| Kecia Strawter Jackson, MD | |
|
8011 Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 | |
| (678) 323-7521 | |
| (770) 761-6626 |
| Full Name | Kecia Strawter Jackson |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 34 Years |
| Location | 8011 Mall Parkway, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811949688 | NPI | - | NPPES |
| 00617328I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 038978 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 658 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Kecia Strawter Jackson, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Kecia Strawter Jackson, MD 8011 Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 Ph: (678) 323-7521 |
Charmaine Gray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Pediatrics Health Care Team A, Lithonia, GA 30058 Phone: 770-322-2712 Fax: 770-322-2747 | |
Christina Marie Yadao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2712 | |
Mar'quenda Sanders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Dr, Lithonia, GA 30058 Phone: 770-809-3332 | |
David William Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Lithonia, GA 30058 Phone: 404-365-0966 Fax: 770-322-2770 | |
Amy M. Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2712 | |
Dr. Anissa Sharifi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5700 Hillandale Dr, Suite 150, Lithonia, GA 30058 Phone: 770-670-6100 Fax: 678-990-1446 | |
Jeannie A Belay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2712 Fax: 215-476-3981 |