| Ms Jennifer Jacqueline Jackson, PA | |
|
2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 | |
| (404) 605-2050 | |
| Not Available |
| Full Name | Ms Jennifer Jacqueline Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 2001 Peachtree Rd Ne Ste 645, Atlanta, 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 |
|---|---|---|---|
| 1235196684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002415 (Georgia) | Primary |
| 207RX0202X | Internal Medicine - Medical Oncology | 002415 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 526 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Fulton Dekalb Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992799050 PECOS PAC ID: 6406757590 Enrollment ID: O20040614000100 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Wellstreet of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Entity Name | Houston County Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Jacqueline Jackson, PA 2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 Ph: Not Available | Ms Jennifer Jacqueline Jackson, PA 2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 Ph: (404) 605-2050 |
Chhaya J Gandhi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |