John R Jackson (NPI# 1457350902, PAC ID# 0446270128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1457350902 |
| PAC ID by PECOS | 0446270128 |
| Professional Enrollment ID | I20051128000141 |
| Full Name | John R Jackson |
| Address |
7768 Cumming Hwy 300 Canton GA 30115-2982 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1977 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 7768 Cumming Hwy 300, Canton, GA 30115-2982 | ||
| 684 Sixes Rd, 125a, Holly Springs, GA 30115-8758 | 6784265450 | NORTHSIDE URGENT CARE HOLDING LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 75% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 17% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 78% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 45% |
| Street Address |
7768 CUMMING HWY 300 |
| City | CANTON |
| State | GA |
| Zip | 30115-2982 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Gordon Jerome Azar Jr. | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Ramal M Weragoda | Cardiac Electrophysiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Bingchan Zhang | Radiation Oncology | North Atlanta Professional Services LLC | 460 Northside Cherokee, Suite T10, Canton, GA 30115 |
| Hyo Jin Song | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Vanessa Aquino-dick | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Valerie P Ciesla | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ana A Mccook | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ashley Burin | Physical Therapy | Pt Solutions of Acworth LLC | 1810 Cumming Hwy, Canton, GA 30115-2306 |
| Find all physicians in zip 30115 | |||
| City | CANTON |
| Zip Code | 30115 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CANTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John R Jackson.
| 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.