| Toni Jackson, | |
|
4280 N Valdosta Rd, Valdosta, GA 31602-6814 | |
| (229) 259-4135 | |
| Not Available |
| Full Name | Toni Jackson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4280 N Valdosta Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376939124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 174217 (Florida) | Primary |
| Entity Name | Northside Emergency Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
| Entity Name | Georgia Emergency Department Services, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | South Georgia Emergency Medicine Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
| Entity Name | Walker Lake Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Toni Jackson, 1782 Caswell Pkwy, Marietta, GA 30060-9267 Ph: (404) 808-2160 | Toni Jackson, 4280 N Valdosta Rd, Valdosta, GA 31602-6814 Ph: (229) 259-4135 |
Dr. Charles John Ussery, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, South Georgia Medical Center, Valdosta, GA 31602 Phone: 229-333-1110 |
Jeffrey Cohan, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 |
Richard A Ambrozic, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 |
Alan Stout, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 N Patterson St, Valdosta, GA 31601 Phone: 706-980-9975 |
Joel Quinones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 |
Sharon D Colvin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-333-1000 |
Dr. Lester R. Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2841 N Patterson St, Valdosta, GA 31602 Phone: 229-316-2619 |