Jennifer Graham Stancil (NPI# 1013496116, PAC ID# 1254678055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1013496116 |
PAC ID by PECOS | 1254678055 |
Professional Enrollment ID | I20190201001403 |
Full Name | Jennifer Graham Stancil |
Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
Address |
65 Brickyard Dr Dillwyn VA 23936-3361 |
Phone Number | 4349832722 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5991889081 |
Number of Group Practice Members | 163 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
490090 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
65 Brickyard Dr, Dillwyn, VA 23936-3361 | 4349832722 | MARTHA JEFFERSON MEDICAL GROUP LLC |
Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
Physicians | 167 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara Lynn Jacobs | Nurse Practitioner | Martha Jefferson Medical Group LLC | 15 Pratts Run, Suite 104, Waynesboro, VA 22980-6606 |
Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
Shannon Mcdonnell Miller | Nurse Practitioner | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
Barrie Carveth | Nurse Practitioner | Martha Jefferson Medical Group LLC | 315 10th St Ne, Charlottesville, VA 22902-5316 |
Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
Stephen A Hoover | Hand Surgery | Martha Jefferson Medical Group LLC | 3263 Proffit Rd, Suite 203, Charlottesville, VA 22911-5639 |
Blake R Garmon | Internal Medicine | Martha Jefferson Medical Group LLC | 435 Merchant Walk Sq, Suite 400, Charlottesville, VA 22902-6516 |
Joseph Devon Lowdon | Internal Medicine | Martha Jefferson Medical Group LLC | 1011 E Jefferson St, Suite 202, Charlottesville, VA 22902-5354 |
Janelle B Gorski | Nurse Practitioner | Martha Jefferson Medical Group LLC | 590 Peter Jefferson Pkwy, Suite 100, Charlottesville, VA 22911-4628 |
Street Address |
65 BRICKYARD DR |
City | DILLWYN |
State | VA |
Zip | 23936-3361 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard A Muller | Internal Medicine | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Kimberly R T Carter | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Nicole B Lepsch | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Mark S Keeley | Family Practice | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Peter C Taylor | Family Practice | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristen D Carty | Clinical Social Worker | South Central Counseling Group | 1046 Main St, Dillwyn, VA 23936-3027 |
Paige Nolt | Clinical Social Worker | South Central Counseling Group | 1046 Main St, Dillwyn, VA 23936-3027 |
Mary A Hanson | Clinical Social Worker | South Central Counseling Group | 1046 Main St, Dillwyn, VA 23936-3027 |
Anne Hwang Blair | Clinical Social Worker | South Central Counseling Group | 1046 Main St, Dillwyn, VA 23936-3027 |
Staci Lynn Vinson | Clinical Social Worker | South Central Counseling Group | 1046 Main St, Dillwyn, VA 23936-3027 |
City | DILLWYN |
Zip Code | 23936 |
Specialty | NURSE PRACTITIONER |
City + Specialty | DILLWYN + NURSE PRACTITIONER |
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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.