Mrs Elisabeth Jackson Gaines I, PA-C in Douglasville, GA

Mrs Elisabeth Jackson Gaines I, PA-C is a medicare enrolled "Physician Assistant" in Douglasville, Georgia. She went to University Of South Alabama College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Nsh Cancer Institute Professional Services G Llc and her current practice location is 4586 Timber Ridge Dr Ste 200, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 942-0457.

Mrs Elisabeth Jackson Gaines I is licensed to practice in Georgia (license number 003791) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194706234.

Contact Information

	Mrs Elisabeth Jackson Gaines I, PA-C
	4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135-7514
	(770) 942-0457
	(770) 942-7699

Map and Direction

Provider's Profile

Full Name	Mrs Elisabeth Jackson Gaines I
Gender	Female
Speciality	Physician Assistant
Experience	25 Years
Location	4586 Timber Ridge Dr Ste 200, Douglasville, 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.

Medical Education and Training:

Mrs Elisabeth Jackson Gaines I attended and graduated from University Of South Alabama College Of Medicine in 1999

NPI Data:

NPI Number: 1194706234
Provider Enumeration Date: 11/07/2005
Last Update Date: 12/07/2020

Medicare PECOS Information:

PECOS PAC ID: 2264527779
Enrollment ID: I20070928000238

Medical Identifiers

Medical identifiers for Mrs Elisabeth Jackson Gaines I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194706234	NPI	-	NPPES
003101476B	Medicaid	GA
202I970546	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	003791 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nsh Cancer Institute Professional Services G Llc	0840443164	106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elisabeth Jackson Gaines I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Elisabeth Jackson Gaines I, PA-C 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 Ph: (770) 942-0457	Mrs Elisabeth Jackson Gaines I, PA-C 4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135-7514 Ph: (770) 942-0457

Reviews and Comments

Physician Assistant Nurses in Douglasville, GA

Monica Isela Herrera, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4904 Timber Ridge Dr Ste 101, Douglasville, GA 30135 Phone: 770-739-7546
Mrs. Kristin Isabel Griggs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 943-202-7120 Fax: 470-986-7807
Ashton Brooke Hendricks, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8855 Hospital Dr Ste 101, Douglasville, GA 30134 Phone: 678-784-5020 Fax: 678-784-5024
Ms. Pamela Landers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Sara Haroon Yousuf, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3872 Ga-5, Douglasville, GA 30135 Phone: 954-790-3395
Patience Ogechi Ibezim, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8901 Stonebridge Blvd Ste 100, Douglasville, GA 30134 Phone: 943-202-7100 Fax: 470-986-7025

Mrs Elisabeth Jackson Gaines I, PA-C - Medicare Physician Assistant in Douglasville, GA