Charles F Jackson Iii (NPI# 1629252184, PAC ID# 4486818523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1629252184 |
| PAC ID by PECOS | 4486818523 |
| Professional Enrollment ID | I20120621000052 |
| Full Name | Charles F Jackson Iii |
| Organization Legal Name | HARBIN CLINIC LLC |
| Address |
504 Redmond Rd Nw Rome GA 30165-1416 |
| Phone Number | 7622353130 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2005 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0446154231 |
| Number of Group Practice Members | 257 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| 110054 | FLOYD MEDICAL CENTER |
| 110023 | GORDON HOSPITAL |
| 111330 | POLK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1035 Red Bud Rd Ne, Calhoun, GA 30701-6000 | 7068795850 | ADVENTIST HEALTH SYSTEM GEORGIA INC |
| 304 Turner Mccall Swblvd, Rome, GA 30165-5621 | 7065096800 | FLOYD HEALTHCARE MANAGEMENT INC |
| 504 Redmond Rd Nw, Rome, GA 30165-1416 | 7622353130 | HARBIN CLINIC LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | HARBIN CLINIC LLC |
| Physicians | 254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Emery | Nurse Practitioner | Harbin Clinic LLC | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5616 |
| Whitney Leigh Worthy | Nurse Practitioner | Harbin Clinic LLC | 255 W 5th St Sw, Rome, GA 30165-2817 |
| Donna Watters Gregory | Family Medicine | Harbin Clinic LLC | 150 Gentilly Blvd, Cartersville, GA 30120-8522 |
| Lindsey B Garmon | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Katy Degraw | Physician Assistant | Harbin Clinic LLC | 101 Redmond Rd, Rome, GA 30165-1535 |
| Ashley Wilbanks | Nurse Practitioner | Harbin Clinic LLC | 550 Redmond Rd Nw, Rome, GA 30165-1416 |
| Muhammad R Ishaque | Nephrology | Harbin Clinic LLC | 4880 Lower Roswell Rd, Suite 770, Marietta, GA 30068-4453 |
| Charles E Mcbride Iii | Family Medicine | Harbin Clinic LLC | 5470 Martha Berry Hwy Ne, Armuchee, GA 30105-2302 |
| Katrina C Woodard | Nurse Practitioner | Harbin Clinic LLC | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 |
| Frank G Russo Alesi | Orthopedic Surgery | Harbin Clinic LLC | 501 Redmond Rd Nw, Rome, GA 30165-1415 |
| Street Address |
504 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip | 30165-1416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey B Garmon | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Sarah A Whitten | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Zachary Carl Whitener | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Daryl Clinton Madden | Physician Assistant | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Jennifer C Mcdonald | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Swaraj Suhas Hublikar | Physician Assistant | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Cyrus Parsa | Thoracic Surgery | Redmond Specialty Services LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Chrystin F Beers | Physician Assistant | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Marenda Celie Russell | Nurse Practitioner | Harbin Clinic LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Frank L Packard Jr. | Physician Assistant | Redmond Specialty Services LLC | 504 Redmond Rd Nw, Rome, GA 30165-1416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ROME + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Charles F Jackson Iii.
| 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.