Sudhisha Kumari Jala (NPI# 1659895373, PAC ID# 6800152505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1659895373 |
| PAC ID by PECOS | 6800152505 |
| Professional Enrollment ID | I20171114000832 |
| Full Name | Sudhisha Kumari Jala |
| Organization Legal Name | AGA PROFESSIONAL SERVICES LLC |
| Address |
2401 Newnan Crossing Blvd Suite 110 Newnan GA 30265-2408 |
| Phone Number | 6786314610 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870768997 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 | 6786314610 | AGA PROFESSIONAL SERVICES LLC |
| Organization Legal Name | AGA PROFESSIONAL SERVICES LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Azelton | Nurse Practitioner | Aga Professional Services LLC | 226 E College St, Suite B, Griffin, GA 30224-4348 |
| Susan Danielle Beitzell | Nurse Practitioner | Aga Professional Services LLC | 340 N Milledge Ave, Suite B, Athens, GA 30601-3806 |
| Heather Rose Van Duys | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Shontreka A Glover | Nurse Practitioner | Aga Professional Services LLC | 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 |
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Tracy J Herring | Nurse Practitioner | Aga Professional Services LLC | 2020 Cumming Hwy, Suite 102, Canton, GA 30115-8071 |
| Jaime G Ackerman | Physician Assistant | Aga Professional Services LLC | 488 Kennesaw Ave, Marietta, GA 30060-9409 |
| Melissa B Baughcum | Nurse Practitioner | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Rayllensons Itacy | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Aakashi D Patel | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Street Address |
2401 NEWNAN CROSSING BLVD SUITE 110 |
| City | NEWNAN |
| State | GA |
| Zip | 30265-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Rose Van Duys | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Melissa B Baughcum | Nurse Practitioner | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Rayllensons Itacy | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Aakashi D Patel | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Luis M Galvez | Internal Medicine | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Carly W Sayers | Nurse Practitioner | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Rodney S Cohen | Gastroenterology | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Lorena D Narvaez | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Brent William Acker | Gastroenterology | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Alison Samantha Moe | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janeann Lee | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Sydney Adams Cowing | Qualified Audiologist | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
| Kimberly Campbell | Nurse Practitioner | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
| Amy Rebecca Jeffries | Optometry | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
| Sean M Miles | Family Medicine | 1605 Hwy 34 E, A2, Newnan, GA 30265 | |
| James G Burson | Otolaryngology | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
| Anisha Patel | Ophthalmology | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
| Shawnte M Hall-kraft | Family Medicine | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
| Cynthia J Mcdonald | Physician Assistant | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Jennifer Pound | Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
| Find all physicians in zip 30265 | |||
| City | NEWNAN |
| Zip Code | 30265 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWNAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sudhisha Kumari Jala.
| 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.