JACOBY PATTERSON (NPI# 1700414455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700414455 |
| Entity Type | Individual |
| Full Name | JACOBY PATTERSON |
| Credential | PA-C |
| Practice Address |
2151 W Spring St Monroe GA 30655-3202 |
| Mailing Address |
1235 Virginia Ave Ne Apt C3 Atlanta GA 30306-4817 |
| Practice Telephone | 6784910953 |
| Mailing Telephone | 6784910953 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9710 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2151 W SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008432 | Bonnie S Kennedy | Nurse Anesthetist, Certified Registered | 2151 W Spring St, Monroe, GA 30655-3115 | 2005-07-26 |
| 1477199347 | Therapeutic Gi Associates, LLC | Internal Medicine | 2151 W Spring St, Monroe, GA 30655-3202 | 2019-11-26 |
| 1265074843 | Marci Ann Miller | Nurse Practitioner | 2151 W Spring St, Monroe, GA 30655-3202 | 2019-10-15 |
| 1003374885 | Melina Renee Sanders | Nurse Practitioner | 2151 W Spring St, Monroe, GA 30655-3202 | 2019-03-11 |
| 1225501703 | Kristen M Gosnell | Nurse Practitioner | 2151 W Spring St, Monroe, GA 30655-3202 | 2019-01-07 |
| 1477047769 | Elizabeth Cavanah Albers | Nurse Practitioner | 2151 W Spring St, Monroe, GA 30655-3202 | 2018-06-19 |
| 1720589328 | Piedmont Walton Hospital Inc | General Acute Care Hospital | 2151 W Spring St, Monroe, GA 30655-3202 | 2018-02-28 |
| 1831617042 | Rebecca Brantley | Registered Nurse | 2151 W Spring St, Monroe, GA 30655-3202 | 2017-09-07 |
| 1295109452 | Ashley Ruth Head | Nurse Practitioner | 2151 W Spring St, Monroe, GA 30655-3115 | 2015-11-25 |
| 1013381391 | Donald Craig Spoon | Registered Nurse | 2151 W Spring St, Monroe, GA 30655-3115 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246472 | Samantha Lee Kyvik | Physician Assistant | 147 Ludlam Rd, Monroe, NY 10950-4534 | 2020-05-11 |
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1407404072 | Phong Chau Truong Tran | Physician Assistant | 696 Breedlove Dr Ste A, Monroe, GA 30655-2052 | 2019-08-27 |
| 1467014472 | Marissa L Jimenez | Physician Assistant | 1200 State Route 208 Ste 13, Monroe, NY 10950-4649 | 2019-07-01 |
| 1508366261 | Veronica Romero | Physician Assistant | 3402 Continental Dr, Monroe, NC 28110-5201 | 2018-02-19 |
| 1619480910 | Betty Yue | Physician Assistant | 16422 156th St Se, Monroe, WA 98272-2803 | 2017-11-08 |
| 1346798402 | Shari Koller | Physician Assistant | 501 State Route 208, Monroe, NY 10950-1611 | 2016-09-19 |
| 1811352321 | Amber Teegen Morton | Physician Assistant | 1663 Campus Park Dr Ste D, Monroe, NC 28112-5582 | 2015-12-28 |
| 1518343755 | Laura French Alison | Physician Assistant | 1338 E Sunset Dr Ste C, Monroe, NC 28112-4362 | 2015-08-10 |
| 1295120442 | Corrina Baglia | Physician Assistant | 907 Fitzgerald St, Monroe, NC 28112-5680 | 2015-04-04 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.