Princess Bejacmar Clark (NPI# 1679082549, PAC ID# 0749547578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679082549 |
| PAC ID by PECOS | 0749547578 |
| Professional Enrollment ID | I20171201002138 |
| Full Name | Princess Bejacmar Clark |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Address |
18 Riverbend Dr Sw Suite 120 Rome GA 30161-6019 |
| Phone Number | 7063781202 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8123912326 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1503 Professional Ct, Suite 100, Dalton, GA 30720-2566 | 7062812121 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 | 7063781202 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Nicole Mauney | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Dawnetta Janene Holladay | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Michael D Dykes | Interventional Pain Management | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| William D Hammonds | Anesthesiology | Northeast Georgia Anesthesia Services Inc. | 1030 Founders Row, Greensboro, GA 30642-5260 |
| Rachael Diane Green | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Richard Dean Campbell | Pain Management | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Rhonda K Puckett | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Reginald Strother | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Emily Diane Brooks | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Kerri Cassidy Mckinney | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Street Address |
18 RIVERBEND DR SW SUITE 120 |
| City | ROME |
| State | GA |
| Zip | 30161-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Dykes | Interventional Pain Management | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Rachael Diane Green | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Rhonda K Puckett | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Coleburn | Physician Assistant | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Carol E Charles | Nurse Practitioner | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Judith Tutin | Psychologist, Clinical | 519 Broad St, Suite 202, Rome, GA 30161-1736 | |
| Lauren L Hudson | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Joseph N Herren | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Maryann N Mugo | Endocrinology | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Dona F Childers | Nurse Practitioner | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Jamie O Lin | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| George P Hotz | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Staci Robin Graves | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Find all physicians in zip 30161 | |||
| City | ROME |
| Zip Code | 30161 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROME + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Princess Bejacmar Clark.
| 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.