Leslie Schaad Jackson, FNP-C | |
10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 | |
(678) 493-0752 | |
(678) 493-2401 |
Full Name | Leslie Schaad Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 10515 Bells Ferry Rd Ste 200, 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 |
---|---|---|---|
1083057152 | NPI | - | NPPES |
003154541A | Medicaid | GA | |
003154541B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN149423 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Perimeter Professional Services, Llc | 9032337423 | 18 |
Entity Name | Perimeter Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235543620 PECOS PAC ID: 9032337423 Enrollment ID: O20140827000316 |
Mailing Address | Practice Location Address |
---|---|
Leslie Schaad Jackson, FNP-C 460 Northside Cherokee Blvd, Suite 170, Canton, GA 30115-8016 Ph: (770) 721-9170 | Leslie Schaad Jackson, FNP-C 10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 Ph: (678) 493-0752 |
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: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610 | |
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377 | |
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114 Phone: 770-704-6988 Fax: 770-720-8775 | |
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 | |
Kelly Marie Shirley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 Phone: 770-224-1400 |