JESSICA TUCKER (NPI# 1790261386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790261386 |
| Entity Type | Individual |
| Full Name | JESSICA TUCKER |
| Credential | PA-C |
| Practice Address |
4700 Nelson Brogdon Blvd Ste 250 Buford GA 30518-5403 |
| Mailing Address |
3400 Old Milton Pkwy Ste C270 Alpharetta GA 30005-4414 |
| Practice Telephone | 7704421911 |
| Mailing Telephone | 7704421911 |
| Mailing Fax Number | 7704420306 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 300054414 | 7704421911 | 7704420306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084069 | Jessica Brianne Tucker | Social Worker | 408 Burlingham Rd, Bloomingburg, NY 12721-5007 | 2020-05-07 |
| 1083176853 | Jessica Tucker | Physical Therapy Assistant | 20 Dyer Brook Rd, Oakfield, ME 04763 | 2019-04-02 |
| 1740283001 | Jessica Tucker | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2005-05-31 |
| 1255941290 | Jessica Tucker | Case Manager/Care Coordinator | 575 E 100 S, Price, UT 84501-3102 | 2020-08-04 |
| 1508482324 | Jessica Tucker | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1265057707 | Jessica Tucker | Counselor | 995 Helling Way, Nevada City, CA 95959-8619 | 2020-06-10 |
| 1982226080 | Jessica Tucker | Pharmacist | 5120 N May Ave, Oklahoma City, OK 73112-3504 | 2020-05-12 |
| 1265935290 | Jessica Tucker | Behavior Technician | 2354 Powell St Ste A, Emeryville, CA 94608-1738 | 2018-03-15 |
| 1225545163 | Jessica Yvette Tucker | Nurse Practitioner | 1493 Highway 17, Camden, MS 39045-9524 | 2017-12-31 |
| 1073022810 | Jessica Tucker | Social Worker | 125 Wellness Way, Hot Springs, AR 71913 | 2017-09-25 |
| Street Address |
4700 NELSON BROGDON BLVD STE 250 |
| City | BUFORD |
| State | GA |
| Zip Code | 30518-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376925503 | Swetha Addagatla | Family Medicine | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2015-06-24 |
| 1881214336 | Travis Lloyd | Physician Assistant | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2020-04-24 |
| 1225514201 | Danica Pinson | Physician Assistant | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2018-07-13 |
| 1386195345 | Joane Buteau | Family Medicine | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2016-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| 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 |
|---|---|---|---|---|
| 1881214336 | Travis Lloyd | Physician Assistant | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.