Updated 25 Sept 2023
NC has finally expanded Medicaid! NC now allows online application for benefits including Medicaid, NC Health Choice and Food stamp. Please complete the ePASS application and then you can complete the rest of the interview by phone if you wish. Online application for NC Medicaid/Food Stamps= ePASS
IF you are signed up with AmeriHealth Caritas, Healthy Blue, or United HealthCare Community Plan, and would like to see Sandhills Pediatrics, THEN please call the enrollment broker 1-833-870-5500 and ask to switch to Carolina Complete Health or Wellcare. (with Sandhills Pediatrics as the PCP). We can often see us while you are switching plans, please call us for details.
If your plan is Carolina Complete Health or Wellcare and your Primary Care Provider (PCP) is someone other than Sandhills Pediatrics and you us to be your child’s doctor, please call them and tell them you want to switch PCPs.
- Carolina Complete Health 833-552-3876 and follow the prompts for member services
- Wellcare 866-799-5318
You can also contact the enrollment broker to pick a plan at:
- 833-870-5500 (TTY: 1-833-870-5588) Hours of operation: 7 a.m. to 8 p.m., Monday through Sunday
Our group NPI (National Provider Identifier) is 111-499-8150
Our central office address is: 195 W ILLINOIS AVE
SOUTHERN PINES, NC 28387-5808
Our primary care doctors are:
- LINDSEY BELLAMY, DO
- JOSEPH BOALS, MD
- SARAH LOCKLEAR BREWINGTON, MD
- SARAH CARR, MD
- CHRISTOPH DIASIO, MD
- NATALEE FRENCH, MD
- FREDERICK HARRISON MABRY, MD
- JENNIFER MABRY, MD
- NORA “CATE” MASON, MD
- SCOTT SEXTON, MD
- REBECCA SIMPKIN, MD
- WILLIAM “BILL” STEWART, MD
Our primary care NPs are:
- NIKKI ETEO, CPNP
- GWEN GARCIA-LEACH, CPNP
- JESSICA HAYWOOD, FNP
- ELIZABETH HODGIN, CPNP
- AMY IVEY, CPNP
- KIM NIEMEYER, CPNP
- KAMERON SPERDUTO, CPNP
- MATTHEW THOMPSON, MSN, FNP-C
Medicaid is required to confirm members are still eligible for services- please make sure DSS/Medicaid has your most current address if they need more information. NC Medicaid has more information here.
What should I do right now to get ready?
Please make sure your local DSS office has your current address!
- Cumberland County 910-677- 2316
- Chatham County 984-214-2113
- Harnett County 910-893-7500
- Hoke County 910-875-8725
- Lee County 919-718-4690
- Moore County 910-947-2436
- Montgomery County 910-576-6531
- Richmond County 910-997-8200
- Robeson County 910-671-3500
- Scotland County 910-277-2500
If you can’t reach your county DSS, you can also call the Medicaid Contact Center 1-888-245-0179
If I get a letter saying my children stay in Medicaid Direct, do I need to do anything?
Why is this change happening to NC Medicaid and NC Health Choice?
The NC General Assembly passed the first of three medicaid transformation laws in 2015. Link to Bill
Background from https://medicaid.ncdhhs.gov/transformation
“In 2015, the NC General Assembly enacted legislation directing DHHS to transition Medicaid and NC Health Choice from fee-for-service to managed care. Under managed care, the state contracts with insurance companies, which are paid a predetermined set rate per enrolled person to provide all services. The Department was on track to go live Feb. 1, 2020; however, new funding and program authority were required from the General Assembly to meet this timeline and Medicaid Managed Care was suspended in November 2019. In July 2020, legislation authorized the restart of Medicaid Managed Care transformation efforts with a July 1, 2021, launch date for Standard Plans “
Please let our staff know if you have any questions!