Deborah Evans, PA-C | |
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 | |
(404) 851-8000 | |
Not Available |
Full Name | Deborah Evans |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881776607 | NPI | - | NPPES |
100001096A | Medicaid | GA | |
333478 | Other | GA | WELLCARE |
100001096 | Medicaid | GA | |
01067986 | Other | GA | AMERIGROUP |
100001096B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002111 (Georgia) | Primary |
363AM0700X | Physician Assistant - Medical | 002111 (Georgia) | Secondary |
Entity Name | Northside Emergency Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Mailing Address | Practice Location Address |
---|---|
Deborah Evans, PA-C 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678 | Deborah Evans, PA-C 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (404) 851-8000 |
Teresa Cleaves, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 804 River Mist Dr, Jonesboro, GA 30238 Phone: 770-985-4257 Fax: 770-985-4258 | |
Mr. Jerome A Maislis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Rebecca Mcphail, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7823 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-996-1122 | |
Stephanie Summerhill-brcka, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 | |
Karen Dixon, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Fieldstone Pkwy, Jonesboro, GA 30236 Phone: 678-499-5103 Fax: 770-629-5554 | |
Meghan C Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Ctr, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Mr. Keith Wesley Fort, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 201-943-9100 Fax: 201-943-7308 |