Jessica Wooten (NPI# 1053854364, PAC ID# 4587947429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053854364 |
| PAC ID by PECOS | 4587947429 |
| Professional Enrollment ID | I20190107002559 |
| Full Name | Jessica Wooten |
| Address |
200 Maple Dr Vidalia GA 30474-8607 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 777 Hemlock St, Macon, GA 31201-2102 | 4786336399 | AMERICAN ANESTHESIOLOGY ASSOCIATES OF GEORGIA LLC |
| 350 Country Club Dr, Suite D, Stockbridge, GA 30281-9084 | 7704741919 | TWILIGHT CONSULTING AND MANAGEMENT |
| 200 Maple Dr, Vidalia, GA 30474-8607 | ||
| 1905 Tebeau St, Waycross, GA 31501-6356 |
| Street Address |
200 MAPLE DR |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Arnold | Physician Assistant | Vidalia Medical Associates, PC | 200 Maple Dr, Vidalia, GA 30474-8907 |
| Ronnie R Smith | Internal Medicine | Vidalia Medical Associates, PC | 200 Maple Dr, Vidalia, GA 30474-8907 |
| James Barber | Internal Medicine | Vidalia Medical Associates, PC | 200 Maple Dr, Vidalia, GA 30474-8907 |
| Dustin J Carter | Physician Assistant | Vidalia Medical Associates, PC | 200 Maple Dr, Vidalia, GA 30474-8907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | VIDALIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.