Kecia Strawter Jackson, MD | |
8011 Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 | |
(678) 323-7521 | |
(770) 761-6626 |
Full Name | Kecia Strawter Jackson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8011 Mall Parkway, Lithonia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811949688 | NPI | - | NPPES |
00617328I | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 038978 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Kecia Strawter Jackson, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Kecia Strawter Jackson, MD 8011 Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 Ph: (678) 323-7521 |
Charmaine Gray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Pediatrics Health Care Team A, Lithonia, GA 30058 Phone: 770-322-2712 Fax: 770-322-2747 | |
Christina Marie Yadao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2712 | |
Barbara Sweeney, CNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5440 Hillandale Drive, Pediatrics Health Care Team A, Lithonia, GA 30058 Phone: 770-322-2712 Fax: 770-322-2747 | |
David William Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Lithonia, GA 30058 Phone: 404-365-0966 Fax: 770-322-2770 | |
Amy M. Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Dr, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2712 | |
Dr. Anissa Sharifi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5700 Hillandale Dr, Suite 150, Lithonia, GA 30058 Phone: 770-670-6100 Fax: 678-990-1446 | |
Jeannie A Belay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-2712 Fax: 215-476-3981 |