Jamison Daniels (NPI# 1467832923, PAC ID# 4587966999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467832923 |
| PAC ID by PECOS | 4587966999 |
| Professional Enrollment ID | I20151231000681 |
| Full Name | Jamison Daniels |
| Organization Legal Name | EASTSIDE BEHAVIORAL HEALTH ASSOCIATES LLC |
| Address |
2160 Fountain Dr Snellville GA 30078-7022 |
| Phone Number | 7709822345 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183843527 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2160 Fountain Dr, Snellville, GA 30078-7022 | 7709822345 | EASTSIDE BEHAVIORAL HEALTH ASSOCIATES LLC |
| 2160 Fountain Dr, Suite 100, Snellville, GA 30078-7022 | 7709822345 | EASTSIDE BEHAVIORAL HEALTH ASSOCIATES LLC |
| Organization Legal Name | EASTSIDE BEHAVIORAL HEALTH ASSOCIATES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Morris | Psychiatry | Eastside Behavioral Health Associates LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Courtney E Cummings | Psychiatry | Eastside Behavioral Health Associates LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Street Address |
2160 FOUNTAIN DR |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Maria Saroka | Nurse Practitioner | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Kimberly Rose Schiavoni | Nurse Practitioner | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Jody L Amazon-leece | Nurse Practitioner | Jae H Pak Md PC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Abdullah K Almehbash | Emergency Medicine | Maroon Bells Emergency Physicians LLC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Russell G Wagner | Internal Medicine | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Jae H Pak | Psychiatry | Jae H Pak Md PC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SNELLVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jamison Daniels.
| 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.