Jaclyn Collie (NPI# 1922509520, PAC ID# 2365799632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1922509520 |
PAC ID by PECOS | 2365799632 |
Professional Enrollment ID | I20180717004094 |
Full Name | Jaclyn Collie |
Organization Legal Name | WADDELL CENTER FAMILY MEDICINE |
Address |
902 W Washington St Athens AL 35611-2438 |
Phone Number | 2562169777 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3577832542 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010079 | ATHENS LIMESTONE HOSPITAL |
Address | Phone | Organization |
---|---|---|
700 W Market St, Athens, AL 35611-2457 | 2562622112 | ALH HOSPITALIST |
902 W Washington St, Athens, AL 35611-2438 | 2562169777 | WADDELL CENTER FAMILY MEDICINE |
Organization Legal Name | WADDELL CENTER FAMILY MEDICINE |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa C Gray | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Samantha Clark Ross | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
William Woodall | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Lindsey Smith | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Street Address |
902 W WASHINGTON ST |
City | ATHENS |
State | AL |
Zip | 35611-2438 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa C Gray | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Samantha Clark Ross | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
William Woodall | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Lindsey Smith | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracy Lynn Pool | Family Medicine | 611 W Market St, Athens, AL 35611-0001 | |
Albert H Scherff | Preventative Medicine | 902 W Hobbs St, Athens, AL 35611-1412 | |
Stanley F Smallwood | Nurse Practitioner | 910 W Hobbs St, Athens, AL 35611-1412 | |
Eduardo Bazan Lavanda | Internal Medicine | 205 Sanders St, Athens, AL 35611-1419 | |
Shashanna Ndong | Internal Medicine | Valley Internal Medicine | 710 W Hobbs St, Athens, AL 35611-1508 |
Paul E Noel | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
Cassidy J Koonce | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
Seth D Rayburn | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
Lorie M Hedgepeth | Chiropractic | 613 E Hobbs St, Athens, AL 35611-2150 | |
Nancy D Mcdonald | Clinical Social Worker | Foundations Counseling Center, Inc. | 100 Hine S St, Athens, AL 35611-2302 |
Find all physicians in zip 35611 |
City | ATHENS |
Zip Code | 35611 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ATHENS + NURSE PRACTITIONER |
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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.