Rebecca D Jackson (NPI# 1609102243, PAC ID# 5395911879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609102243 |
| PAC ID by PECOS | 5395911879 |
| Professional Enrollment ID | I20120104000807 |
| Full Name | Rebecca D Jackson |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Address |
1285 Upper Hembree Rd Roswell GA 30076-1143 |
| Phone Number | 7703438565 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739189838 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 7703438565 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 3000 Hospital Blvd, Roswell, GA 30076-4915 | 7707512500 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Rebecca Radke | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 |
| Mary E Bergh | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Niraj Sharma | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Faresa Z Weragoda | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424 |
| Yirima Simon | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Lois A Fairfield | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Carolyn M Moore | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Street Address |
1285 UPPER HEMBREE RD |
| City | ROSWELL |
| State | GA |
| Zip | 30076-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Bergh | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Yirima Simon | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Carolyn M Moore | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Thomas M Jordan | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Jaimie K Chausmer | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Tanya K Burnette | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Apurva D Shah | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Melissa Clare Willman | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Arlene A Wilson | Internal Medicine | Northside Primary Care Professional Services,llc | 1285 Upper Hembree Rd, Suite 205, Roswell, GA 30076-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick D Fraser | Psychologist, Clinical | 11755 Point Place, Suite B, Roswell, GA 30076 | |
| Katharine Haase | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Alexandra N. Katsorelos | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Jennifer Bush | Nurse Practitioner | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark L Gravlee | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| James Haynes | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Sachin Lavania | Pulmonary Disease | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Justin Kunes | Orthopedic Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark H Middleton | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Jacob Holloway | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Find all physicians in zip 30076 | |||
| City | ROSWELL |
| Zip Code | 30076 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROSWELL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Rebecca D 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.