Dr Stephen Jackson, MD | |
1170 Cleveland Ave, East Point, GA 30344-3615 | |
(404) 466-1600 | |
Not Available |
Full Name | Dr Stephen Jackson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 1170 Cleveland Ave, East Point, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659733491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 217666 (North Carolina) | Secondary |
207P00000X | Emergency Medicine | 82539 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Health Union | Monroe, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Atrium Health Anson | Wadesboro, NC | Hospital |
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Carolinas Emergency Group, Pllc | 2567486814 | 69 |
Stallings Emergency Physicians Pllc | 2769870971 | 28 |
Ballantyne Emergency Physicians Pllc | 8123459898 | 32 |
Entity Name | Carolinas Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Entity Name | The Carolinas Emergency Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
Entity Name | Ballantyne Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164052726 PECOS PAC ID: 8123459898 Enrollment ID: O20200513000736 |
Entity Name | Stallings Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235728031 PECOS PAC ID: 2769870971 Enrollment ID: O20211020002403 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Jackson, MD 1170 Cleveland Ave, East Point, GA 30344-3615 Ph: () - | Dr Stephen Jackson, MD 1170 Cleveland Ave, East Point, GA 30344-3615 Ph: (404) 466-1600 |
Nicole M Haig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 | |
Dr. Samson Adewale, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 Cleveland Ave Ste 100, East Point, GA 30344 Phone: 404-466-7900 Fax: 770-999-2860 | |
Camille Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1654 | |
Travis K Jasper, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 | |
Dwayne Washington, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1170 Cleveland Ave., East Point, GA 30344 Phone: 404-466-1170 | |
Howard Peters, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 |