Julie Ann Jefferson (NPI# 1881915791, PAC ID# 4587892054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1881915791 |
| PAC ID by PECOS | 4587892054 |
| Professional Enrollment ID | I20170913001237 |
| Full Name | Julie Ann Jefferson |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Address |
7203 Goodman Rd Olive Branch MS 38654-1906 |
| Phone Number | 9017592322 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163501834 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5349 Airline Rd, Arlington, TN 38002-4266 | 9017592322 | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| 7658 Poplar Pike, Germantown, TN 38138-5941 | 9013222322 | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| 7203 Goodman Rd, Olive Branch, MS 38654-1906 | 9017592322 | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Gordon | Dermatology | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Alexis N Johnson | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Purvisha Patel | Dermatology | Advanced Dermatology and Skin Cancer Associates, Pllc | 5349 Airline Rd, Arlington, TN 38002-4266 |
| Jennifer Hinders | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Melanie J Hamilton | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Natalie Morgan | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7658 Poplar Pike, Germantown, TN 38138-5941 |
| Street Address |
7203 GOODMAN RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis N Johnson | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Jennifer Hinders | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Vickie D Long | Nurse Practitioner | 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 | |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Shailesh Patel | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | DERMATOLOGY |
| City + Specialty | OLIVE BRANCH + DERMATOLOGY |
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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.