Stacie M Nelson (NPI# 1164518502, PAC ID# 4880694389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164518502 |
| PAC ID by PECOS | 4880694389 |
| Professional Enrollment ID | I20130409000161 |
| Full Name | Stacie M Nelson |
| Organization Legal Name | MAHMOOD A SIDDIQUI MD PC |
| Address |
144 Medical Ctr Dr B Copperhill TN 37317-5000 |
| Phone Number | 4234969214 |
| Gender | F |
| Credential | NP |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305941535 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| 440185 | TENNOVA HEALTH CARE-CLEVELAND |
| Address | Phone | Organization |
|---|---|---|
| 144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 | 4234969214 | MAHMOOD A SIDDIQUI MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 26% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 53% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 2% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 17% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 94% |
| Organization Legal Name | MAHMOOD A SIDDIQUI MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Collins | Physician Assistant | Mahmood A Siddiqui Md PC | 144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 |
| Street Address |
144 MEDICAL CTR DR B |
| City | COPPERHILL |
| State | TN |
| Zip | 37317-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen S Uhlik | Internal Medicine | 144 Medical Ctr Dr, Copper Hill, TN 37317-5000 | |
| Jessica E Collins | Physician Assistant | Mahmood A Siddiqui Md PC | 144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317-4072 | |
| Katharine S Sampson | Physical Therapy | North Georgia Physical Therapy | 144 Medical Ctr Dr A, Copperhill, TN 37317-5006 |
| Tiffany Boring | Nurse Practitioner | Grace Health Services Pllc | 104 Grand Ave, Copperhill, TN 37317-5500 |
| Bethany Whitener | Nurse Practitioner | Grace Health Services Pllc | 104 Grand Ave, Copperhill, TN 37317-5500 |
| City | COPPERHILL |
| Zip Code | 37317 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COPPERHILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacie M Nelson.
| 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.