radziewicz, MD

Christopher Ingram, MD Terri Robinson, PA

Jisha John, MD Jay Sellers, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Alexis Bailey, PA Phyllis Merritt-James, NP 160 MacGregor Pines Drive, Suite 301 Cary NC 27511 9194598400 9194598401

Michael Casey, MD Sammy Moghazi, MD 790 South East Cary Parkway, Suite 101 Cary NC 27511 9192350644 9193808285

Shannon Clark, NP Michael Monahan, MD 605 Tilghman Drive Dunn NC 28334 9198767807 9198768823

Valerie Cornella, PA Romita Mukerjee, MD 916 South Main Street, Suite 240 Fuquay Varina NC 27526 9192350644 9193808285

Edeliza David, NP Elizabeth O'Leary, PA 216 North Bickett Boulevard, Suite 5 Louisburg NC 25749 9192313966 9192313912

Vanessa Deese, PA Michael Oliverio, MD 3031 New Bern Avenue, Suite 100 Raleigh NC 27610 9197477820 9192311913

Jason Eckel, MD Robert Olivo, MD 3031 New Bern Avenue, Suite 306 Raleigh NC 27610 9192313966 9192313912

Kelly Esposito, PA Jessica O'Neill, PA 3604 Bush Street, 2nd Floor Raleigh NC 27609 9198767807 9198768823

William Fan, MD Elisabeth Ownes, NP 545 East Market Street Smithfield NC 27577 9198767807 9198768823

James Godwin, MD Sejan Patel, MD 2824 Rogers Road, Suite 104 Wake Forest NC 27587 9198767807 9198768823

Karn Gupta, MD Eric Raasch, MD 1006 North Arendell Avenue Zebulon NC 27597 9192313966 9192313912

Rosanne Harnois, NP Jackie Sebastian, NP

Francis Hobbs, NP Sanjay Shah, MD

Jeffrey Hoggard, MD Deborah Siler, NP

Carolyn Hull, NP Yolanda Smith, NP

So Yoon Jang, MD Samsher Sonawane, MD

Frederick Jones, MD Allyson Stanton, NP

Daniel Koenig, MD Adam Stern, MD

Kevin Lee, MD Phillip Timmons, MD

Brandy McBryde, PACBlue Home

Provider

Affiliate Health

Plan Provider

Venkata Suda, MD 301 Keisler Drive, Suite A Cary NC 27518 9198033316 9198033354

Infectious Diseases

Neurology

Raleigh Infectious Diseases Associates

Triangle Kidney Associates

North Carolina Nephrology

Nephrology

Page 17 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Alan Finkel, MD Nicole Rothman, FNP 6114 Fayetteville Road, Suite 109 Durham NC 27713 9199424424 9199424440

Kevin Kahn, MDBlue Home

Provider

Affiliate Health

Plan Provider

Gregory Bertics, MD Eric Kirch, PAC 4111 Ben Franklin Boulevard Durham NC 27704 9197823456 9195820528

T. Scott Binford, PAC S. Thomas Kirk, MD 1520 Sunday Drive Raleigh NC 27607 9197823456 9197888986

Sheila Blanks, FNP David Konanc, MD 1540 Sunday Drive Raleigh NC 27607 9197823456 9197831441

Michael Bowman, MD Harry Lay, NP

Leslie Boyce, MD Carrie Lewis, PNP

Kenneth Carnes, MD Jan Lowery, PAC

Paul Carnes, MD Rhonda Maloney, FNP

Stacey Carroll, ANP Liz Marshall, ANP

Kelsie Cato, PAC E. Wayne Massey, MD

Jennifer Daniels, PNP Gina Mauldin, PAC

Stacy Deese, ANPC Kristi Milowic, MD

Neeja Desai, MD Candace Moody, PAC

Mary Dooley, MD Meghan Murphy, AGNP

Brittany Estep, FNP Patricia Naslund, MD

Casey Farin, MD Thinh Nguyen, FNP

William Ferrell, MD A. Thomas Perkins, MD

Edie Ferris, AUD Roxana Pourdeyhimi, MD

S. Mitchell Freedman, MD Kevin Rathke, MD

Sean Frush, PA-C Jaya Reddy, PAC

Rhonda Gabr, MD Gretchen Reichmann, FNP

Emily Gertsch, MD Bradley Robottom, MD

Reham Ghali, PAC John Scagnelli, MD

Syndee Givre, MD Shazia Shadani, DO

Susan Glenn, MD Traci Sheaffer, MD

Maureen Gonzales, PNPC Lucinda Smith, NP

Suzanne Hartmann, ACNPC Holly Starnes, FNPC

Keith Hull, MD Joan Swanson, PA

Scott Ihde, PA Richard Tim, MD

Virginia "Ginger" Jethro, PAC Danielle Wyant, MD

Chandni Kalaria, MD Pavan Yerramsetty, MDBlue Home

Provider

Affiliate Health

Plan Provider

Giridhar Chintalapudi, MD Henry Tellez, MD 251 Keisler Drive, Suite 100 Cary NC 27518 9192350595 8886885254

295 Olmsted Boulevard, Mellon Building, Suite 12 Pinehurst NC 28374

101 Dennis Drive Sanford NC 27330

Raleigh Neurology Associates

Sandhills Neurologists

Obstetrics and Gynecology

Carolina Headache Institute

Page 18 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Matthew Alvarez, MD Lindsay Gray, MD 2615 Lake Drive, Suite 201 Raleigh NC 27607 9197819555 9197811070

Zoe Beatty, MD Meghan Presnell, FNP

Daniel Breazeale, MD Rachel Runkle, WHNP

Philip Deibel, MD Ashley Schaublin, WHNPBlue Home

Provider

Affiliate Health

Plan Provider

Octavia Cannon, DO Sophia Paige, MD 3125 Springbank Lane, Suite B Charlotte NC 28226 7043411103 7043413406

Mala Freeman-Kwaku, MD Deborah Warren, MDBlue Home

Provider

Affiliate Health

Plan Provider

Amy Burris, NP Catherine Kurtz, MD 310 Long Shoals Road, Suite 202 Arden NC 28704 8286872955 8286870302

Ladson GaddyDubac, MD Jonathon Larrabee, MD 143 Asheland Avenue Asheville NC 28801 8282589191 8282537382

Mary Katherine Goodwin, MD Michelle Simmons, MD

Eric Hawes, MD Alexis Wilson, NP

Christi Hunt, MD John, Jr. Wright, MD

Lydia Jeffries, MDBlue Home

Provider

Affiliate Health

Plan Provider

Cynamon Chawla, MD Linda Mohr, MD 901 Ridgefield Drive Raleigh NC 27609 9198769797 9197901254

Paula Gizzie, MD Mary Moody, MD

Allison Jacokes, MD Jessica Son, MD

Kimberly McGill, MDBlue Home

Provider

Affiliate Health

Plan Provider

Jennifer Conway, MD Terri Herman, OGNP 915 Tate Boulevard, Suite 170 Hickory NC 28602 8283450800 8284855579

Dara Curtis, CNM Lauren Hill, MD

Crystal Evans, FNP Alicia Icenhour, PA

Laura Faruque, MD Rachel Kelly, DO

Jessica Gibney, MD Anita Montes, MD

Karen Gimblet, FNP Kim Rector, FNP

Anne Gonzalez, MD Alicia Walsh, MD

Claire Harraghy, MDBlue Home

Provider

Affiliate Health

Plan Provider

Lisa Chitour, MD Stacey Olney, MD 24 Medical Park Drive Asheville NC 28803 8282777727 8282777720

Courtney Cohen, MD Michelle Tenaglia, CNM

Lisa Cotter, NP Stacy Travis, MD

Nan Nussman, WHNPBlue Home

Provider

Affiliate Health

Plan Provider

Katherine Barrett, MD Jyothi Nannapaneni, MD 1110 SE Cary Parkway, Suite 200 Cary NC 27518 9194672249 9198610495

Michael Buckley, MD Karen Ojeda, CNM 4414 Lake Boone Trail, Suite 308 Raleigh NC 27607 9197818025 9197818324

A Woman's View (UWH of North Carolina)

Capital Area OB/GYN (UWH of North Carolina)

Biltmore OBGYN (UWH of North Carolina)

Associates in Women's Healthcare (UWH of North Carolina)

Asheville Women's Medical Center (UWH of North Carolina)

Arboretum Obstetrics & Gynecology (UWH of North Carolina, LLP)

Arbor Obstetrics and Gynecology (UWH of North Carolina)

Page 19 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Rebecca Daniels, NP Christin Richardson, MD

Margaret Darst, NP Claire Sellers, MD

Cassandra Elder, CNM Stacie Walker, CNM

Paige Gausmann, MDBlue Home

Provider

Affiliate Health

Plan Provider

Kasey Briggs, PA Randolph Scott, MD 934 Vandora Springs Road Garner NC 27529 9199777095 9199779289

2501 Atrium Drive, Suite 310 Raleigh NC 27607Blue Home

Provider

Affiliate Health

Plan Provider

Andrea Torsone, MD 700 Exposition Place, Suite 161 Raleigh NC 27615 9198466962 9198410239Blue Home

Provider

Affiliate Health

Plan Provider

Nicole D'Andrea, MD Jeane Marsh, MD 3511 John Platt Drive Morehead City NC 28557 2522474297 2522477383

Marie Frey, NP Olivia McCallum, MD 666 West Corbett Avenue Swansboro NC 28584 9103258612 2522477383

Sheli Garrett-Albaugh, DO Tara Mitchell, NP

Theresa Johnson, MD Thomas Vradelis, MD

Megan Lambeth, DO Erin Wax, NPBlue Home

Provider

Affiliate Health

Plan Provider

Michael Anthony, MD Naomi Maydew, MD 550 New Waverly Place, Suite 200 Cary NC 27518 9194675941 9196550532

Ann Bonpain, MD Gilberto Rodrigo, MD 3603 Davis Drive, Suite 201 Morrisville NC 27560 9194675941 9196550532

Heather Flowers, WHNP Elita Wyckoff, MD

Jennifer Fraley, MDBlue Home

Provider

Affiliate Health

Plan Provider

Robert Boyd, MD Carrie Morrow, CNM 1501 Tate Boulevard South East, Suite 201 Hickory NC 28602 8283224140 8283223767

Stephanie Chase, MD Kaelyn Sexton, CNM

Scott Chatham, MD Kimberly Stites, CNM

Harold Dufour. Jr., MD Elisabeth Stump, PA

Janet Flowers, FNP Lindsey Thornton, DO

Jessica Helminen, NP Nancy Toy, MD

Robert Highland, MD Jason Walker, MD

Allyson Michels, CNM Jessica Webb, FNP

Jacquelyn Miller, CNM Allison Whitton, MD

Pamela Monroe, WHNPBlue Home

Provider

Affiliate Health

Plan Provider

Jenifer Crumpler, CNM Daniela Paul, CNM 3200 Northline Avenue, Suite 130 Greensboro NC 27408 3362866565 3362866566

Naima Dillard, MD Elmira Powell, PA

Ellis Greer, CNM Nancy Prothero, CNM

Vivian Grice, CNM Sandra Rivard, MD

Ema Kulwa, MD Angela Roberts, MD

Vicki Latham, CNM Kimberly Williams, CNM

Carolina Elite Women's Care

Carolina Gynecology (UWH of North Carolina)

Cary Obstetrics & Gynecology (UWH of North Carolina)

Carteret Ob-Gyn Associates (UWH of North Carolina)

Catawba Women's Center (UWH of North Carolina)

Central Carolina Obstetrics & Gynecology (UWH of North Carolina)

Page 20 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Jade Montana, CNMBlue Home

Provider

Affiliate Health

Plan Provider

Tanneisha Barlow, MD Patricia Heasty, NP 4414 Lake Boone Trail, Suite 205 Raleigh NC 27607 9197884444 9197884464

Erika Clark, MD Andy Liepins, PA

Ann Collins, MD Robert Littleton, MD

Patricia Convery, MD Arlene Pak, MD

Jerome Gardner, MDBlue Home

Provider

Affiliate Health

Plan Provider

Maximiliano Cavallini, MD Allyson Michels, CNM 110 Conner Drive, Suite 4 Chapel Hill NC 27514 9199428571 9199426355

Pat Chappell, MD Ann Miller, MD 6216 Fayetteville Road, Suite 103 Durham NC 27713 9199428571 9199426355

Melinda Everette, NP Lydia Schmittel, CNM

Joshua Hardison, MD Hannah Turnbull, CNM

Anne Martinelli, MD Sonya Williams, MDBlue Home

Provider

Affiliate Health

Plan Provider

Katherine Barrett, MD Karen Ojeda, CNM 4414 Lake Boone Trail, Suite 311 Raleigh NC 27607 9197817450 9197873399

Brian Brimmage, MD Christin Richardson, MD

Jenifer Briscoe, MD Alan Segal, MD

Michael Buckley, MD Claire Sellers, MD

Cassandra Elder, CNM Dawn Trollip, MD

Paige Gausmann, MD Stacie Walker, CNM

Dipti Kumar, MD Katoya Wright, FNPBlue Home

Provider

Affiliate Health

Plan Provider

Maximiliano Cavallini, MD Michele Kessler, PA 209 East Carver Street Durham NC 27704 9194712273 9194790881

Cheryl Carroll, CNM Allyson Michels, CNM 7780 Brier Creek Parkway, Suite 330 Raleigh NC 27617 9199149000 9194790881

Ankita Desai, MD Denise Olson, MD

Stacie Diette, CNM Jennifer Oxley, CNM

Amy Dixon, CNM Nicolette Schreiber, MD

Frank Frenduto, MD Nichelle Satterfield, MD

William Gunter, MD Hannah Turnbull, CNMBlue Home

Provider

Affiliate Health

Plan Provider

Tommy Harris, MD 140 North Englewood Drive, Suite A Rocky Mount NC 27804 2529376611 2529377388Blue Home

Provider

Affiliate Health

Plan Provider

Christine Booth, MD Susan Glass, NP 2029 Valley Gate Drive, Suite 101 Fayetteville NC 28304 9103239759 9103232219

Alan Davis, MD Myron Strickland, MD 588 Bailey Road, Suite D Lumberton NC 28358 9103232103

Vernetta Ferrell, CNM Brandt Wood, DOBlue Home

Provider

Affiliate Health

Plan Provider

Elizabeth Motyka, MD 727 Eastowne Drive, Suite 200A Chapel Hill NC 27514 9194014515 9194014503

Englewood OB/GYN Associates

Chapel Hill Obstetrics & Gynecology (UWH of North Carolina)

Centre OBGYN (UWH of North Carolina)

Durham Women's Clinic (UWH of North Carolina)

City of Oaks Midwifery (UWH of North Carolina)

Fayetteville Woman's Care (UWH of North Carolina)

For Women (UWH of North Carolina)

Page 21 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

Mark Anderson, MD Walda Pinn, MD 719 Green Valley Road, Suite 201 Greensboro NC 27408 3363781110 3363789986

Sidney Callahan, DO Kendra Ross, MD

Dyanna Clark, MD Rosalea Taam-Akelman, MD

Michelle Horvath, MD Robert Wein, MDBlue Home

Provider

Affiliate Health

Plan Provider

Cecilia Banga, DO Evelyn Key, ARNP 510 North Elam Avenue, Suite 101 Greensboro NC 27403 3368548800 3362994308

Jody BovardStuckert, MD Todd Meisinger, MD

Kathy Harris, NP Kathy Richardson, MD

Thomas Henley, MD Shanti Shivaji, MDBlue Home

Provider

Affiliate Health

Plan Provider

Nikole Bobadilla, MD Anthony Masceillo, MD 1806 South Hawthorne Road Winston-Salem NC 27103 3367686155 3367684473

Ray Braquet, MD Kerri Scherer, MD 2932 Lyndhurst Avenue Winston-Salem NC 27103 3367686442 3367684473

Ann Calhoun, PA Brittany Suth, FNP

Jill DeBose, NP Christopher Thompson, MD

Liana Gottlieb, PABlue Home

Provider

Affiliate Health

Plan Provider

Brian Bass, MD Alison Kalinowski, MD 10880 Durant Road Raleigh NC 27614 9197816200 9197831819

Joel Bernstien, MD Ashley Rush, MD 3805 Computer Drive Raleigh NC 27609 9197816200 9197831819

Mary Blanchard, NP Michael Smith, MD

Bari Byrd, MD Amanda Tattersall, NP

Kelly Ellington, NP Lauren Wheeler, MD

Erica Howard, NP John Yoon, MDBlue Home

Provider

Affiliate Health

Plan Provider

Todd Adams, MD Melissa Ranallo, PA 235 Medical Park Rd, Suite 201 Mooresville NC 28117 7046589211 7046589224

Leah Alfino, FNP James Zolzer, MDBlue Home

Provider

Affiliate Health

Plan Provider

Summer Gilmer, MD Martha McLaughlin, MD 41 Oakland Road, Suite 200 Asheville NC 28801 8282535381 8282539087

Ellen Howard, CNM Ruchi Moore, MD

Rita Kaplon, MD Lindsay Veazey, MD

Laura Law, FNP Susan West, MD

Holly McArthur, MDBlue Home

Provider

Affiliate Health

Plan Provider

Jennifer Cerney, NP Kendra Kesty, MD 445 Pineview Drive, Suite 110 Kernersville NC 27284 3369934532 3369933290

Andrea Conley, NP William Lindel, MD 304 Mountainview Road King NC 27021 3367659350 3367604255

Lauri Cox, FNP Hannah Miller, NP 1908 Caudle Drive, Suite 101 Mount Airy NC 27030 3367899076 3367894352

Tristan GonzalezSanz, MD Jacqueline Mims, MD 111 Hanestowne Court, Suite 151 Winston-Salem NC 27103 3367659350 3367604255

Hawthorne OB/GYN Associates (UWH of North Carolina)

Lakeshore Women's Specialists (UWH of North Carolina)

Greensboro OB/GYN Associates (UWH of North Carolina)

Green Valley OBGYN (UWH of North Carolina)

Kamm McKenzie OBGYN

Lyndhurst Gynecologic Associates (UWH of North Carolina)

Laurel OB/GYN (UWH of North Carolina)

Page 22 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Stacee Goodrich, MD Jennifer Sandbulte, MD

Natalie Hall, PA Nicholas Schoenbachler, MD

Amber Hatch, MD Stacee Sheets Goodrich, MD

Katie Henderson, NP Michelle Wall, PA

Bradley Jacobs, MD Scott Washburn, MD

Nell Johnson, MD Deborah Zimmerman, PABlue Home

Provider

Affiliate Health

Plan Provider

Jennifer Chancellor, MD Andrew Liepens, PA 4414 Lake Boone Trail, Suite 300 Raleigh NC 27606 9197815510 9197815053

Filza Faiz, MD Sarah Maddison, MD

Amy Gilbert, FNP Syreeta Tucker, MD

Amy Groff, MD Tammi Williams, MD

Ariel Holley, MD Ruth Wind, MD

Inge, Jr. Jack, MDBlue Home

Provider

Affiliate Health

Plan Provider

Leigh Ann Joel, CNM Cara Wolf, CNM 120 Conner Drive, Suite 101 Chapel Hill NC 27514 9199428571 9199426355

Mary Lowry, CNM 209 East Carver Street Durham NC 27704 9194712273 9194790881Blue Home

Provider

Affiliate Health

Plan Provider

Kerry Bullerdick, MD Nancy Hancock, MD 200 Nash Medical Arts Mall Rocky Mount NC 27804 2524435941 2524437059

Matthew Collins, MD Christina Peyton, MD

Keisha, French, MD Dennis Van Zant, MD

Mel Fryar, MD

OBHG North CarolinaBlue Home

Provider

Affiliate Health

Plan Provider

Katherine Barrett, MD Kristina Ericsson, MD 4210 Lake Boone Trail Raleigh NC 27607 8009672289 8777040499

Peter Boehling, MD James Hardy, MD

Margaret Dutton, MD James Kendall, MDBlue Home

Provider

Affiliate Health

Plan Provider

Gretchen Adkins, MD David Lowe, MD 802 Green Valley Road, Suite 300 Greensboro NC 27408 3362733661 3362739438

Jami Chrzanowski, WHNP John McComb, MD

Michelle Grewal, MD Megan Morris, MD

Richard Holland, MD William Neal, MD

Elise Leger, MD James Tomblin, MDBlue Home

Provider

Affiliate Health

Plan Provider

Lorena Benavides, MD Suzanne Kaminski, MD 2304 Wesvill Court, Suite 210 Raleigh NC 27607 9197826700 9197822218

Virigina Jenkins, ARNPBlue Home

Provider

Affiliate Health

Plan Provider

Kristin Allison, WHNP Nancy Murphy, MD 900 South Lombard Street, Suite 103 Clayton NC 27520 9198768225 9198763371

Brian Brimmage, MD Karen Ojeda, CNM 4414 Lake Boone Trail, Suite 405 Raleigh NC 27607 9198768225 9198763371

Nash Ob-Gyn Associates

Physicians for Women of Greensboro (UWH of North Carolina)

Midwifery at Women's Health Alliance (UWH of North Carolina)

Raleigh OB-GYN Centre (UWH of North Carolina)

MidCarolina Obstetrics and Gynecology (UWH of North Carolina)

Raleigh Gynecology & Wellness (UWH of North Carolina)

Page 23 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Jennifer BriscoeBrimmage, MD Alan Segal, MD

Joseph Campbell, MD Dawn Trollip, MD

Dipti Kumar, MD Katoya Wright, FNPBlue Home

Provider

Affiliate Health

Plan Provider

John Thorp, MD Amina White, MD 7535 Carpenter Fire Station Road, Suite 105 Cary NC 27519 9192302100 9192302133

Rachel Urrutia, MDBlue Home

Provider

Affiliate Health

Plan Provider

Pourchis Bhiwandiwalla, MD 3100 Duraleigh Road, Suite 307 Raleigh NC 27612 9199481885 9197828028Blue Home

Provider

Affiliate Health

Plan Provider

Sara Dowd, CNM Ronald Rogers, MD 600 New Waverly Place, Suite 310 Cary NC 27518 9196786900 9196786901

Lisa Grana, MD Vijay Sheshadri, MD

Heather Helton, CNM Mary Sutphin, CNM

April Horner, CNM Spyro Vulgaropulos, MD

Jessica Ramirez-Trower, CNMBlue Home

Provider

Affiliate Health

Plan Provider

Jodi Bailey, MD Efrain Perez, MD 2076 NC Highway 42 West, Suite 110 Clayton NC 27520 9199343015 9199340958

Holly Drake, CNM Brandon Woodard, MD 520 North Street Smithfield NC 27577 9199343015 9199340958

Farrah Forney, CNM Tammy Woodard, OGNP

Siamak Marzbani, MDBlue Home

Provider

Affiliate Health

Plan Provider

Bonnie Bruce, CNM Stephen Lies, MD 102 Handley Park Court Goldsboro NC 27534 9197343344 9197353025

Angelica Etheridge, NP Jomeka Mowery, CNM

Brittany Heath, CNM Hans Roethling, MD

Anita HudsonFraley, MD Virgina Wade, CNM

Benjamin Kitchin, CNM John Welsh, Jr., MDBlue Home

Provider

Affiliate Health

Plan Provider

Phelicia Cuthberstone Flanagan, MD Kirk Matthews, MD 4414 Lake Boone Trail, Suite 210 Raleigh NC 27606 9195711040  9199773575

Michelle Homeister, MD Andrea Roche, MD

Ann Martin, MD Anna Tatarchuk, MDBlue Home

Provider

Affiliate Health

Plan Provider

Amy La Frenz, WHNP Cile Williamson, MD 3 Regional Circle, Suite B Pinehurst NC 28374 9102150111 9102150113

Angela Walling, FNPBlue Home

Provider

Affiliate Health

Plan Provider

Deborah Adler, WCHNP Emily Joubert, CNM 930 Martin Luther King Jr. Boulevard, Suite 202 Chapel Hill NC 27514 9199333301 9199333375

Jessica Albrecht, CNM Allison Koch, CNM

Martha Carlough, MD Belinda Lashea, CNM

Williamson Gynecology (UWH of North Carolina)

Wayne Women's Clinic (UWH of North Carolina)

Wilkerson OBGYN (UWH of North Carolina)

Triangle Premier Women's Health

Women's Birth and Wellness Center

Reply Ob-GYN & Fertility

The GYN Center for Women (UWH of North Carolina)

Triangle Physicians for Women (UWH of North Carolina)

Page 24 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Lydia Dominic, CNM Laura Myers, CNM

Sarah Dumas, CNM Jacelyn Schmid, CNM

Dawn Erickson, FNP Mariah Velazquez, CNM

Carey Jefferson, CNMBlue Home

Provider

Affiliate Health

Plan Provider

Scarlet Dial, NP Andrea Lukes, MD 249 East NC Highway 54, Suite 330 Durham NC 27713 9192519223 9192519343

Kristen Feldman, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Lindsay Adam, MD Bobbie Gupta, MD 34 Healthpark Way, Suite 102 Clayton NC 27520 9197825400 9197821680

Kevin Bowman, MD Timothy Jordan, MD 2709 Blue Ridge Road, Suite 100 Raleigh NC 27607 9197825400 9197821680

James Constans, MD Patrick Laber, MD 10880 Durant Road, Suite 112 Raleigh NC 27614 9197825400 9197821680

Gabriel Chong, MD Paul Riske, MD

M. Alan Dickens, MD Charles Robinson, MDBlue Home

Provider

Affiliate Health

Plan Provider

Charlotte High, OD Thomas Robertson, MD 400 Nash Medical Arts Mall Rocky Mount NC 27804 2524431006 2529378366

Caleb Lesnoff, OD Willard Shepherd, ODBlue Home

Provider

Affiliate Health

Plan Provider

Lakshmi Swamy, MD 600 New Waverly Place, Suite 100 Cary NC 27518 9197527335 9199240275Blue Home

Provider

Affiliate Health

Plan Provider

Tonica Johnson, MD 3811 North Roxboro Street Durham NC 27704 9199996093 8448021324

615 Ridge Road Roxboro NC 27573Blue Home

Provider

Affiliate Health

Plan Provider

David Dickman, MD 310 South Main Street Rolesville NC 27571 9194383937 9194356792

Blue Home

Provider

Affiliate Health

Plan Provider

Michael Haines, OD 1319 North Bright Leaf Boulevard, Suite E Smithfield NC 27577 9199342020 9199347370

Blue Home

Provider

Affiliate Health

Plan Provider

Morgan Greene, PA Robert Martin, DO 110 Patrick Court Rocky Mount NC 27804 2524430400 2504305720

VanTreia Gross, PAC William Mayo, PAC

Paul Kelley, PAC Mark Perlmutter, MD

Bernard Kemker, MD Hardayal Sing, MD

Glenn MacNichol, MD Joseph Williams, PABlue Home

Provider

Affiliate Health

Plan Provider

Andrew Bush, MD Gerald Crist, PAC 959 East Street, Suite C Pittsboro NC 27332 9195455551 9195455552

Carolina Regional Orthopedics

Tonica Johnson, MD

Swamy Pediatric Eye Care

Central Carolina Orthopaedic Associates

Ophthalmology & Otolaryngology

Orthopedic Surgery

Optometry

Rocky Mount Eye

Women's Wellness Clinic (UWH of North Carolina)

Raleigh Ophthalmology, PC

Universal Eye Center

Haines Vision Care

Page 25 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Anna Butler, PAC Kevin Pilecki, PAC 1139 Carthage Street, Suite 101 Sanford NC 27330 9197741355 9197751644Blue Home

Provider

Affiliate Health

Plan Provider

Brandon Adams, PAC Adam Kendall, MD 910 West William Street Apex NC 27502 9199423171 9199699131

Julie Adcock, PT Paul Kerner, MD 2585 Hendersonville Road Arden NC 28704 8282588800 8286510026

Roxana Airinei-Teel, PT Jeffrey Keverline, MD 75 A Livingston Street Asheville NC 28801 8282817171 8282817177

Michelle Alby, PT Jessica King, PT 75 B Livingston Street Asheville NC 28801 8282588800 8282500193

J. Mack Aldridge III, MD Patrick King, MD 129 McDowell Street Asheville NC 28801 8282588800 8282580416

Shannon Alejandro, MD Timothy Kirkland, MD 1111 Huffman Mill Road Burlington NC 27215 3365845544 3365844438

Orwah Al-Khalili, MD Tyler Knabe, PT 1240 Huffman Mill Road Burlington NC 27215 3365387000

Antoinette Allen, PT Carrie Knaus, PAC 160 MacGregor Pines Drive, Suite 310 Cary NC 27511 9192344875 8778060555

Joanne Allen, MD Carol Knowles, PA 100 Perkins Drive Chapel Hill NC 27514 9199423171 9199699131

Frank Aluisio, MD Heather Koopman, PT 11312 US 15-501, Suite 401 Chapel Hill NC 27517 9199331110 9192206379

Leonilde Alves, PAC James Kovach, PA 2076 Highway 42 West Clayton NC 27520 9197631050 9197631055

Stephen Amico, PT Lauren Krajewski, PT 120 William Penn Plaza Durham NC 27704 9192205255 9192206971

Ruth Anderson, MD Kevin L. Krasinski, MD 4315 Ben Franklin Boulevard Durham NC 27704 9195958490 9195958494

Perico Arcedo, DO Alex Kroft, PAC 249 East NC Highway 54 Durham NC 27713 9195447270 9195447276

Matthew Babish, PA Kimberlee Kruezer, PT 133 Professional Drive Erwin NC 28339 9108912432 9108911788

Scott Baden, PT William Kunkle, DO 160 River Bend Drive, Suite C Granite Falls NC 28630 8285727305 8283300950

Kathryn Baerman, MD Marshall Kuremsky, MD 3200 Northline Avenue, Suite 160 Greensboro NC 27408 3365455000 3365455020

Michael Bagnoli, PT Michael Kushner, MD 3200 Northline Avenue, Suite 200 Greensboro NC 27408 3365455000 3365455020

Deren Bagsby, MD Ameila Lamb, PAC 800 Fleming Street Hendersonville NC 28791 8286984318 8286984322

Elizabeth Bagsby, MD Allison Lambert, OT 2165 Medical Park Drive Hickory NC 28602 8283242800 8282949160

Richard Bahner, MD Jason Lang, MD 2000 Brabham Avenue, Suite 100 Jacksonville NC 28546 9103323800 9103323850

Scott Baker, PT Kevin Lavery, PAC 1168 East Cutlar Crossing Leland NC 28451 9103323800 9103323800

Christine Barnowich, PT Thomas Lawson, FNP 232 Sharon Avenue NW Lenoir NC 28645 8287587091 8283302048

Scott Bartels, OT Julie Lemley, PT 401 West Decatur Street Madison NC 27025 3365455000 3365455020

Samantha Barton, PA Eric Lescault, DO 2293 Sugar Hill Road Marion NC 28752 8286528727

Jeffrey Beane, MD Ralph Liebelt, MD 503 East Parker Road Morganton NC 28655 8284376500 8283300930

Nancy Belding, OTR Edward Lilly, MD 139 Fiddlers Run Boulevard Morganton NC 28655 8284371786 8284384032

Linda Belhorn, MD John Lord, DPM 825 West 25th Street Newton NC 28658 8284854594 8282949141

William Bell, MD Adam Luke, PT 829 West 25th Street Newton NC 28658 8284643771 8284645798

Claudia Beneville, PAC Brittany Lyalls, OT 107 East McClanahan Street Oxford NC 27565 9196908500 9196030545

Brandon Bevil, PT Neil MacIntyre, MD 3100 Duraleigh Road, Suite 100 Raleigh NC 27612 9197631500 9197631055

Kasey Bilodeau, PT Katherine Mackin, PAC 11550 Common Oaks Drive, Suite 100 Raleigh NC 27614 9194535740 9194535741

Jaclyn Bissell, PA Jimmy Mali, MD 7850 Brier Creek Parkway Raleigh NC 27617 9198463938 9198463932

Carlie Black, PAC Peter Mangone, MD 171 NC Highway 125 Roanoke Rapids NC 27870 2525375631 2525377198

Hailey Blackburn, PT John Maney, OT 799 Doctors Court Roxboro NC 27573 3365994079 3365994778

Matthew Bogaert, PAC David Marks, MD 841 Malcolm Boulevard Rutherford College NC 28671 8288743379 8288740833

Sarah Bone, PA Albert Marr, MD 5160 Ocean Highway West Shallotte NC 28470 9103323800 9103323850

Robert Boswell, MD Michelle Marren, PT 100 Kellie Drive Smithfield NC 27577 9199341094 9199349044

EmergeOrtho

Page 26 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Sarah Bourque, PT Beth Martin, OTR 1517 North Howe Street Southport NC 28461 9103323800 9102510421

Laraine Bowen, PAC Scott Martin, DPM 7495 High Market Street Sunset Beach NC 28468 9103323828 9102510421

James Bowers, MD Michael Marushack, MD 50 Macedonia Church Road Taylorsville NC 28681 8286358430 8286357309

Karl Bowman, MD Ralph Maxy, MD 58 Weaver Village Way, Suite 104 Weaverville NC 28787 8282588800 8282580416

Dale Boyd, MD Maureen McCarthy, PT 159 Weaver Boulevard Weaverville NC 28787 8282588800 8282580416

Robert Boykin, MD Elizabeth McCormack, PAC 2716 Ashton Drive Wilmington NC 28412 9103323800 9103323850

Christopher Braun, PAC Abraham Mccoy, PAC 3787 Shipyard Boulevard Wilmington NC 28403 9103323800 9103323850

Mark Brazinski, MD Jill McCulley, PAC 6419 Carolina Beach Road, Suite C Wilmington NC 28412 9103323800 9103323850

Shela Bridges, OT Christina McDonald, OT 8115 Market Street Wilmington NC 28411 9103323800 9103323850

Samantha Bronson, PT Matthew McDougal, LPT 4815 Oleander Drive, Suite 100 Wilmington NC 28403 9103323800 9102510421

Dahari Brooks, MD Kathleen McGowan, OT 6019 Oleander Drive, Suite 200 Wilmington NC 28403 9107909714 9107911063

Werner Brooks, MD Kelly McLaughlin, PT 1803 Forest Hills Road Wilson NC 27893 2522439629 2522437339

Susan Browder, PT Jonathan McPeters, PT

Samantha Brown, PT Alex Meloy, PA

Richard Bruch, MD Daniel Merke, PT

Lisa Bruno, PT Michael Merz, MD

Melissa Buckner-Wayne, NP Katherine Meyer, PAC

Noelle Budzyn, PT Samuel Meyers, PAC

Jennifer Buie, OTC Frank Mikloucich, PT

Clarissa Bulatek, PT Carlson Miller, PT

Greg Burnett, PT Howard Miller, MD

Walter Burns, III, MD Malik Miller, PT

Sheri Burnsed, PT Morgan Miller, PAC

Craig Burnworth, MD M. Kristin Minor

Mark Burt, MD Theresa Miller, OT

Alison Butler, PT Kate Mitchell, MD

Miranda Butler, PAC Penny Mitchell, NP

Hope Caddell, PT Lawrence Montalto

Allison Cady, PA Nathan Montgomery, PAC

Angelo Cammarata, MD Shawn Moody, PT

Donald Campbell, MD Richard Moore, MD

Lance Campbell, PT John Moss, MD

Julie Canfield, PT Kyle Munday, PA

Daniel Carpenter, MD Kathryn Murphy, NP

Angela Capilupo, PT David Musante, MD

Jared Carroll, PT Jean Myers, PT

Ericka Carter, PAC Paige Myers, PAC

Whitney Cavender, PT Teresa Myrick, PT

Stephen Chabon, PA Devin Nagel, PT

Kathryn Chambers, PT David Napoli, MD

Page 27 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Alan Chap, MD Kacey Ness, PT

Eric Chapman, PT Rex Noble, PA

Hope Chestnut, PT Steven Norris, MD

Nancy Clark, PT Morgan Ogale, PT

Daniel Coe, PT Matthew Olin, MD

Jason Coggins, PAC Justin Ollis, PA

Robert Collins, MD John O'Malley, MD

Lawrence Colvin, PA Oladimeji Omitoogun, PT

John Connelly, OT Roger Ordronneau, PASUP

Amber Constable, PA Eric Orlowsky, MD

Ashly Cook, PA Brendan Orourke, PT

Gretchen Correll, OT Fred Ortmann, IV, MD

Nataliy Corbin, AGNP Elizabeth Owen, PAC

Joshua Corwin, PAC Daniel Paggen, PT

Deborah Craig, PT Jennifer Parker, PAC

James Creighton, MD Christopher Parks, MD

Brenda Culbertson, PT Sapna Patel, PT

Andy Culbreth, PAC Francis Pecoraro, MD

Melissa Cummings, PT Benjamin Petty, MD

Kimberly Currie, PT Virginia Pfrimmer, OT

Christopher Daley, MD April Phillips, PT

Clifford Daub, PAC Leslie Phillips, PHD

Stephen David, MD Jason Phillis, PA

Philip Davidow, PT Taylor Pilgrim, PAC

Christopher Deans, PA Robert Pitts, NP

Dawn Decollewaert, OT Scott Playford, MD

David Dellaero, MD Patricia Poff, PT

John DeRienzis, PT Cynthia Porfilio, PT

William Devers, PT Jonathan Prentice, PASUP

Megan Dice, PASUP Leslie Pretter, PAC

Deanna Diohep, OT Jeffrey Price, PA

Thomas Dimmig, MD Stephen Prohaska, PA

Deanna Diohep, OT Sushil Ramchandani, PT

Thomas Dixon, PA Richard Ramos, MD

Brian Dodd, PA Kelly Raney, PT

Lisa D'Oria, PT Erica Reali, PA

Jacqueline Dukes, PA Karen Rich, PT

Sarah Duncan, PAC Kenneth Richards, PT

Eric Dyer, PAC Ila Rickman, PT

Sam Dyer, PA Mary Kate Riden, PAC

Page 28 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Tally Eddings, III, MD Aimee Riley, DO

Kristie Edmisten, PA Carig Rineer, MD

Cory Egli, PT Jane Roberts, PA

Mackenzie Eldridge, DPT William Robinson, MD

Joseph Ellender, IV, PA David Rockwell, MD

Amy Ellington, PT Robert Rodger, MD

Christina England, PT Jason Rogers, MD

Michele Erickson, PT Jodie Rogers, PT

Gard Erlandsson, OT Michelle Roman, PAC

Kelly Esposito, MD Lucas Romine, MD

Blaine Etzel, PAC Daniel Rose, MD

Peggy Evans, PT Shepherd Rosenblum, MD

Meagan Fana, PAC Leigh Roth, PA

Donna Fender, PT Annalarsa Russ, PT

Kathryn Finch, PAC Richard Rutherford, MD

Andrew Finney, PA Rita Satterfield, PT

Chelsea Fletcher, PAC Robert Satterfield, MD

Alyssa Flowers, DPT Brian Savage, PAC

George Floyd, PT Thomas Scarritt, MD

Elizabeth Fojtik, MD Deborah Schiappa, PT

Mark Foster, MD Jillian Schwab, PT

Daniel Fottrell, PAC Kevin Scully, MD

Soctt Fox, PA Jennifer Sexton, OT

Vivian Franco, PT Phillip Shadduck, MD

Diana Frank, PT David Shaw, PAC

Stephen Free, PAC Michael Shea, MD

Janina Freystaetter, OT Debbie Sherman, PA

Erin Forehlich, PT Sarah Shout, PT

Walter Frueh, MD Tracy Shuford, PA

Donald Fuller, PT William Silver, MD

Judson Garbarino, MD Stephen Sladicka, MD

Amber Gaught, MD B. Todd Smith, MD

Alfred Geissele, MD Carl Smith, MD

Jared Gersch, PT Kristen Smith, PT

Laura Gerstner, PAC Richard Smith, PAC

Brett Gilbert, MD Jessica Snellen, PT

Natalie Gilbert, PT Jeremy Snodgrass, PT

Ronald Gioffre, MD Susan Sobel, NP

Michael Goebel, MD John Solic, MD

Armando Gonzalez, PAC Bryan Stanislaus, PAC

Page 29 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Kimberly Graham, NP James Stanislaw, MD

William Gramig, III, MD Nicholas Stanwick, PAC

Christina Gray, PT Michele Stine, PT

Danielle Griffin, NP Ashley Stinson, PA

Devan Groulx, PT Jena Struble, PT

Clayton Guthrie, PA Richard Suchan, PT

Emily Haberichter, PA David Summerfield, NP

Elizabeth Hage, PT Kevin Supple, MD

William Hage, MD Williams Sutton, MD

Julie Hall, PT Aaron Swanson, PT

Kayla Hall, PAC Catherine Sweeney, PAC

Daniel Hankley, MD Devin Sweeney, PT

Matthew Hannibal, MD Brian Swinteck, MD

Scott Hannum, MD Ryan Takenaga, MD

Carolyn Harriss, PT Tara Tarleton, PAC

Leeanne Haus, PA Adrian Taylor, PT

Matthew Harwood, LPT Alfonza Teel, PAC

Mark Hedrick, MD Kristen Thomas, OT

James Helm, PAC Adam Thorp, MD

Kristin Henderson, PAC Robin Tierney, PT

Kyle Hensley, PT Samantha Tobin, OT

Krista Herbst, PT Brandon Tolbert, PA

Alexia Hernandez-Soria, MD Anne Toohey, MD

Megan Heron, PAC Eric Tupis, PAC

John Hewitt, MD Kara Turnbull, PA

Deborah Hicks, NP Dana Varnell, PAC

John Hicks, MD Nicholas Viens, MD

Kimberly Higginbotham, PAC Tung Vo, PT

Benjamin Hilinski, PT Earl Walker Jr., MD

Nathan Hill, PA Christine Walkerwicz, PT

Michele Hobson, PT John Walkerwicz, PT

Shawn Hocker, MD Jason Wall, PT

Jeremy Hoff, DO Renee Wall, PAC

Doug Holczer, PT Steven Walton, PT

Ashely Holland, OT Amanda Ward, PAC

Kevin Holland, PT Lauren Ware, NPC

Richard Holm, MD Nathan Watts, PT

Karen Hood, PAC John Webber, Jr., PT

Christopher Houdek, DO Susan Weeks, MD

Timothy Howard, MD Andrea Westbrook, PT

Page 30 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Megan Husn, PT Robert Westrol. MD

Keith Hutchins, PA Jacqueline Wheeler, PA

Christina Iannello, OT Jonathan Wiener, NPC

Shane Inskeep, PT Sarah Wilkerson, PAC

Ellen Inscoe, PT Stacie Williams, OT

Andrew Irons, PA Withney Williams, PT

Samuel Jandreau, PT Cinthia Williford, PT

Jay Jansen, MD Erin Willoughby, PT

Michael Jeffery, PA Joseph Wilson, MD

Patrick Jerkins, PAC Ralph Wilson, PA

Craig Johnson, PAC Allen Won, PT

Elizabeth Johnson, PT Jamie Womack, PAC

Kevrin Johnson, PAC Mary Womble, PAC

Shannon Johnson, PT Brian Wood, PAC

Gabrielle Johnston, PAC John Wood, PAC

Raymond Jolly, PAC Scott Wood, PT

Maurice Jones, PAC Britt Wright, PT

Arthur Kalman, DO Matthew Yelverton, PA

Logan Kaptis, PT Andrew Zimmerman, PAC

James Karegeannes, MD Eugenia Zimmerman, MD

Kristin Kelly, RD Jason Zook, MD

Thomas Kelso, MD David Zub, MDBlue Home

Provider

Affiliate Health

Plan Provider

Milan Digiulio, MD Heather Smith, PT 3701 NW Cary Parkway, Suite 305 Cary NC 27513 9198826100 9198774797Blue Home

Provider

Affiliate Health

Plan Provider

Daniel Albright, MD Ashley Mason, PAC 115 Kildaire Park Drive, Suite 102 Cary NC 27518 9197815600 9198636821

Jeremy Bales, PT Jennifer Marsh, PT 115 Kildaire Park Drive, Suite 314 Cary NC 27518 9198635924 9198635923

Joseph Barker, MD Ashley Mason, PAC 1823 NW Maynard Road Cary NC 27513 9195358845 9198636983

Thomas Batchelor, PAC Morgan Maungyoo, PT 6715 McCrimmon Parkway, Suite 205 Cary NC 27519 9197815600 9195823051

Laura Beaver, OT Stephanie Maw, PT 1325 Timber Drive East Garner NC 27529 9197815600 9198636821

Karen Bednaz, PT D. Clinton McNabb, MD 781 Avent Ferry Road, Suite 110 Holly Springs NC 27540 9197815600 9198636821

Chloe Beer, PT Kathy McPherson, PT 110 Competition Center Drive, Suite 154 Morrisville NC 27560 9195358845 9198636983

Matthew Boes, MD Katherine Melton, PT 3001 Edwards Mill Road Raleigh NC 27612 9197815600 9198636821

David Boone, MD Dennis Meszler, PT 10880 Durant Road, Suite 300 Raleigh NC 27614 9197815600 9198636821

Cory Borland, PT Mark Mikles, MD 2400 Sumner Boulevard, Suite 120 Raleigh NC 27616 9198761100 9198761189

Ashley Bowyer, PT Luke Morrison, PAC 3209 Gresham Lake Road, Suite 135 Raleigh NC 27615 9198761100 9198761189

Maggie Bradford, PA Jordan Mortensen, PT

Kristen Burke, PAC Jean Olofson, PT

Pam Burleson, PAC Kimberly Ostapinski, PT

Performance Orthopaedic Surgery & Sports Medicine

Raleigh Orthopaedic Clinic

Page 31 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Edwin Cadet, MD Damien O'Sullivan, PT

G. Hadley Callaway, MD Kelly Ozbolt, PAC

Christianna Campbell, PT Vishal Patel, PT

Lindsay Carnes, PAC Denise Penny, FNP

Michelle Carr, PT Amy Poole, PT

John Chiavetta, MD Josie Prabhakar, PA

Murray Cooper, PT Adrienne Reich, PT

William Cortright, PT Erika Riley, OT

David Dare, MD Nick Rosage, PAC

Lisa David, PAC Linda Sawyer, PT

Derek DeYoung, PAC Gregory Saxton, PT

Katie Dietrich, OT Ashley Schaus, PT

Elizabeth Dmytriw, PT Brian Schiff, PT

Lisa Dominick, OT Joseph Schreiber, MD

Julie Dubas, OT Gracy Sheely, PT

Wesley Eagle, PAC John Shepard, PAC

Brianna Eby, PT Eric Simmons, DPM

Scott Eskilden, MD Steve Smith, PAC

Casey Fox, PAC Laura Southard, PT

Mary Fraraccio, PT Andrew Staples, PAC

Liz Fuller, PAC Tiffany Stephens, PAC

Cynthia Galante, PT Jeremy Stinson, PAC

Rosman Garcia, PT David Surovchak, PAC

Julia Garrett, PT Jeanne Tanner, OT

Kristen Grainger, PT Rachael Taylor, PAC

Brandon Guastafeste, PT Carol Tercyak, PT

Scott Houser, PT Daniel Thibaudeau, MD

Erin Hughes, FNPC Jennifer Trbovich, OT

William Isbell, MD Harrison Tuttle, MD

Frank Jannotta, PT Deborah Twardy, PT

Edward Jernigan, MD Bradley Vaughn, MD

Noah Kaminsky, PT Lauren Wall, PA

Megan Knechtges, PT Tyler Watters, MD

Andrea Knowles, PT Scott Wein, MD

Chelsea Lindley, PA Robert Wyker, MD

Kevin Logel, MD Donald Zelna, PT

Glenn Ludwig, PT Jennifer Zwick, PT

Stefan Maksymiw, PTBlue Home

Provider

Affiliate Health

Plan Provider

Max Cohen, MD Ruben Torrealba, MD 2105 Braxton Lane, Suite 101 Greensboro NC 27408 3363336306 3363336309

Spine and Scoliosis Specialists

Page 32 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

James Burns, PA Allison VanDeMoere, PA 4590 Premier Drive High Point NC 27265 3363336306 3363336309

Colleen Mahar, PA Jessica Zanetto, PA

Thomas Saullo, MDBlue Home

Provider

Affiliate Health

Plan Provider

Stephen Struble, MD  115 Parkway Office Court, Suite 101 Cary NC 27518 9192770427 9192334492

104 Bass Lake Road Holly Springs NC 27540 9192770427 9192334492

Blue Home

Provider

Affiliate Health

Plan Provider

John Ballance, MS Paul Juengel, MD 1248 Huffman Mill Road, Suite 200 Burlington NC 27215 3362260660 3362273940

Tracy Barber, AUD Chapman McQueen, MD 3940 Arrowhead Boulevard, Suite 210 Mebane NC 27302 9195639705 9193040057

Paul Bennett, MD Sherrie Pelkey, AUD

Jennifer Brooks, PAC Sarah Pelletier, AUD

Jodi Hogan, MS Creighton Vaught, MD

ENT & Audiology AssociatesBlue Home

Provider

Affiliate Health

Plan Provider

Richard Alexander, MD Douglas Holmes, MD 3820 Ed Drive Raleigh NC 27612 9197829003 9197829303

Jenny Head, AUD Lena Kyman, AUD

Charlotte Holmes, MS Travis Quiller, AUD

Onslow Ear, Nose and Throat Blue Home

Provider

Affiliate Health

Plan Provider

David Roska, DO Myron Yencha, MD 55 Office Park Drive Jacksonville NC 28546 9102193377 9102194227

Stepanie Sandoval, AUD

Raleigh Capitol ENTBlue Home

Provider

Affiliate Health

Plan Provider

Stephen Boyce, MD William Durland, MD 1505 SW Cary Parkway, Suite 301 Cary NC 27511 9193679774 9194202028

Laura Brown, MD Matthew Gerber, MD 300 Health Park Drive, Suite 210 Garner NC 27529 9196628181 9194202028

Mark Brown, MD Elizabeth Hueman, MD 781 Avent Ferry Road, Suite 206 Holly Springs NC 27540 9193462600 9194202028

David Clark, MD Steven McMahon, MD 3010 Anderson Drive Raleigh NC 27609 9197877171 9194202028

Mark Clarkson, MD R. Glen Medders, MD 10208 Cerny Street, Suite 300 Raleigh NC 27617 9193541290 9194202028

Steven Dennis, MD H. Craig Price, MD 4600 Lake Boone Trail, Suite 100 Raleigh NC 27607 9197871374 9194202028

Kevin Doyle, MD Jeevan Ramakrishnan, MD 835 Wake Forest Business Park Wake Forest NC 27587 9195568454 9194202028

Wake Ear, Nose & Throat SpecialistBlue Home

Provider

Affiliate Health

Plan Provider

Pankaj Gupta, MD 115 Parkway Office Court, Suite 201 Cary NC 27518 9198515636 9198517247

Blue Home

Provider

Affiliate Health

Plan Provider

Samta Bhakta, ANP David Paulson, PA 1212 Central Drive, Suite 101 Sanford NC 27330 9197775455 9197775294

Nailesh Dave, MD Pamela Pope, FNP 1291 Oliver Street Fayetteville NC 28304 9104912744 9104912903

Meena Dave, PAC Emily Self, PAC 325 South Walton Avenue Benson NC 27504 9198941003 9198941336

Neema Dave, PA Jamie Speight, PA 350 Pine State Street Lillington NC 27546 9108939700 9108939747

Alexandra Elios, PAC Vern Wagner, PAC 4602 McCrimmon Parkway, Suite 300 Morrisville NC 27560 9192346016 9196502647

Neurology and Pain Management Center

Alamance Ear, Nose & Throat

Total Joint Care

Otolaryngology

Pain Medicine

Page 33 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Bianca Goo, PAC Misty White, NP 5511 Ramsey Street, Suite 200 Fayetteville NC 28311 9104912744 9104912903

Kimberly Grossman, FNPBlue Home

Provider

Affiliate Health

Plan Provider

Manoj Bobby Wunnava, MD 5322 Highgate Drive, Suite 143 Durham NC 27713 9844647972 9195910567

Blue Home

Provider

Affiliate Health

Plan Provider

Michael Roth, MD 2460 Curtis Ellis Drive Rocky Mount NC 27804 2529628043 2529628827

Blue Home

Provider

Affiliate Health

Plan Provider

Kelli Armwood, NP Rose Meitzen, NP 3000 New Bern Avenue Raleigh NC 27610 9193508779 9193508812

Shannon Beligotti, PA Troy Moise, FNP 10 Aviemore Drive Pinehurst NC 27834 9197819078 9104208623

Susan Bell, NP Allison Moore, PA

Wesley Bland, PA Wing Ng, MD

Wesley Bland, PAC Karyl Noonan, PA

Robert Burnham, PA Patrick O'Brien, MD

David Castle, PA Raphael Orenstein, MD

Salematou Diallo, NP Heather Pfeil, PA

Jairon Downs, MD Margaret Potter, PA

Erica Farley, FNP Anuradha Rao-Patel, MD

Kristin Flood, PA Todd Rowland, MD

Lindsay Gossett, PA Tana Royal, AGNP

Michael Gwinn, MD Shannon Schweitzer , PAC

Kate Hess, NP Kristin Stiller, PA

Danielle Hogan, PA Chelsea Szymkiewicz, PA

Charlamy Jones, AGNP Freda Thompson, PA

Muriel Lynn Lamoureux, PA Tricia Tiu, PA

Renee Laszlo, PA Alyssa Worf, PA

Healy Lawson, MDBlue Home

Provider

Affiliate Health

Plan Provider

Peng Bai, DO John Schmidt, MD 100 Parkway Office Court, Suite 108 Cary NC 27518 9109973733 9109973707

Christina Dixon, ANP Paul Singh, MD 3001 Edwards Mill Road, Floor 2 Raleigh NC 27612 9109973733 9109973707

Neema Patel, NP Louis Torres, MD 809 South Long Drive, Suite G Rockingham NC 28379 9109973733 9109973707

Kim Puckett, FNP Ava White, FNP-C

Physical Therapy & Rehabilitation

Care First Physical Therapy & RehabBlue Home

Provider

Affiliate Health

Plan Provider

Deborah Cefola, PT Daniel Lightheart, OT 100 Cornerstone Drive Cary NC 27519 9194601921 9194601929

Melissa Coley-Enlowe, OT Kara Pinkleton, SLP

Rachel Curran, PT Donna Richmond, SLP

Eckert Pathology Associates

Pathology

Physical Medicine & Rehabilitation

Carolina Spine Center

Carolina Rehabilitation & Surgical Associates

Pain & Wellness Solutions of the Carolinas

Page 34 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

James Foster, PT Deanna Sipes, PT

Chelsea Hernley, SLP Prashant Sonker, OT

Paula Hils, SLP Erica Strong, SLP

Richard Hultz, PT

Blue Home

Provider

Affiliate Health

Plan Provider

Susan Everette, FNPC Frederick Park, MD 4008 Capital Drive Rocky Mount NC 27804 2529375003 2529373020Blue Home

Provider

Affiliate Health

Plan Provider

Matthew Blanton, MD Sanjay Daluvoy, MD 3633 Harden Road, Suite 200 Raleigh NC 27607 9197850505 9197850205

Richard Carlino, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Richard Saleeby, Jr, MD Frank Wessels, MD 3814 Browning Place, Suite 100 Raleigh NC 27609 9197872542 9197838225

Blue Home

Provider

Affiliate Health

Plan Provider

Amy Kline, LPC 1100 NW Maynard Road, Ste 140 Cary NC 27513 9193539370 9196503759

Blue Home

Provider

Tara Escalante, LCSW 318 Cloister Court Chapel Hill NC 27514 9842298231

Brett MaherBlue Home

Provider

Brett Maher, PsyD 307 South Salem Street, Ste 300 Apex NC 27502 9192138380 9198493896Blue Home

Provider

Affiliate Health

Plan Provider

Regina Brown, LCSW 1480 Chapel Ridge Road, Suite 150 Apex NC 27502 9193559792 9195517518Blue Home

Provider

Affiliate Health

Plan Provider

Maryann Kappannan, LCSW Bradford Prinzhorn, PsyD 610 Jones Ferry Road, Suite 208 Carrboro NC 27510 9196365695 9194421105

Tracey Lee-Jones, PMHNPBC Andrea Treimel, LCSW

Elizabeth Parker, LCSW Tracy Ware, MD

Lizzette Pottoff, LCSWBlue Home

Provider

Affiliate Health

Plan Provider

Clifford Schilke, MD 630 Weaver Dairy Road, Suite 104 Chapel Hill NC 27514 9198641611Blue Home

Provider

Darcee Ruble, LPC 8300 Health Park, Suite 201 Raleigh NC 27615 9198100775 9196769946Blue Home

Provider

Affiliate Health

Plan Provider

Jamila Battle, MD 8300 Health Park, Suite 201 Raleigh NC 27615 9192302569 9196480707Blue Home

Provider

Brinkley Brown Mental Wellness

Saleeby and Wessels Proctology

Specialists in Plastic Surgery

Chapel Hill Psychiatric Associates

Proctology

Amy Kline Counseling

Psychiatry

Plastic Surgery

Park Plastic Surgery

Clifford H Schilke, MD

Erin Bergstrom, LCSW

Darcee Ruble Counseling

Dr. Jamila Battle & Associates

Beacon Therapeutic and Wellness Services

Page 35 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Erin Bergstrom, LCSW 1411 Broad Street Durham NC 27705 9192831441 9197656165Blue Home

Provider

Collette AhTye, MD Camille Laudicina, PhD 100 Europa Drive, Suite 260 Chapel Hill NC 27517 9199291227 9199682575

Samina Aziz, MBBS Elena Lea, PhD 4201 Lake Boone Trail, Suite 201 Raleigh NC 27607 9197850384 9197850038

Neil Barry, PhD Deborah McFarlane, PhD

Peter Battis, EdD Joanna Pearson, MD

Erin Bergstrom, LCSWA Roger Perilstein, MD

Whitney Brooks, PhD Jeannette Robb, PhD

Charles Cooper, PhD Soctt Seguin, LCAS

Ronit Dedesma, MD Donna Skillman, PsyD

Linda Hammock, LPC Mareah Steketee, PhD

Deborah Heil, PhD Melike Warrick, LCSW

Richard Hicks, PhD Kacey Wilson, PhD

Charles Holton, LCSW Emily Wray, PhD

Mukesh Kamdar, MD Katherine Wu, MDBlue Home

Provider

Affiliate Health

Plan Provider

Patty Adams, LCSW Alexandra Koch, PA 1200 Ridgefield Boulevard, Suite 250 Asheville NC 28806 8286336070 8286336073

Shay Alderman, LPC Monique LaBombard, LCSWA 4 Doctors Park, Suite H Asheville NC 28801 8282859911 8282859970

Sherisse Bailey, LPCS Paula Leif, PMHNPC 1944 Hendersonville Road, Building E1, Suite A Asheville NC 28803 8285756511 8286336073

Natalie Ball, NP Katherine Lindsay, LCSW 301 West Weaver Street Carrboro NC 27510 9197177383 9197484441

Dana Bennison, LPC Mary Linker, LCSW 1140 Kildaire Farm Road, Suite 200, Room 3 Cary NC 27511 9195893650 9197484441

Barry Bertolette, FNPC Cara Lutzow, PMHNPC 115 Kildaire Park Drive, Suite 402 Cary NC 27511 9194434100 8779049349

Tyler BingLawson, LCSW Maria MacDougall, PMHNP 140 Iowa Lane, Suite 204 Cary NC 27511 9193540855 9192341285

Yolonda Bledsoe, LCSWA Michael Marcinowski, LPC 219 East Chatham Street, Suite 205 Cary NC 27511 9194603020 9194608285

Jose Bogantes, MD Randy Marsh, PhD 224 High House Road, Suite 220 Cary NC 27513 9199299610 8554206402

Roy Book, MD Dorine Martin, FNPBC 1829 E Franklin Street, Bldg 100, Suite C Chapel Hill NC 27514 9195482452 9197484441

Hilary Boydston, PAC Kimberly McGrady, LCSW 401 Providence Road, Suite 100 Chapel Hill NC 27514 9199291375 9199290711

Brittney Brinson, LPC Jeffrey Miller, LCSW 6060 Piedmont Row Drive South, Suite 500 Charlotte NC 28287 9803263277 9802247097

Latoya Brooks, LCSW Ellen Minier, PMHNP 2076 NC Highway 42 West, Suite 220 Clayton NC 27520 9195503323 9195503379

Elizabeth Bruce, PMHNPC Yvonne Monroe, MD 1415 West Highway 54, Suite 121 Durham NC 27707 9199299610 9848880955

Patricia Burkert, LCSW Jenel Morian PMHNP 1415 West Highway 54, Suite 215 Durham NC 27707 9194012933 9848880955

Tanya Bush, PMHNP Laura Morrison, LCSW 3604 Shannon Road, Suite 200 Durham NC 27707 9194032122 9194014993

Jacqueline Camp, PhD Raelyn Mosher, LCSW 1502 West Highway 54, Suite 103 Durham NC 27707 9199679567 9194034363

David Capelouto, MD Dorothy Muccio, LCSW 5475 Lumley Road, Suite 103 Durham NC 27703 9193540830 9199733139

Katherine Carver, LCSW Sarah Murphy, LCSW 819 Broad Street Durham NC 27705 9196416932 9197484441

Robin Cassidy, NP Carolyn Namde, PA 3201 Yorktown Ave., Suite 117E Durham NC 27713 9199299610 9197484441

Shivani Chudasama, LCSW Denise Nelson, PAC 1312 Broad Street Durham NC 27705 9196996508 9197484441

Leslie Cloninger, LCSW Louise Newton, LCSW 817 Broad Street Durham NC 27705 9843772790

Joy Close, LCSW Roseline Nwadigo, PMHNP 1 Monaco Court Durham NC 27713 2155308180 9194014993

MindPath Care Centers

HRC Behavioral Health & Psychiatry

Page 36 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Joshua Cobb, PA Peggy O'Hara, MD 236 LePhillip Court, Suite J Concord NC 28025 7047924312 7042623579

Stacy Cohen, LPC Krystle Parker, NP 684 N. Spence Avenue Goldsboro NC 27534 9192882686 9192881227

John Cole, LCSW Marlena Parson, PMHNP 220 3rd Avenue West Hendersonville NC 28739 8285135007

Cameron Collins, PhD Catherine Peoples, LCSW 21 Hillsboro Street, Suite 2 Pittsboro NC 27312 9199237414 8888684875

Jerome Cornwall, LCSW Sherri Pietropaolo, LCSW 1033 Dresser Court Raleigh NC 27609 9197923960 9199778359

Kelly Crenshaw, NPC David Pollock, MD 1011 Dresser Court Raleigh NC 27609 9197923940 9197923949

Blair Crouse, NP Melanie Powell, LCSW 1130 Situs Court, Suite 190 Raleigh NC 27606 9197923940 8884913060

Kelli Cryer, LPC Colleen Reilly, LCSW 3610 Bush Street Raleigh NC 27609 9198763130 9198763134

Huguette Curah, MSW Melanie Reynolds, LCSW 1055 Dresser Court Raleigh NC 27609 9198763130 9198763134

Jessica Curry, PMHNP Tonya Rhodes, LCSW 3723 Benson Drive Raleigh NC 27609 9197923947 9198036771

Karla de Beck, MD Audrey Rice, ANPC 5868 Faringdon Place, Suite 16A Raleigh NC 27609 9192706576 8554206402

Maimouna Diop, PMHNP Lori Richardson, LCSW 8408 Six Forks Road, Suite 101 Raleigh NC 27615 9197479246 8554206402

Alexandra Donatelli, PA Leslie Roach, LCSWA 6070 Six Forks Road, Suite C Raleigh NC 27609 9199712895 9198036771

Carole Doorley, LCSW Tiffany Rogers, LPC 833 J Wake Forest Business Park Wake Forest NC 27587 9844590728 9842351940

Jill Duvall, LCSW Richard Rothman, LCSW 120 Capcom Avenue, Suite 101 Wake Forest NC 27587 9194881444 9194881445

Catherine Ellenberger, NP David Runnels, PMHNP 1780 Heritage Center Drive, Suite 203 Wake Forest NC 27587 9194881444 9197615026

Christy Ellis, LCSW Shahin Sabouri, LPC 1900 South Main Street, Suite 112 Wake Forest NC 27587 9198055296 9197484441

Beth Embleton, LCSWA Louis Sawyer, PhD 2261 Nash Street Northwest Wilson NC 27896 2522378403 2522377443

Michelle Enderlin, LCSW Jennifer Schiappa, LCSW 405 Nash Street, Suite 204 Wilson NC 27893 2522814418 9197484441

Dee Etheridge, LCSW Loren Schiavone, LMFT

James Fledman, PA Sharon Scott, LCSWA

Paul Fleischer, PsyD Byalinah ShakirBurgess, LPC

David Fulford, PAC Mendy Sharpe, FNP

Kiana Fussner, PAC Victoria Shawl, LPC

Kelli Gaskill, PMHNP Kerri Shiflett, LPC

Maureen Gomeringer, LCSW Beth Shulman, LPC

Lawrence Greenberg, MD Allison Simpson, LCSW

Nishi Gupta, LCSW James Smith, MD

Jamie Gutterman, LCSW Jenny Smith, MD

Jonathan Hamilton, NP Shea Spampneto, LCSW

McKenzie Hampton, FNPC Andrea Stubbs, LCSW

Laura Harris, LPC Shantel Sullivan, LCSW

Sonia Harris, LPC Jenny Tart, LPC

Gregory Helton, MD Jan Tate, LCSWA

Cheryl Ann Hess, PMHNPBC An'Drea Taylor, MD

Rasheede Hicks, LPC Christina Thomas, PMHNP

Lindsay Hildreth, PA Kelly Thomas, NP

Sarah Hildreth, LCSWA Sharon Thomas, LPC

Kassi Hooper, PMHNP Lori Thompson, NP

Margaret Hormenoo, LPC Lynette Thompson, LCSWA

Lynn Howard, PAC Michelle Tillman-Cureton, LPC

Stephen Hughes, LPC Sandeep Vaishnavi, MD

Page 37 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Sonya Isler, PMHNPBC Varsha Vora, MD

Amy Jackson, LCSW Lorraine Waguespack, NP

Jinzhao Ji, PAC Martha Watkins, LPC

Nicole Johnson, PA Caleb Whitenack, MD

Pamela Johnson, ANPC Deborah Wilkins, MD

Tabatha Jones, PMHNP Matthew Wolf, LCSW

Maria Karandikar, ANPC Daniel Wurzelmann, MD

Theresa Keiser, FNPC Tikia Yelverton, DNP

Dana Kyes, PAC Lilach YerushalmiDomb, LCSWA

Julie Killion, LPC Laura Young, LCSW

Paula Kline, PhDAffiliate Health

Plan Provider

Jamison Lord, NP Ijaz Rasul, MD 130 Preston Executive Drive, Suite 102 Cary NC 27513 9192972930 8776309339Blue Home

Provider

Claudia DiGiaimo-Nunez, MD Christine Pfeifer, PMHNP 212 Towne Village Drive Cary NC 27513 9193771042 9192340278

Nicole Joslin, PMHNP

Blue Home

Provider

Affiliate Health

Plan Provider

Mir Ali, MD 706 Wilkins Street, Suite C Smithfield NC 27577 9192051627 9192051686

721 Tilghman Drive, Suite 300 Dunn NC 28334 9192051627 9192051686

Carolina Pulmonary & Sleep ClinicBlue Home

Provider

Affiliate Health

Plan Provider

Priyan Samarakoon, MD 570 New Waverly Place, Suite 140 Cary NC 27518 9194398580 9194635600

Carolina Pulmonary MedicineBlue Home

Provider

Affiliate Health

Plan Provider

Serafina Carlone, NP Sharad Vora, MD 455 Swiftside Drive, Suite 105 Cary NC 27518 9192330234 9198511901

Onslow Pulmonology AssociatesBlue Home

Provider

Affiliate Health

Plan Provider

Henry Bruton, MD Jenna Kinner, FNPC 2371 White Street Jacksonville NC 28546 9105774968 9105772916

Albert Curseen, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Laura Jacimore, MD 2450 Curtis Ellis Drive Rocky Mount NC 27804 2524438947 2529628672

Blue Home

Provider

Affiliate Health

Plan Provider

George III Bailey, MD Kelly McAlarney, MD 2460 Curtis Ellis Drive Rocky Mount NC 27804 2524434024 2524435021

Gerald Capps, MD Thomas Powers, MD

Todd Duncan, MD Brian Singleton, MD

Allen Johnson, MD Christopher Tharrington, MD

Piedmont Behavioral Services

Radiology

Nash X-Ray Associates

Radiation Oncology

Pulmonology

Ali Lung Clinic

West Cary Psychiatry

Laura Jacimore MD

Page 38 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

James Barnwell, MD Richard Max, MD 300 Ashville Avenue, Suite 100 Cary NC 27511 9192324700 9198523631

Ashley Bragg, PA Joseph Melamed, MD 6715 McCrimmon Parkway, Suite 101 Cary NC 27519 9192324700 9192353953

Holly Burge, MD Laura Meyer, MD 300 Ashville Avenue, Suite 260 Cary NC 27511 9192324700 9198524071

Eithne Burke, MD Matthew Miller, MD 300 Ashville Avenue, Suite 180 Cary NC 27511 9192324700 9192353384

Kerry Chandler, MD Ashley Oladipo, MD 110 South Estes Drive Chapel Hill NC 27514 9199423196 9199339925

Sendhil Cheran, MD Carroll Overton, MD 7636 Purfoy Road, Suite 200 FuquayVarina NC 27526 9192324700 9195779049

George Coates, MD Bryan Peters, MD 300 Health Park Drive, Suite 100 Garner NC 27529 9192324700 9196622244

Joseph Cornett, MD Claire Poyet, MD 781 Avent Ferry Road, Suite 104 Holly Springs NC 27540 9192324700 9192353948

Margaret Douglas, MD Thomas Presson, MD 6602 Knightdale Boulevard, Suite 108 Knightdale NC 27545 9192324700 9192353947

Martin Douglas, MD Philip Pretter, MD 3100 Duraleigh Road, Suite 204 Raleigh NC 27612 9192324700 9197846186

Imre Gaal, MD Monica Reddy, MD 3949 Browning Place Raleigh NC 27609 9197877411 9197894461

Raj Gondalia, MD Duncan Rougier-Chapman, MD 3821 Merton Drive Raleigh NC 27609 9192324700 9197879154

Carmelo Gullotto, MD Elizabeth Rush, MD 3811 Merton Drive Raleigh NC 27609 9192324700 9197836330

Christopher Hallmark, MD Philip Saba, MD 11200 Governor Manly Way, Suite 106 Raleigh NC 27614 9192324700 9192343943

Paul Haugan, MD David Schulz, MD 4301 Lake Boone Trail, Suite 100 Raleigh NC 27609 9192324700 9197824782

Jeffery Hawk, MD John Sierra, MD 4301 Lake Boone Trail, Suite 103 Raleigh NC 27609 9192324700 9197824782

Matthew Hoimes, MD John Spargo, MD 4301 Lake Boone Trail, Suite 104 Raleigh NC 27609 9192324700 9197811535

Joseph Ifokwe, MD Tina Sprouse, MD 218 Venture Drive Smithfield NC 27577 9192324700 9199344793

Lyndon Jordan, MD Ryan Stephens, MD 3150 Rogers Road, Suite 115 Wake Forest NC 27587 9192324700 9194531130

Cristian Jurau, MD Brent Townsend, MD

Susan Kennedy, MD William Vanarthos, MD

Michael Kwong, MD Nikunj Wasudev, MD

Catherine Lerner, MD William Way, MD

Peter Leuchtmann, MD Danielle Wellman, MD

Zachary LoVerde, MD Russell Wilson, MD

Mark Marchand, MD Daniel Young, MD

John Matzko, MD

Blue Home

Provider

Affiliate Health

Plan Provider

Sanjay Chaudhary, MD Vandna Chaudhary, OT 940 SE Cary Parkway, Suite 104 Cary NC 27518 9193440180 9193440182

Blue Home

Provider

Affiliate Health

Plan Provider

Ashley Bacheller, PAC Travis Safley, MD 255 Memorial Drive Jacksonville NC 28546 9103537846 9103534540

Gary Belzberg, MD Lennox Williams, MD

Timothy Patselas, MDBlue Home

Provider

Affiliate Health

Plan Provider

Heidi Bishop, PA David Seaman, MD 300 Nash Medical Arts Mall, Suite A Rocky Mount NC 27804 2529626510 2529626511

SC Surgicalists of North Carolina

Surgery

Onslow Surgical Clinic

Cary Rheumatology & Arthritis Associates

Wake Radiology Diagnostic Imaging

Rheumatology

Page 39 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

Blue Home

Provider

Affiliate Health

Plan Provider

Scott Baker, MD Daniel Khera-McRackan, MD 160 MacGregor Pines Drive, Suite 205 Cary NC 27511 9197588677 9198525127

Marc Benevides, MD Emil Kheterpal, MD 105 SW Cary Parkway, Suite 300 Cary NC 27511 9194673203 9194608915

Brian Bennett, MD Kevin Khoudary, MD 95 Springbrook Avenue, Suite 109 Clayton NC 27520 9198639424 9198639425

Timothy Bukowski, MD Kayla Lerrom, PAC 358 Northeast Boulevard Clinton NC 28328 9105927129 9105920260

Norman Goldbach, MD Joseph Neighbors, MD 700 Tilghman Drive, Suite 702 Dunn NC 28334 9108921068 9108924527

Lance Harris, PAC Kevin Perry, MD 3821 Ed Drive Raleigh NC 27612 9197588677 9197588723

Chelsea Hendrickson, PAC Stephen Shaban, MD 10208 Cerny Street, Suite 202 Raleigh NC 27617 9197588677 9197588723

Mark Jalkut, MD Frank Tortora, MD 1904 South Main Street, Suite 114 Wake Forest NC 27587 9195548503 9195549686

John Kaspar, MD Jennifer Writsel, PAC

William Kizer, MD Chelsea Zurl, PAC

Central Carolina Foot & Ankle Associates (Instride Foot and Ankle Specialists, PLLC)Blue Home

Provider

Affiliate Health

Plan Provider

Melissa Hill, DPM Alan Sotelo, DPM 4119 Capitol Street Durham NC 27704 9194779333 9194779389

Gary Liao, DPM 5107 Southpark Drive, Suite 202 Durham NC 27713 9195442583 9195722621Blue Home

Provider

Affiliate Health

Plan Provider

Rodney Fitzhugh, DPM Clarence Stewart, DPM 1202 North Martin Luther King Jr. Drive Ahoskie NC 27910 2528624300 2528624303

Stephen Kinard, DPM 2701 New Bern Avenue Raleigh NC 27610 9192317969 9192317970

740 Sutters Creek Drive Rocky Mount NC 27804 2524514040 2524518040

2130 Forest Hills Road, Suite C Wilson NC 27893 2522814442 2522814439Blue Home

Provider

Affiliate Health

Plan Provider

Bessaliea Griffin, DPM 514 North Brightleaf Boulevard, Suite 1610 Smithfield NC 27577 9199340711 9199340023Blue Home

Provider

Affiliate Health

Plan Provider

Eldon Peters, DPM 1514 Glenwood Avenue Raleigh NC 27608 9198290076 9198369094

Wake Foot & Ankle Center (Instride Foot and Ankle Specialists, PLLC)Blue Home

Provider

Affiliate Health

Plan Provider

Michael Hodos, DPM James Judge, DPM 833C Wake Forest Business Park Wake Forest NC 27588 9195709061 9195709064Blue Home

Provider

Affiliate Health

Plan Provider

Cynthia Johnson, NP Valerie Purcell, MD 166 Doctors Drive Boone NC 28607 8283551556 8287580080

Peter Purcell, MD Yessica Trapani, NP 401 Mulberry Street Southwest, Suite 101 Lenoir NC 28645 8287585501 8287580080

986 US 221 Business West Jefferson NC 28694 8283551556 8287580080

Blue Home

Provider

Affiliate Health

Plan Provider

10901 World Trade Boulevard Raleigh NC 27617 9197468900 9197468901

Behavioral Health Facility

Foot and Ankle Associates of North Carolina

Vascular & Podiatry

Horizon Surgical Specialists

Endoscopy Centers

Urology

Instride Capital Foot & Ankle Centers (Instride Foot & Ankle Specialists, PLLC)

UNC Health Alliance Ancillary Facilities (effective as of March 1, 2021)

Triangle Springs

Footprint Podiatry

Associated Urologists of North Carolina

Page 40 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERSBlue Home

Provider

Affiliate Health

Plan Provider

1505 SW Cary Parkway, Suite 202 Cary NC 27511 9192495087 9197923061

2417 Atrium Drive, Suite 101 Raleigh NC 27607 9192495246 9197912061

8300 Health Park, Suite 210 Raleigh NC 27615 9192495902 9192567981

Onslow Memorial HospitalBlue Home

Provider

Affiliate Health

Plan Provider

317 Western Boulevard Jacksonville NC 28546 9105772345

FastMed Urgent CareBlue Home

Provider

Affiliate Health

Plan Provider

1800 North Sandhills Boulevard Aberdeen NC 28315 9107242334 9102460952

2021 Creekside Landing Drive Apex NC 27502 9192491529 9192902727

160 Hendersonville Road Asheville NC 28803 8282102835 8282102839

178 Highway 105 Extension, Suite 101 Boone NC 28607 8282657146 8282657150

104 Huffman Mill Road Burlington NC 27215 3365061720 3362705480

511 Smoky Park Highway, Suite A2 Candler NC 28715 8283651088 8286332185

100 Cornerstone Drive Cary NC 27519 9196503660 9196503169

3420 Ten Ten Road, Suite 318 Cary NC 27518 9196503660 9196503169

1407 East Franklin Street Chapel Hill NC 27514 9199130996 9195378577

2728 West Mallard Creek Church Road Charlotte NC 28262 9802181860 9808197900

3250 Wilkinson Boulevard Charlotte NC 28208 7043195176 7049104489

11491 US Highway 70 West Clayton NC 27520 9195502484 9195507059

391 George West Liles Parkway NW Concord NC 28027 7048861780 7049184505

7010 NC Highway 751, Suite 101 Durham NC 27707 9193133900 9199088420

3007 Town Center Drive, Suite 100101 Fayetteville NC 28306 9103541281 9107792025

4401 Ramsey Street, Suite 104 Fayetteville NC 28306 9103543372 9104915813

1418 North Main Street FuquayVarina NC 27526 9195521733 9195521495

220 U.S. 70 Highway Garner NC 27529 9197797890 9197797896

5156 NC Highway 42 West Garner NC 27529 9193295000 9193295300

212 North Spence Avenue Goldsboro NC 27534 9197780851 9197781727

3215 Battleground Avenue Greensboro NC 27408 3363875020 9102460952

5402 West Market Street Greensboro NC 27409 3363873346 3366765583

315 Greenville Boulevard SE, Suite 100 Greenville NC 27858 2529175621 2525658722

4415 School House Commons Harrisburg NC 28075 7044561218 9802588093

903 South Beckford Drive Henderson NC 27536 2526541020 2525980278

825 Spartanburg Highway Hendersonville NC 28792 8282331664 8282331668

2280 Highway 70, SE Hickory NC 28602 8284043656 8283223281

1589 Skeet Club Road, Suite 155 High Point NC 27265 3368992160 3368129028

2101 North Main Street High Point NC 27262 3368756575 3367810073

1024 South Main Street Kernersville NC 27284 3365641916 3369040120

Urgent Care

Raleigh Endoscopy Center

Medical Facility

Page 41 of 42

ADDRESS CITY STATE ZIP PHONE # FAX #PRACTICE NAME & PROVIDERS

2908 North Heritage Street Kinston NC 28501 2525233111 2525239572

907 US 401 Bypass, Suite F05 Laurinburg NC 28352 9102760033 9102760086

825 Blowing Rock Boulevard, Suite B Lenoir NC 28645 8289910999 8285724148

2242 West Roosevelt Boulevard, Suite A Monroe NC 28110 7042201904 7047769495

107 Commons Drive, Suite A Mooresville NC 28117 7042350686 7046613161

3722 Bridges Street Morehead City NC 28557 2526224033 2522403586

1311 East Millbrook Road Raleigh NC 27609 9197190119 9196152460

6500 Creedmoor Road Raleigh NC 27613 9198254000 9198033601

1261 Julian Allsbrook Highway Roanoke Rapids NC 27870 2525375600 2525372375

1262 East Broad Avenue Rockingham NC 28379 9108179200 9108179205

2001 Sunset Avenue Rocky Mount NC 27804 2524582508 2522102833

550 North Winstead Avenue Rocky Mount NC 27804 2524513423 2525372375

910 North Madison Boulevard, Suite B Roxboro NC 27573 3365922230 3363220996

1361 Klumac Road Salisbury NC 28147 7046031175 7048708572

724 South Horner Boulevard Sanford NC 27330 9197766767 9197766773

234 Turnersburg Highway Statesville NC 28625 7048180369 7043803081

2001 South Main Street Wake Forest NC 27587 9195623155 9195627401

1903 Addison Avenue Wilkesboro NC 28697 3366672710 3366672770

5214 Market Street, Suite 101 Wilmington NC 28405 9107823284 9107694989

2503B Forest Hills Road Wilson NC 27896 2529910555 2529910596

300 South Stratford Road Winston Salem NC 27103 3367145399 3364481191

4937 Old Country Club Road Winston Salem NC 27104 3365461666 3366084017

5701 University Parkway Winston Salem NC 27105 3362458377 3367144616Blue Home

Provider

Affiliate Health

Plan Provider

1309 Lees Chapel Road Greensboro NC 27455 3362865505 3362865586Blue Home

Provider

3117 Rogers Road, Suite 120 Wake Forest NC 27587 9842351083 9842351690Blue Home

Provider

Affiliate Health

Plan Provider

9764 Holly Springs Road Apex NC 27529 9195576667 9195570344Blue Home

Provider

Affiliate Health

Plan Provider

3610 North Roxboro Street Durham NC 27704 9194128431 9199086484Blue Home

Provider

1519 East Booker Dairy Road, Suite B Smithfield NC 27577 9192051735 9192051733

Moonlight Pediatric Urgent Care

NiteLite Pediatric Urgent Care

New Hope Urgent Care

Lake Jeanette Urgent Care

Neighborhood Urgent Care

Page 42 of 42