| Haley B Wilson, PA-C | |
|
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
| (770) 535-3611 | |
| (770) 535-7092 |
| Full Name | Haley B Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336111046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3272 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 003272 (Georgia) | Primary |
| Entity Name | Northeast Georgia Community Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881583730 PECOS PAC ID: 3274010582 Enrollment ID: O20260116002133 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley B Wilson, PA-C Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Haley B Wilson, PA-C 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 535-3611 |
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 |