Mary L Jackson (NPI# 1205942927, PAC ID# 4183749187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205942927 |
| PAC ID by PECOS | 4183749187 |
| Professional Enrollment ID | I20100914001198 |
| Full Name | Mary L Jackson |
| Organization Legal Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Address |
1415 Physicians Dr Wilmington NC 28401-7338 |
| Phone Number | 9106629500 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204805823 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| 340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1415 Physicians Dr, Wilmington, NC 28401-7338 | 9106629500 | CAROLINA HEALTHCARE ASSOCIATES INC |
| Organization Legal Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Physicians | 238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie C Holt | Internal Medicine | Carolina Healthcare Associates Inc | 5145 S College Rd, Wilmington, NC 28412-2207 |
| Walker J Jamar | Physician Assistant | Carolina Healthcare Associates Inc | 1520 Physicians Dr, Wilmington, NC 28401-7356 |
| Beverly Montalvo | Nurse Practitioner | Carolina Healthcare Associates Inc | 584 Hospital Dr E, Cape Fear Heart Assoictes, Bolivia, NC 28422-9047 |
| Darshan D Dave | Internal Medicine | Carolina Healthcare Associates Inc | 7420 Market St, Wilmington, NC 28411-9453 |
| George T Newbill | Family Medicine | Carolina Healthcare Associates Inc | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-7409 |
| Kimberly R Brunsink | Family Medicine | Carolina Healthcare Associates Inc | 1960 S 16th St, Wilmington, NC 28401-6676 |
| Carli Williams | Family Medicine | Carolina Healthcare Associates Inc | 306 S Campbell St, Burgaw, NC 28425-5010 |
| Esther Rochelle Murray | Physician Assistant | Carolina Healthcare Associates Inc | 1509 Doctors Cir C, Wilmington, NC 28401-7403 |
| Marcus Richard Bair | Physical Therapy | Carolina Healthcare Associates Inc | 2710 Market St, Wilmington, NC 28403-1218 |
| Bridgette E Williams | Nurse Practitioner | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Street Address |
1415 PHYSICIANS DR |
| City | WILMINGTON |
| State | NC |
| Zip | 28401-7338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridgette E Williams | Nurse Practitioner | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Monica N Hill | Nurse Practitioner | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| James Summers Forrester Jr. | Cardiac Electrophysiology | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| John James Rommel | Advanced Heart Failure and Transplant Cardiology | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| William Preston Buchanan | Interventional Cardiology | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Joshua B Winslow | Cardiovascular Disease (cardiology) | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Timothy M Winslow | Cardiovascular Disease (cardiology) | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Sharon L Lane | Physician Assistant | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Rachel C March | Clinical Social Worker | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Sunil R Iyer | Cardiovascular Disease (cardiology) | Carolina Healthcare Associates Inc | 1415 Physicians Dr, Wilmington, NC 28401-7338 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Messier | Family Medicine | Carolina Healthcare Associates Inc | 510 Carolina Bay Dr, Suite 110, Wilmington, NC 28401-2043 |
| Dawn Marie Thornton | Internal Medicine | Carolina Healthcare Associates Inc | 510 Carolina Bay Dr, Suite 110, Wilmington, NC 28401-2043 |
| Erin D Williamson | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Eileen F Hubler | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Heather Howard | Clinical Social Worker | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Tammy Lynn Gland Cercone | Clinical Social Worker | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Jordan E Gibble | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Laura Rosenthall Schultz | Certified Nurse Midwife (cnm) | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Saka A Salami | Psychiatry | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Shalane Beth Moore | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
| Find all physicians in zip 28401 | |||
| City | WILMINGTON |
| Zip Code | 28401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILMINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary L Jackson.
| 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.