Joel T Isom (NPI# 1194930222, PAC ID# 3375788300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1194930222 |
PAC ID by PECOS | 3375788300 |
Professional Enrollment ID | I20130322000369 |
Full Name | Joel T Isom |
Organization Legal Name | PREMIER SOUTH MEDICAL GROUP PC |
Address |
770 Greison Trl Suite F Newnan GA 30263-6401 |
Phone Number | 7702514120 |
Gender | M |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 4486940426 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110115 | WELLSTAR ATLANTA MEDICAL CENTER |
110229 | PIEDMONT NEWNAN HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
5673 Peachtree Dunwoody Rd, Suite 440, Atlanta, GA 30342-1797 | 4042961130 | PREMIER SOUTH MEDICAL GROUP PC |
770 Greison Trl, Suite F, Newnan, GA 30263-6401 | 7702514120 | PREMIER SOUTH MEDICAL GROUP PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 71% | |
ACI_EC_TRANS_EP_1 | e-Prescribing | 71% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | PREMIER SOUTH MEDICAL GROUP PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha Williamson | Nurse Practitioner | Premier South Medical Group PC | 285 Boulevard Ne, Suite 435 436, Atlanta, GA 30312-4205 |
Ewaul B Persaud | Internal Medicine | Premier South Medical Group PC | 3885 Princeton Lakes Way Sw, Suite 412, Atlanta, GA 30331-5599 |
Yetrevias M Seymour | Nurse Practitioner | Premier South Medical Group PC | 5673 Peachtree Dunwoody Rd, Suite 440, Atlanta, GA 30342-1797 |
Street Address |
770 GREISON TRL SUITE F |
City | NEWNAN |
State | GA |
Zip | 30263-6401 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michele Lore | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Neely Darragh Almand | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Mark Russell Ling | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Mark J Holzberg | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Onyebuchi C Neita | Physician Assistant | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Jill Buckthal-mccuin | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Joseph M Dyer | Dermatology | Georgia Dermatology Specialists of Coweta County | 710 Newnan Crossing Bypass, Newnan, GA 30263-1090 |
Cecil F Bennett Jr. | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | |
Georgia M Theriot | Family Practice | 51 Hospital Rd, Newnan, GA 30263-1209 | |
Mark S Cook | Family Practice | 38 Hospital Rd A, Newnan, GA 30263-1277 | |
Find all physicians in zip 30263 |
City | NEWNAN |
Zip Code | 30263 |
Specialty | INTERNAL MEDICINE |
City + Specialty | NEWNAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Joel T Isom.
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.