Jacqueline H Grant (NPI# 1124189600, PAC ID# 9436122157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1124189600 |
| PAC ID by PECOS | 9436122157 |
| Professional Enrollment ID | I20080422000387 |
| Full Name | Jacqueline H Grant |
| Organization Legal Name | THE MEDICAL CENTER, INC. |
| Address |
2000 10th Ave Suite 100 Columbus GA 31901-3703 |
| Phone Number | 7065711285 |
| Gender | F |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9830094077 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110064 | MIDTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 10th Ave, Suite 100, Columbus, GA 31901-3703 | 7065711285 | THE MEDICAL CENTER, INC. |
| Organization Legal Name | THE MEDICAL CENTER, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel N Gwan-nulla | Thoracic Surgery | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Mukesh Kumar | Internal Medicine | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Wilbur Bassett | Medical Oncology | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Raphael Aswani Atulo | Physician Assistant | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Peter Q Jiang | Hematology/oncology | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Kenneth L Smith | General Surgery | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Sajid Ahmed | Medical Oncology | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Clara Orji | Nurse Practitioner | The Medical Center, Inc. | 2000 10th Ave, Suite 100, Columbus, GA 31901-3703 |
| Suresh Nukala | Hematology/oncology | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Judith Battle Goggans | Nurse Practitioner | The Medical Center, Inc. | 710 Ctr St, Columbus, GA 31901-1527 |
| Street Address |
2000 10TH AVE SUITE 100 |
| City | COLUMBUS |
| State | GA |
| Zip | 31901-3703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clara Orji | Nurse Practitioner | The Medical Center, Inc. | 2000 10th Ave, Suite 100, Columbus, GA 31901-3703 |
| Shania Seibles | Obstetrics/gynecology | The Medical Center, Inc. | 2000 10th Ave, Suite 100, Columbus, GA 31901-3703 |
| Samuel T Rice | Urology | 2000 10th Ave, Suite 150, Columbus, GA 31901-3702 | |
| Peter A Seirafi | Thoracic Surgery | Columbus Ambulatory Healthcare Services, Inc. | 2000 10th Ave, Suite 400, Columbus, GA 31901-3713 |
| Wilbert Fortson Jr. | Obstetrics/gynecology | The Medical Center, Inc. | 2000 10th Ave, Suite 100, Columbus, GA 31901-3703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas N Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Thomas M Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Steven L Henslee | Ophthalmology | West Georgia Eye Care Center,p.a. | 2012 10th Ave, Columbus, GA 31901-1460 |
| Saba Gilani | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 Tenth Ave, Columbus, GA 31901-1461 |
| Nishant M Dequadros | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Regino P Cube | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| George M Benashvili | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Tiffany S Overstreet | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Richard J Mckibben | Physical Therapy | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Samuel Osei-bonsu | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Find all physicians in zip 31901 | |||
| City | COLUMBUS |
| Zip Code | 31901 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | COLUMBUS + OBSTETRICS/GYNECOLOGY |
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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.