Tonia L Jackson (NPI# 1235178971, PAC ID# 5395638944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1235178971 |
| PAC ID by PECOS | 5395638944 |
| Professional Enrollment ID | I20040206000109 |
| Full Name | Tonia L Jackson |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
451 Hwy 13 S Waverly TN 37185-2109 |
| Phone Number | 9312964203 |
| Gender | F |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG |
| Graduation Year | 1998 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441303 | THREE RIVERS HOSPITAL |
| 441322 |
| Address | Phone | Organization |
|---|---|---|
| 768 Tennessee Ave S, Parsons, TN 38363-4607 | 7318477772 | URGENT AND SPECIALTY CARE CLINIC |
| 451 Hwy 13 S, Waverly, TN 37185-2109 | 9312964203 | CONCORD MEDICAL GROUP PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
451 HWY 13 S |
| City | WAVERLY |
| State | TN |
| Zip | 37185-2109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Chaltry | Family Medicine | Concord Medical Group Pllc | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Lawrence R Jackson Jr. | Family Medicine | 451 Hwy 13 S, Waverly, TN 37185-2109 | |
| Joseph R Hames | Family Medicine | Concord Medical Group Pllc | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Patricia Kay Haeberle | Nurse Practitioner | Saint Thomas Medical Partners | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Jerry L Howard Ii | General Surgery | Humphreys County Community Health Services, Inc. | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H King | Optometry | 502 W Main St, Waverly, TN 37185-1407 | |
| Ashlin Underwood | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Melissa Dawn Holton | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kathi A Harper | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Julie Simpson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Jill Paulette Smith | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Shelley Neblett | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Chelsa Frey | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kimberly Masengill | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kirsten L Guthrie | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Find all physicians in zip 37185 | |||
| City | WAVERLY |
| Zip Code | 37185 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WAVERLY + ANESTHESIOLOGY |
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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.