Jamie King South (NPI# 1245467026, PAC ID# 0840432084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1245467026 |
| PAC ID by PECOS | 0840432084 |
| Professional Enrollment ID | I20130816000816 |
| Full Name | Jamie King South |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Address |
17510 W Grand Pkwy S Sugar Land TX 77479-2649 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2013 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4688999022 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2900 E 29th St, 300 Gc_bvwc_bryan Office', Bryan, TX 77802-2623 | 9797765602 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| 17510 W Grand Pkwy S, Sugar Land, TX 77479-2649 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayden B Mcneill | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 |
| Erika Crate | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 1674 W Baker Rd, Suite A, Baytown, TX 77521-2285 |
| Megan Lynette Craig | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 8000 Research Forest Dr, Suite 360, The Woodlands, TX 77382-1559 |
| Georjene Parker | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 210 E Houston St, Gc_leh_cleveland Office, Cleveland, TX 77327-4512 |
| Billie Botello | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 11040 E Fwy, Houston, TX 77029-1931 |
| Joy Leblanc | Obstetrics/gynecology | Privia Medical Group Gulf Coast Pllc | 7900 Fannin St, Suite 4000, Houston, TX 77054-2935 |
| Terah C Isaacson | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 |
| Alice A Lim | Family Medicine | Privia Medical Group Gulf Coast Pllc | 7814 Bellaire Blvd, Houston, TX 77036-4936 |
| Patricia A Henry | Registered Dietitian Or Nutrition Professional | Privia Medical Group Gulf Coast Pllc | 10333 Kuykendahl Rd, Suite B, The Woodlands, TX 77382-2878 |
| Daniel L Howell | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 7105 Lawndale St, Houston, TX 77023-4248 |
| Street Address |
17510 W GRAND PKWY S |
| City | SUGAR LAND |
| State | TX |
| Zip | 77479-2649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James N Trahan | Anesthesiology Assistant | Quartier Latin LLC | 17510 W Grand Pkwy S, 200 Memorial Hermann Surgery Center Sug, Sugar Land, TX 77479-2647 |
| Lauren A Phillips | Obstetrics/gynecology | Privia Medical Group Gulf Coast Pllc | 17510 W Grand Pkwy S, 430 Sugar Land Women's Care, Sugar Land, TX 77479-2649 |
| Scott Alan Boss | Certified Registered Nurse Anesthetist (crna) | 17510 W Grand Pkwy S, Suite 200, Sugar Land, TX 77479-2647 | |
| Robert Morgan Hillery | General Surgery | Southwest Surgical Associates LLP | 17510 W Grand Pkwy S, Suite 490, Sugar Land, TX 77479-2649 |
| Shannon Laine Varner | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 17510 W Grand Pkwy S, Sugar Land, TX 77479-2649 |
| Jessica A Aheron | Pediatric Medicine | Privia Medical Group Gulf Coast Pllc | 17510 W Grand Pkwy S, Sugar Land, TX 77479-2649 |
| Ambreen Sharaf | Family Medicine | 17510 W Grand Pkwy S, Suite 540, Sugar Land, TX 77478-2649 | |
| Dieu Quang Ngo | General Surgery | Southwest Surgical Associates LLP | 17510 W Grand Pkwy S, Suite 490, Sugar Land, TX 77479-2649 |
| Mark Julius Florian | Internal Medicine | Privia Medical Group Gulf Coast Pllc | 17510 W Grand Pkwy S, Sugar Land, TX 77479-2649 |
| Lynn A Mcinnis | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 17510 W Grand Pkwy S, Sugar Land, TX 77479-2649 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Apoor Patel | Cardiac Electrophysiology | Tmh Physician Associates Pllc | 16605 Southwest Fwy Mob 3 420, Methodist Debakey Cardiology, Sugar Land, TX 77479 |
| Asma F Lakhva | Internal Medicine | Houston In Patient Physician Associates Pllc | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Matthew Thomas Roberts | Family Medicine | Vanguard Inpatient Physician Pllc | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-0003 |
| Samir Joglekar | Internal Medicine | Houston In Patient Physician Associates Pllc | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Crystal Imasogie | Nurse Practitioner | Vanguard Inpatient Physician Pllc | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-0003 |
| Amitkumar N Patel | Internal Medicine | Houston In Patient Physician Associates Pllc | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Mary Clifford Philips | Family Medicine | Houston In Patient Physician Associates Pllc | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Traci Achi | Nurse Practitioner | Vanguard Inpatient Physician Pllc | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-0003 |
| Cecil A Cherian | Family Medicine | Houston In Patient Physician Associates Pllc | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Joy R Thomas | Nurse Practitioner | Geriatric Home Care Physicians Pa | 16605 Southwest Fwy 175, Sugar Land, TX 77479-0003 |
| Find all physicians in zip 77479 | |||
| City | SUGAR LAND |
| Zip Code | 77479 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SUGAR LAND + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jamie King South.
| 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.