Samantha Mccriskin (NPI# 1952766818, PAC ID# 4981997780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1952766818 |
PAC ID by PECOS | 4981997780 |
Professional Enrollment ID | I20161019001471 |
Full Name | Samantha Mccriskin |
Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
Address |
631 Professional Dr Suite 170 Lawrenceville GA 30046-3392 |
Phone Number | 6783122663 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9234423971 |
Number of Group Practice Members | 44 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110064 | MIDTOWN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2000 10th Ave, Suite 270, Columbus, GA 31901-3706 | 7065711011 | HUGHSTON CLINIC SOUTHEAST PC |
710 Ctr St, Columbus, GA 31901-1527 | 7065711000 | HUGHSTON CLINIC SOUTHEAST PC |
631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 | 6783122663 | HUGHSTON CLINIC SOUTHEAST PC |
Organization Legal Name | HUGHSTON CLINIC SOUTHEAST PC |
Physicians | 44 |
Name | Specialty | Organization | Address |
---|---|---|---|
Crystal Ann Wade | Nurse Practitioner | Hughston Clinic Southeast PC | 1895 Kingsley Ave, Suite 300, Orange Park, FL 32073-4453 |
Lindsey Allison Baroch | Physician Assistant | Hughston Clinic Southeast PC | 3625 University Blvd S, Memorial Hospital, Jacksonville, FL 32216-4207 |
Rebecca Catherine Hanna | Physician Assistant | Hughston Clinic Southeast PC | 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 |
John Simonson IIi | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
Quentin K Tanko | Orthopedic Surgery | Hughston Clinic Southeast PC | 3736 S 4th St, Terre Haute, IN 47802-5507 |
Paul Richard Bretton | Physician Assistant | Hughston Clinic Southeast PC | 2001 Kingsley Ave, Orange Park, FL 32073-5148 |
Robert M Harris | Orthopedic Surgery | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Matthew Wahrendorff Deweese | Nurse Practitioner | Hughston Clinic Southeast PC | 3443 Dickerson Pike, Suite 190, Nashville, TN 37207-2533 |
Mark H Epps | Physician Assistant | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Matthew Combes | Physician Assistant | Hughston Clinic Southeast PC | 309 N Mangoustine Ave, Unit G Triple County Medical Condominium, Sanford, FL 32771-1098 |
Street Address |
631 PROFESSIONAL DR SUITE 170 |
City | LAWRENCEVILLE |
State | GA |
Zip | 30046-3392 |
Name | Specialty | Organization | Address |
---|---|---|---|
Abdul Hafeez | Dermatology | 631 Professional Dr, Suite 110, Lawrenceville, GA 30046-3325 | |
Opal M Blake | Nurse Practitioner | Gwinnett Pulmonary Group | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3370 |
Lawrence David Kaplan | Internal Medicine | Gwinnett Pulmonary Group | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3370 |
Robert M Harris | Orthopedic Surgery | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Sarah Applegarth | Physician Assistant | The Longstreet Clinic, PC | 631 Professional Dr, Suite 240, Lawrenceville, GA 30046-3397 |
Mark H Epps | Physician Assistant | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Vosudesh Karkala Pai | Pulmonary Disease | Gwinnett Pulmonary Group | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3370 |
Brandon Williams | Physician Assistant | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Rajesh R Jasani | Pulmonary Disease | Gwinnett Pulmonary Group | 631 Professional Dr, Suite 350, Lawrenceville, GA 30046-3370 |
John Floyd | Orthopedic Surgery | Hughston Clinic Southeast PC | 631 Professional Dr, Suite 170, Lawrenceville, GA 30046-3392 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
Find all physicians in zip 30046 |
City | LAWRENCEVILLE |
Zip Code | 30046 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LAWRENCEVILLE + NURSE PRACTITIONER |
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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.