Jacqueline Smith (NPI# 1861528200, PAC ID# 3072612936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1861528200 |
| PAC ID by PECOS | 3072612936 |
| Professional Enrollment ID | I20070619000380 |
| Full Name | Jacqueline Smith |
| Organization Legal Name | MONARCH |
| Address |
5700 Executive Ctr Dr Suite 110 Charlotte NC 28212-8833 |
| Phone Number | 7045253255 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0244273852 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 | 7045253255 | MONARCH |
| Organization Legal Name | MONARCH |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne M Sievert Rombach | Clinical Social Worker | Monarch | 350 E Holding Ave, Wake Forest, NC 27587-2904 |
| Ashley B Abernethy | Clinical Social Worker | Monarch | 626 S Madison St, Whiteville, NC 28472-4130 |
| Stacey A Hostetter | Clinical Social Worker | Monarch | 311 Mcbee St, Lincolnton, NC 28092-2818 |
| Jessica L Burstein | Clinical Social Worker | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Julie K Campbell | Clinical Social Worker | Monarch | 2505 Court Dr, Gastonia, NC 28054-2140 |
| Elizabeth P Yopp | Clinical Social Worker | Monarch | 809 Tiffany Blvd, Rocky Mount, NC 27804-1812 |
| Corrine E Shuster | Clinical Social Worker | Monarch | 1001 Navaho Dr, Suite 100, Raleigh, NC 27609-7318 |
| Shannon A Atkinson | Clinical Social Worker | Monarch | 350 Pee Dee Ave A, Albemarle, NC 28001-4932 |
| Marieda J Grossman-orr | Clinical Social Worker | Monarch | 820 Grimes Blvd, Lexington, NC 27292-7640 |
| Anne C Herron | Clinical Social Worker | Monarch | 300 Ashville Ave, Suite 200, Cary, NC 27518-8682 |
| Street Address |
5700 EXECUTIVE CTR DR SUITE 110 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28212-8833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Burstein | Clinical Social Worker | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Shaunak S Parikh | Nurse Practitioner | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Desiree Marie Matthews | Nurse Practitioner | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Alicia T Boldt | Clinical Social Worker | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Sharyn M Comeau | Psychiatry | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Yu Wei Shan | Nurse Practitioner | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Lauren N Conner | Nurse Practitioner | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Ruth D Adepetun | Nurse Practitioner | Monarch | 5700 Executive Ctr Dr, Suite 110, Charlotte, NC 28212-8833 |
| Narkeya White Byrd | Clinical Social Worker | 5700 Executive Ctr Dr, Suite 214, Charlotte, NC 28212 | |
| Denetra Gary | Clinical Social Worker | Cornerstone Community Outreach | 5700 Executive Ctr Dr, Charlotte, NC 28212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Permenter | Chiropractic | 2301 Village Lake Dr, Charlotte, NC 28212-0081 | |
| Theresa Coltey | Nurse Practitioner | Eastland Urgent Care | 5717 Albemarle Rd, Charlotte, NC 28212-1634 |
| Brendan Klitsch | Physician Assistant | Eastland Urgent Care | 5717 Albemarle Rd, Charlotte, NC 28212-1634 |
| Marcia Dawn Padilla | Chiropractic | Estramonte Chiropractic and Wellness Center East Pa | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Jeremy C Arnold | Chiropractic | Estramonte Chiropractic and Wellness Center East Pa | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Carshena M Williams | Nurse Practitioner | Starmed Urgent and Family Care, P.a. | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Casey Lee Schneible | Chiropractic | Estramonte Chiropractic and Wellness Center East Pa | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Randall L Planck Ii | Chiropractic | Estramonte Chiropractic and Wellness Center East Pa | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Michael H Estramonte | Chiropractic | Estramonte Chiropractic and Wellness Center East Pa | 5344 Central Ave, Charlotte, NC 28212-2704 |
| Wello Lombahe | Nurse Practitioner | Mc Family Medical Pllc | 6700 Albemarle Rd, Charlotte, NC 28212-3856 |
| Find all physicians in zip 28212 | |||
| City | CHARLOTTE |
| Zip Code | 28212 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHARLOTTE + PSYCHIATRY |
Please comment or provide details below to improve the information on Jacqueline Smith.
| 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.