Jorge L Moreno Jr. (NPI# 1518914597, PAC ID# 7315851417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1518914597 |
PAC ID by PECOS | 7315851417 |
Professional Enrollment ID | I20031113000447 |
Full Name | Jorge L Moreno Jr. |
Address |
375 Mcdonough Rd Jackson GA 30233-1509 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
111319 | WELLSTAR SYLVAN GROVE HOSPITAL |
Address | Phone | Organization |
---|---|---|
375 Mcdonough Rd, Jackson, GA 30233-1509 |
Street Address |
375 MCDONOUGH RD |
City | JACKSON |
State | GA |
Zip | 30233-1509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Riliwanu Aliu | Family Medicine | Georgia Emergency Group LLC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
Moshe M Usadi | Family Medicine | Georgia Emergency Group LLC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
James Whitney Whitaker | Diagnostic Radiology | Georgia Imaging Associates PC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
Naveed I Alvi | Diagnostic Radiology | Georgia Imaging Associates PC | 1050 Mcdonough Rd, Jackson, GA 30233-1524 |
Shannon T Barton | Family Medicine | Venture Medical Associates LLC | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 |
Derrell Leggett | Pain Management | 794 Mcdonough Rd, Suite 111, Jackson, GA 30233-1572 | |
Bennie R White Jr. | Family Medicine | 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 | |
Shashi S Madan | Internal Medicine | 135 N Oak St, Jackson, GA 30233-1942 | |
Niraj Patel | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
Peter Izzo | Family Medicine | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
Find all physicians in zip 30233 |
City | JACKSON |
Zip Code | 30233 |
Specialty | FAMILY MEDICINE |
City + Specialty | JACKSON + FAMILY MEDICINE |
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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.