Jacqueline A Owusu (NPI# 1023182748, PAC ID# 1951356047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023182748 |
| PAC ID by PECOS | 1951356047 |
| Professional Enrollment ID | I20050322000649 |
| Full Name | Jacqueline A Owusu |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Address |
541 Historic Hwy 441-n Demorest GA 30535 |
| Phone Number | 7705336521 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668465733 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110041 | HABERSHAM COUNTY MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 541 Historic Hwy 441-n, Demorest, GA 30535 | 7705336521 | THE LONGSTREET CLINIC, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evgenia Korytnaya | Endocrinology | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 |
| Hugh Colby Cornelson | Nurse Practitioner | The Longstreet Clinic, PC | 655 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3854 |
| Erica Mcdaniel Abney | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Karl D Schultz | Neurosurgery | The Longstreet Clinic, PC | 1240 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3861 |
| Andrew B Reisman | Family Medicine | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| David A Bray | Internal Medicine | The Longstreet Clinic, PC | 541 Historic Hwy 441-n, Demorest, GA 30535 |
| Mark D Clark | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3846 |
| Eileen Dalmacio Javellana | Internal Medicine | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Brandi N Monroe | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Jeanette Susan Pirkle | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Street Address |
541 HISTORIC HWY 441-N |
| City | DEMOREST |
| State | GA |
| Zip | 30535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Bray | Internal Medicine | The Longstreet Clinic, PC | 541 Historic Hwy 441-n, Demorest, GA 30535 |
| Robert H Hummer Iii | Internal Medicine | The Longstreet Clinic, PC | 541 Historic Hwy 441-n, Demorest, GA 30535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna C Dunn | Clinical Social Worker | Georgia Mountains Community Services | 196 Scroggins Dr, Demorest, GA 30535 |
| James Dallis | Orthopedic Surgery | The Hospital Authority of Habersham County | 541 Historic Hwy 441 N, Demorest, GA 30535 |
| William E Garry | Certified Registered Nurse Anesthetist (crna) | Total Care Anesthesia Partners LLC | 541 Historic Hwy 441n, Demorest, GA 30535 |
| Ravin Talati | General Practice | 1070 Historic Hwy 441 D-e, Demorest, GA 30535 | |
| Carl Douglas Little Jr. | Chiropractic | 1083 Historic Hwy 441 N, Demorest, GA 30535 | |
| John Timothy Cope | Internal Medicine | 590 Historic Hwy 441 N, Demorest, GA 30535 | |
| Joshua L Garrett | Family Medicine | 590 Historic Hwy 441, Demorest, GA 30535 | |
| Jon S Poling | Neurology | Athens Neurological Associates, P.c | 638 Historic Hwy 441n C, Demorest, GA 30535 |
| Daniel Bryce Skipper | Certified Registered Nurse Anesthetist (crna) | Total Care Anesthesia Partners LLC | 541 Historic Hwy 441n, Demorest, GA 30535 |
| Brandon J Taylor | Certified Registered Nurse Anesthetist (crna) | Total Care Anesthesia Partners LLC | 541 Historic Hwy 441n, Demorest, GA 30535 |
| Find all physicians in zip 30535 | |||
| City | DEMOREST |
| Zip Code | 30535 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DEMOREST + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacqueline A Owusu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.