Arun Thankachan Jacob (NPI# 1578773990, PAC ID# 3779725262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1578773990 |
| PAC ID by PECOS | 3779725262 |
| Professional Enrollment ID | I20130813000515 |
| Full Name | Arun Thankachan Jacob |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Address |
1315 Jesse Jewell Pkwy Ne Suite 300 Gainesville GA 30501-3822 |
| Phone Number | 7702196520 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6901898386 |
| Number of Group Practice Members | 418 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 1404 River Pl, Suite 402, Braselton, GA 30517-5600 | 7702196520 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 | 7702196520 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Huckle | Sports Medicine | Northeast Georgia Physicians Group Inc | 1404 River Pl, Suite 401, Braselton, GA 30517-5600 |
| Cinandra Sweatman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 200 Wisteria Dr, Gainesville, GA 30501-3827 |
| Jennifer B Cobernus | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Rishita Patel | Family Medicine | Northeast Georgia Physicians Group Inc | 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041-4304 |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Christopher William Soika | General Surgery | Northeast Georgia Physicians Group Inc | 1400 River Pl, Braselton, GA 30517-5600 |
| Shaakira A Ford | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 4919 Atlanta Hwy, Flowery Branch, GA 30542-3328 |
| Ehren M Gleckler | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 12 7th St, Auburn, GA 30011-3202 |
| James Gregory Hamilton Iii | Family Medicine | Northeast Georgia Physicians Group Inc | 95 Morrison Moore Pkwy W, Dahlonega, GA 30533-1588 |
| Brandi Michelle Ricks | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3931 Mundy Mill Rd A, Oakwood, GA 30566-3431 |
| Street Address |
1315 JESSE JEWELL PKWY NE SUITE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-3822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Patrick Mullin | Psychologist, Clinical | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 |
| Edwin B Tirado | Internal Medicine | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 110, Gainesville, GA 30501-3822 |
| Amy E Bailey | Family Medicine | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 |
| Ava Ferdinand | Neurology | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 |
| Ashley Williams Zimmerman | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 110, Gainesville, GA 30501-3822 |
| James Kruer Jr. | Internal Medicine | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 110, Gainesville, GA 30501-3822 |
| Stacy M Eaton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 |
| Jason S Bailey | Obstetrics/gynecology | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3822 |
| Jody M. Bahnmiller-brasil | Family Medicine | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501-3822 |
| Stephanie Simmons | Obstetrics/gynecology | Northeast Georgia Physicians Group Inc | 1315 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3822 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | NEUROSURGERY |
| City + Specialty | GAINESVILLE + NEUROSURGERY |
Please comment or provide details below to improve the information on Arun Thankachan Jacob.
| 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.