| Jessica Wilson, | |
|
603 Ashford Estates Ave, Canton, GA 30115-3023 | |
| (352) 484-5844 | |
| Not Available |
| Full Name | Jessica Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 603 Ashford Estates Ave, Canton, 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 |
|---|---|---|---|
| 1760335848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP712085 (Georgia) | Primary |
| 163W00000X | Registered Nurse | RN712085 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Medical Group Llc | 9133304603 | 132 |
| Entity Name | Curana Health of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043605314 PECOS PAC ID: 2466767686 Enrollment ID: O20150818004266 |
| Entity Name | Curana Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20200410001728 |
| Entity Name | CH Specialty Services Ga LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306545181 PECOS PAC ID: 8921464579 Enrollment ID: O20230524000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wilson, 603 Ashford Estates Ave, Canton, GA 30115-3023 Ph: (352) 484-5844 | Jessica Wilson, 603 Ashford Estates Ave, Canton, GA 30115-3023 Ph: (352) 484-5844 |
Mrs. Holly Allen, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115 Phone: 770-292-3490 Fax: 770-721-5615 |
Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610 |
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377 |
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936 |
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610 |
Tiffany Morgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1219 Univeter Rd, Canton, GA 30115 Phone: 770-345-7371 |
Kerry Martin Gilliland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 Phone: 678-538-2168 |