JESSICA BECK (NPI# 1962852434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962852434 |
| Entity Type | Individual |
| Full Name | JESSICA BECK |
| Credential | PA |
| Practice Address |
5445 Meridian Marks Rd Ste 250 Atlanta GA 30342-4763 |
| Mailing Address |
1200 Lake Hearn Dr Ne Ste 400 Brookhaven GA 30319-1415 |
| Practice Telephone | 4042551933 |
| Practice Fax Number | 4042567924 |
| Mailing Telephone | 4042551933 |
| Mailing Fax Number | 4042567924 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CERTIFICATION | 1133579 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295197010 | Jessica Beck | Speech-Language Pathologist | 569 Concord Dr, Chaska, MN 55318-1643 | 2016-03-22 |
| 1376932509 | Jessica Eva Beck | Registered Nurse | 856 Whispering Pines Cir, Lake Mills, WI 53551-9404 | 2015-01-12 |
| 1295098804 | Jessica Walton Beck | Physical Therapist | 1468 Bethany Church Rd, Bumpass, VA 23024-3506 | 2012-06-19 |
| 1851546683 | Jessica Sue Beck | Social Worker | 7312 Waterside Dr, Huntington Beach, CA 92648-3046 | 2008-11-20 |
| 1972111409 | Jessica Nicole Beck | Nurse Practitioner | 21 Doctors Dr, Ocean Springs, MS 39564-5709 | 2020-07-21 |
| 1932732807 | Jessica Beck | Behavior Technician | 1020 Trimmier Rd, Killeen, TX 76541-8029 | 2020-02-19 |
| 1629631775 | Jessica Lynn Beck | Nurse Practitioner | 910 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2019-04-15 |
| 1295219079 | Jessica Lynn Beck | Physical Therapist | 501 W. Macdade Blvd, 2nd Floor, Folsom, PA 19033 | 2018-09-18 |
| 1457886491 | Jessica Beck | Social Worker | 309 Millionaire Ave, Mott, ND 58646-7267 | 2017-04-27 |
| 1922491950 | Jessica Beck | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2015-03-16 |
| Street Address |
5445 MERIDIAN MARKS RD STE 250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972561405 | Wayne L Ambroze | Colon & Rectal Surgery | 5445 Meridian Marks Rd, Suite 180, Atlanta, GA 30342-4763 | 2006-05-03 |
| 1437509791 | Sarah Delk | Physician Assistant | 5445 Meridian Marks Rd, Ste 250, Atlanta, GA 30342-4763 | 2016-06-17 |
| 1336546449 | Plastic Surgery Associates of Georgia | Plastic Surgery | 5445 Meridian Marks Rd, Suite 395, Atlanta, GA 30342-4763 | 2014-12-04 |
| 1588984058 | Ravinder Kaur Brar | Orthopaedic Surgery | 5445 Meridian Marks Rd, Suite 250, Atlanta, GA 30342-4763 | 2010-06-08 |
| 1023247863 | Joshua Murphy | Orthopaedic Surgery | 5445 Meridian Marks Rd, St 250, Atlanta, GA 30342-4763 | 2009-07-14 |
| 1104068972 | Michael Louis Garcia-roig | Student in an Organized Health Care Education/Training Program | 5445 Meridian Marks Rd, Ste 420, Atlanta, GA 30342-4763 | 2009-03-25 |
| 1265693204 | Kevin A Budman | Ophthalmology | 5445 Meridian Marks Rd, Atlanta, GA 30342-4763 | 2008-06-23 |
| 1225213804 | Tejas R Mehta | Pediatrics | 5445 Meridian Marks Rd, Suite 490, Atlanta, GA 30342-4763 | 2008-01-02 |
| 1689876526 | Nelson Castillo | Plastic Surgery | 5445 Meridian Marks Rd, Suite 395, Atlanta, GA 30342-4763 | 2007-06-04 |
| 1336174085 | James Michael Elmore | Urology | 5445 Meridian Marks Rd, Suite 420, Atlanta, GA 30342-4763 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356775 | Jason Weddington | Physician Assistant | 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 | 2016-06-11 |
| 1578937181 | Vds Surgical Assistants, Inc. | Physician Assistant | 1307 W Garmon Rd, Atlanta, GA 30327-4405 | 2015-11-19 |
| 1407220379 | Simpson Surgery Group, LLC | Physician Assistant | 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 | 2015-11-16 |
| 1417388232 | Tracey Lorena Tello | Physician Assistant | 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 | 2013-12-04 |
| 1336587401 | Marissa B Highnote | Physician Assistant | 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 | 2013-06-11 |
| 1396013223 | Signature Surgical Assistants | Physician Assistant | 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 | 2011-12-07 |
| 1720364318 | Leah Strickland | Physician Assistant | 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 | 2011-10-26 |
| 1669798872 | Tiffiany Mccune | Physician Assistant | 4979 Lower Elm St, Atlanta, GA 30349-1677 | 2010-04-13 |
| 1306177233 | Hong Feng Shi | Physician Assistant | 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 | 2010-01-15 |
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
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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.