Moise Jean (NPI# 1669762852, PAC ID# 4486874567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669762852 |
| PAC ID by PECOS | 4486874567 |
| Professional Enrollment ID | I20141014000186 |
| Full Name | Moise Jean |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Address |
3640 Tramore Pointe Pkwy Austell GA 30106-6825 |
| Phone Number | 4043791105 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6204829013 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 | 4043647206 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 | 4043791105 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Physicians | 720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sapna Ashok Patel | Otolaryngology | The Southeast Permanente Medical Group | 2470 Mount Zion Pkwy, Bldg 200, Jonesboro, GA 30236-2500 |
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Joan Mary Gopin | Hospitalist | The Southeast Permanente Medical Group | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 |
| Sandra Nicole Jackson-dent | Family Medicine | The Southeast Permanente Medical Group | 2240 Fountain Dr, Snellville, GA 30078-2919 |
| Emily K Deschler | Ophthalmology | The Southeast Permanente Medical Group | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
| Vicki L Yates | Certified Nurse Midwife (cnm) | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Lisa Michaels | Podiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Seema Panduranga Kini | Dermatology | The Southeast Permanente Medical Group | 1435 Broadmoor Blvd, Buford, GA 30518-5408 |
| Modesta Tako | Family Medicine | The Southeast Permanente Medical Group | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 |
| Samir Patel | Internal Medicine | The Southeast Permanente Medical Group | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 |
| Street Address |
3640 TRAMORE POINTE PKWY |
| City | AUSTELL |
| State | GA |
| Zip | 30106-6825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Kristen M Foster | Internal Medicine | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Veronita Thompson | Family Medicine | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Deanna M Del Mazo | Internal Medicine | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Hope R Buchanan | Family Practice | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Tameka R Tolbert | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristian Stodghill | Hospice/palliative Care | Wellstar Medical Group, LLC | 4040 Hospital W Dr, Austell, GA 30106 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Bennie Dean Mobley | Optometry | 3999 Austell Rd, Austell, GA 30106-1100 | |
| James V Waldron | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Karen J Moore | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Ashley W Crocker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 |
| Omar Hajmurad | Anesthesiology | Interventional Spine and Pain Management Center, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Megan Rutherford | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Tayler Alyse Walker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Melanie D Marshall | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Find all physicians in zip 30106 | |||
| City | AUSTELL |
| Zip Code | 30106 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AUSTELL + INTERNAL MEDICINE |
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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.