JACQUELYN MACEY PA-C LLC (NPI# 1336608942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336608942 |
| Entity Type | Organization |
| Organization Name | JACQUELYN MACEY PA-C LLC |
| Practice Address |
2400 Wisteria Dr Ste A Snellville GA 30078-2689 |
| Mailing Address |
1105 Town Blvd Ne Unit 2302 Brookhaven GA 30319-3662 |
| Practice Telephone | 7709859330 |
| Mailing Telephone | 8505821221 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | JACQUELYN DENISE MACEY (PHYSICAIAN ASSISTANT) |
| Authorized Official Telephone | 8505821221 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 WISTERIA DR STE A |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144745191 | Kelsi B Norton | Physical Therapist | 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 | 2017-08-11 |
| 1467069310 | Shelby Mcclure | Physical Therapist | 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 | 2020-09-24 |
| 1598375230 | Alexander Whitfield | Physical Therapist | 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 | 2020-08-07 |
| 1063072544 | Gabriel Warner | Physical Therapist | 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 | 2019-06-18 |
| 1073029146 | Jamar Brown | Physician Assistant | 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 | 2017-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952471 | Tanvi Mamud Dhanani | Physician Assistant | 1010 Cranbrook Glen Ln, Snellville, GA 30078-7902 | 2020-01-27 |
| 1003453283 | Nives Keran | Physician Assistant | 3176 Boulder Creek Rd, Snellville, GA 30039-4788 | 2019-12-05 |
| 1013376573 | Alig Orthopedics LLC | Physician Assistant | 2400 Wisteria Dr Ste 200, Snellville, GA 30078-2689 | 2016-02-12 |
| 1427497577 | Brett L Woodford | Physician Assistant | 1700 Tree Ln Ste 470, Snellville, GA 30078-6756 | 2013-06-21 |
| 1063488708 | Jennifer B. Sissom | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2006-02-23 |
| 1790777217 | Angela Jones | Physician Assistant | 1780 Presidential Cir, Suite 100, Snellville, GA 30078-5643 | 2005-08-19 |
| 1669092300 | Kristin Paige Turmel | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2020-04-23 |
| 1033738349 | Kathryn Iwasaki | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-04-16 |
| 1942866926 | Samantha Alice Stellmacher | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2019-05-15 |
| 1184187395 | Sawyer Reed | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2019-04-13 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on JACQUELYN MACEY PA-C LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.