JESSICA J LIVENGOOD (NPI# 1952931966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952931966 |
| Entity Type | Individual |
| Full Name | JESSICA J LIVENGOOD |
| Other Name | JESSICA L JACKSON |
| Credential | PA-C |
| Practice Address |
1210 New Garden Rd Greensboro NC 27410-2721 |
| Practice Telephone | 3362946190 |
| Practice Fax Number | 3362946278 |
| Mailing Telephone | 3362683129 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013382217 | Jessica Elizabeth Livengood | Physical Therapy Assistant | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2015-12-14 |
| Street Address |
1210 NEW GARDEN RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750320727 | Lana S. O'neal | Emergency Medicine | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-06-05 |
| 1740827617 | Mary Yonjof | Registered Nurse | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2019-12-10 |
| 1174022743 | Andrew Ronald Brake | Registered Nurse | 1210 New Garden Rd, Greensboro, NC 27410 | 2018-02-08 |
| 1306255393 | Courtney Wharton | Physician Assistant | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2014-08-05 |
| 1457436982 | Eagle Physicians and Associates Pa | Nurse Practitioner | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1548873433 | Olivia Mustin Clelland | Physician Assistant | 301 E Wendover Ave Ste 200, Greensboro, NC 27401-1232 | 2020-08-28 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1336790278 | Kaitlyn Albrizze | Physician Assistant | 1921 New Garden Rd Apt E304, Greensboro, NC 27410-2387 | 2019-09-23 |
| 1902462146 | Alix Rothbart | Physician Assistant | 310 Waverly Way, Greensboro, NC 27403-1658 | 2019-05-14 |
| 1013482033 | Taylor Mackenzie Dale | Physician Assistant | 1313 Carolina St Ste 101, Greensboro, NC 27401-6002 | 2018-10-05 |
| 1598148900 | Jonathan Lichtenstein | Physician Assistant | 4012 Battleground Ave Ste B, Ste 1020, Greensboro, NC 27410-8592 | 2015-07-02 |
| 1346637964 | Anne Mack Herion | Physician Assistant | 301 Ridgeway Dr, Greensboro, NC 27403-1528 | 2015-04-21 |
| 1639583552 | Joy Mauney Peterson | Physician Assistant | 516 Lausanne Dr, Greensboro, NC 27410-5243 | 2014-06-18 |
| 1508288168 | Hao Meng | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2014-01-15 |
| 1679903819 | Kelly Humes | Physician Assistant | 1200 N. Elm Street, Greensboro, NC 27404-0467 | 2013-11-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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| 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.