| Charlsie Thomas Taylor, PA-C | |
|
1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | |
| (770) 536-9864 | |
| (770) 297-5023 |
| Full Name | Charlsie Thomas Taylor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1240 Jesse Jewell Pkwy Se, Gainesville, 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 |
|---|---|---|---|
| 1962948422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 008235 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Georgia Diagnostic Associates And Clinic, Llc | 1951655737 | 81 |
| Entity Name | Northeast Georgia Diagnostic Associates and Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144719311 PECOS PAC ID: 1951655737 Enrollment ID: O20181114000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlsie Thomas Taylor, PA-C 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864 | Charlsie Thomas Taylor, PA-C 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864 |
Kierney Elizabeth Jackson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 |
Justina Li Vega, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-7288 Fax: 770-534-9800 |
Mrs. Brandi Nichelle Monroe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 |
Brandon Lee Ellis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1104 Elm Grove Ave, Gainesville, GA 30501 Phone: 850-450-0002 |
Angel Nichols, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 302, Gainesville, GA 30501 Phone: 770-219-9200 |
Robert J Poole, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |
Rachael Leah Brooks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 |