| Jacqueline Small, | |
|
407 W Maple St # 101, Cumming, GA 30040 | |
| (770) 888-6697 | |
| Not Available |
| Full Name | Jacqueline Small |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 407 W Maple St # 101, Cumming, 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 |
|---|---|---|---|
| 1407415615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN224391 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gwinnett Center Medical Associates | 7810893732 | 4 |
| Entity Name | Gwinnett Center Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811097181 PECOS PAC ID: 7810893732 Enrollment ID: O20031211000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Small, 3910 Plantation Mill Dr, Buford, GA 30519-1970 Ph: (770) 314-8027 | Jacqueline Small, 407 W Maple St # 101, Cumming, GA 30040 Ph: (770) 888-6697 |
Mrs. Katherine Weaver, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937 |
Megan Irene Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041 Phone: 770-844-0877 Fax: 770-844-0891 |
Haley Elizabeth Doran, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Dahlonega St Ste 100, Cumming, GA 30040 Phone: 770-751-1589 |
Mrs. Zahra Alavi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 980 Sanders Rd Ste 100, Cumming, GA 30041 Phone: 770-886-1074 Fax: 770-205-4717 |
Winifred U Chukwu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1286, Cumming, GA 30028 Phone: 678-622-5928 |
Jill Morich Webb, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5965 Parkway North Blvd Ste C, Cumming, GA 30040 Phone: 770-886-5700 Fax: 770-886-0404 |
Christine Dogan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5550 Bethelview Rd, Cumming, GA 30040 Phone: 678-456-4089 |