Sandra Jones Dickerson (NPI# 1164521985, PAC ID# 4183813561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1164521985 |
PAC ID by PECOS | 4183813561 |
Professional Enrollment ID | I20110118000033 |
Full Name | Sandra Jones Dickerson |
Organization Legal Name | UPSON SURGICAL ASSOCIATES, LLC |
Address |
100 Hwy 18 W Suite 206 Barnesville GA 30204-1713 |
Phone Number | 7703581860 |
Gender | F |
Medical School | HARVARD MEDICAL SCHOOL |
Graduation Year | 1985 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 2062690480 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200008 | MERCY HOSPITAL |
Address | Phone | Organization |
---|---|---|
100 Hwy 18 W, Suite 206, Barnesville, GA 30204-1713 | 7703581860 | UPSON SURGICAL ASSOCIATES, LLC |
144 State St, Portland, ME 04101-3776 | 2078793190 | MERCY HOSPITAL |
175 Fore River Pkwy, Portland, ME 04102-2779 | 2078793000 | MERCY HOSPITAL |
43 Baxter Blvd, Suite 2, Portland, ME 04101-1823 | 2077711717 | MERCY HOSPITAL |
40 Park Rd, Westbrook, ME 04092-3188 | 2078578174 | MERCY HOSPITAL |
Organization Legal Name | UPSON SURGICAL ASSOCIATES, LLC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darryl H Knight | General Surgery | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Herbert C Jones | Otolaryngology | Upson Surgical Associates, LLC | 100 Hwy 18 W, Suite 206, Barnesville, GA 30204-1713 |
Mark E Dorogy | Cardiovascular Disease (cardiology) | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Kerry B Evans | Qualified Audiologist | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Jesse E Rogers Iii | Physician Assistant | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Nancy Nguyen Butler | Otolaryngology | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Daniel A Bridges | Urology | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Olexandr V Smolensky | Cardiovascular Disease (cardiology) | Upson Surgical Associates, LLC | 915 W Gordon St, Suite A, Thomaston, GA 30286-3427 |
Robert G Solyomvari | General Surgery | Upson Surgical Associates, LLC | 612 W Gordon St, Suite E, Thomaston, GA 30286-3416 |
Street Address |
100 HWY 18 W SUITE 206 |
City | BARNESVILLE |
State | GA |
Zip | 30204-1713 |
Name | Specialty | Organization | Address |
---|---|---|---|
Herbert C Jones | Otolaryngology | Upson Surgical Associates, LLC | 100 Hwy 18 W, Suite 206, Barnesville, GA 30204-1713 |
Angela L Williamson | Nurse Practitioner | Upson Medical Associates LLC | 100 Hwy 18 W, Barnesville, GA 30201-1713 |
Cherinor Sillah | Family Practice | Orthopedics Sports Medicine and Surgery LLC | 100 Hwy 18 W, Barnesville, GA 30204-1198 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jamie A Smith | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Timothy S Fischer | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Melanie C Fisher | Certified Clinical Nurse Specialist (cns) | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Ana M Cuebas | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Denise Hanak Atkins | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Sangeetha Venkataramanan | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Charlene S Pugh | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Carol A Lyle | Psychiatry | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Deborah M Quinton | Clinical Social Worker | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Dherby Georges-ramdeen | Nurse Practitioner | Mcintosh Trail Community Service Board | 700 Hwy 314 S, Banesville, GA 30204 |
Find all physicians in zip 30204 |
City | BARNESVILLE |
Zip Code | 30204 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | BARNESVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Sandra Jones Dickerson.
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.