Gabrielle K Jackson (NPI# 1487651832, PAC ID# 1153343264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1487651832 |
| PAC ID by PECOS | 1153343264 |
| Professional Enrollment ID | I20060103000411 |
| Full Name | Gabrielle K Jackson |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
1901 Tate Springs Rd Lynchburg VA 24501-1109 |
| Phone Number | 4349473033 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| 490013 | SENTARA HALIFAX REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 4349473033 | CENTRA MEDICAL GROUP LLC |
| 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 4342005999 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
1901 TATE SPRINGS RD |
| City | LYNCHBURG |
| State | VA |
| Zip | 24501-1109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret K Sande | Emergency Medicine | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Debra T Collins | Nurse Practitioner | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Punkaj Dua | Hospitalist | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Stephen M Johnson | Internal Medicine | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Waltus Hughes Gill Iii | Neurosurgery | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Sean R Mlodzinski | Emergency Medicine | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Eleanor Kathryn Lowry | Anesthesiology | Lynchburg Anesthesia Associates Inc | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Marnie L Hudson | Physician Assistant | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Charles G Alty | General Surgery | Centra Medical Group LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Christopher J Stands | Urology | Piedmont Stone Center Pllc | 1901 Tate Springs Rd, Lynchburg, VA 24501-1901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kw Hevener | Physical Therapy | Tidewater Physical Therapy LLC | 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Russell W Campbell | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Rachel H Behrmann | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| William F Weber Iv | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Robert Joseph Albrecht | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Christopher K Vincent | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| David Cassada | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Lawrence F Poletti | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Peter J Ploch | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Find all physicians in zip 24501 | |||
| City | LYNCHBURG |
| Zip Code | 24501 |
| Specialty | HOSPITALIST |
| City + Specialty | LYNCHBURG + HOSPITALIST |
Please comment or provide details below to improve the information on Gabrielle K 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.