Theresa R Jacobs (NPI# 1013978105, PAC ID# 7810910577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013978105 |
| PAC ID by PECOS | 7810910577 |
| Professional Enrollment ID | I20060109000370 |
| Full Name | Theresa R Jacobs |
| Organization Legal Name | OAKHURST MEDICAL CENTERS INC |
| Address |
977 Taylor St Sw A Conyers GA 30012-5357 |
| Phone Number | 6782102700 |
| Gender | F |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961443643 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2295 Parklake Dr Ne, Suite 500, Atlanta, GA 30345-2822 | 4042988998 | OAKHURST MEDICAL CENTERS INC |
| 977 Taylor St Sw, A, Conyers, GA 30012-5357 | 6782102700 | OAKHURST MEDICAL CENTERS INC |
| 770 Village Sq Dr, Stone Mtn, GA 30083-3380 | 4042987658 | OAKHURST MEDICAL CENTERS INC |
| Organization Legal Name | OAKHURST MEDICAL CENTERS INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonka D Crenshaw | Obstetrics/gynecology | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Akita Evans | Family Medicine | Oakhurst Medical Centers Inc | 770 Village Sq Dr, Stone Mtn, GA 30083-3380 |
| Raulnina Uzzle | Family Medicine | Oakhurst Medical Centers Inc | 1760 Candler Rd, Decatur, GA 30032-3254 |
| Mashanda T Campbell | Family Medicine | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Ashleigh Igbokwe-hamilton | Family Medicine | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Jamil A Harp | Obstetrics/gynecology | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Jonathan Guy | Psychiatry | Oakhurst Medical Centers Inc | 5582 Memorial Centers Inc, Stone Mountain, GA 30083 |
| Metra Wright | Family Medicine | Oakhurst Medical Centers Inc | 977 Taylor St Sw, A, Conyers, GA 30012-5357 |
| Nirag Nagada | Family Practice | Oakhurst Medical Centers Inc | 1760 Candler Rd, Decatur, GA 30032-3254 |
| Joan T James | Cardiovascular Disease (cardiology) | Oakhurst Medical Centers Inc | 977 Taylor St Sw, A, Conyers, GA 30012-5357 |
| Street Address |
977 TAYLOR ST SW A |
| City | CONYERS |
| State | GA |
| Zip | 30012-5357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Metra Wright | Family Medicine | Oakhurst Medical Centers Inc | 977 Taylor St Sw, A, Conyers, GA 30012-5357 |
| Joan T James | Cardiovascular Disease (cardiology) | Oakhurst Medical Centers Inc | 977 Taylor St Sw, A, Conyers, GA 30012-5357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONYERS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Theresa R Jacobs.
| 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.