| Alexis Joan Jackson, PA-C | |
|
303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | |
| (912) 537-9355 | |
| (912) 335-4804 |
| Full Name | Alexis Joan Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 303 Harris Industrial Blvd Ste 3, Vidalia, 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 |
|---|---|---|---|
| 1962026013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9793 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Candler Medical Oncology Practice Llc | 2860717089 | 26 |
| Entity Name | Candler Medical Oncology Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003217712 PECOS PAC ID: 2860717089 Enrollment ID: O20150211000522 |
| Entity Name | Effingham Physician Practices, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477908788 PECOS PAC ID: 2264727205 Enrollment ID: O20160830000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Joan Jackson, PA-C 1105 E 50th St, Savannah, GA 31404-4021 Ph: (904) 704-7291 | Alexis Joan Jackson, PA-C 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 Ph: (912) 537-9355 |
Mr. James R Payne, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |
Emily Paige Berryhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |
Hunter E Lynn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St # A, Vidalia, GA 30474 Phone: 912-537-4411 |
Mr. Bartlett Emory Davis, PAC ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1707 Meadows Ln, Suite H, Vidalia, GA 30474 Phone: 912-538-0040 Fax: 912-538-8133 |
Mr. Alex Pierce, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1013 E 1st St, Vidalia, GA 30474 Phone: 912-538-7702 |
Dianne S Mixon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474 Phone: 912-537-9488 Fax: 912-537-8951 |
Robert Lee Arnold, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Maple Dr, Vidalia, GA 30474 Phone: 912-537-9851 Fax: 912-537-9843 |