Morgan Charlotte Jackson (NPI# 1033621776, PAC ID# 5698024156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033621776 |
| PAC ID by PECOS | 5698024156 |
| Professional Enrollment ID | I20180816003450 |
| Full Name | Morgan Charlotte Jackson |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Address |
119 W Hill St Thomasville GA 31792-6618 |
| Phone Number | 7703042220 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284951542 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110038 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 W Hill St, Thomasville, GA 31792-6618 | 7703042220 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2292288115 | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Physicians | 225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Deason Perritt | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1218 Alice St, Waycross, GA 31501-4525 |
| Angela Duke | Nurse Practitioner | Privia Medical Group of Georgia LLC | 106 Pilgrim Village Dr, Suite 400, Cumming, GA 30040-9242 |
| Daniel John Callahan | Physician Assistant | Privia Medical Group of Georgia LLC | 100 Genevieve Ct, Suite A, Peachtree City, GA 30269-4868 |
| Holly M Loesch | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 440 Washington St Se, Gainesville, GA 30501-3619 |
| Lyudmila P Carter | Internal Medicine | Privia Medical Group of Georgia LLC | 109 W Oglethorpe Hwy, Hinesville, GA 31313-3657 |
| Michaela Seward Jones | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1010 E Fwy Dr Se, Conyers, GA 30094-5965 |
| Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
| Ashley Paige Keen | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2402 Osler Ct, Albany, GA 31707-0205 |
| Jeanette Dormio | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 |
| Fred Vaughan Legg Iii | Nurse Practitioner | Privia Medical Group of Georgia LLC | 55 Cantrell Rd, Suite 100, Cleveland, GA 30528-1083 |
| Street Address |
119 W HILL ST |
| City | THOMASVILLE |
| State | GA |
| Zip | 31792-6618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Smith | Physician Assistant | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
| Wesley W Simms | Pathology | 119 W Hill St, Thomasville, GA 31792-6618 | |
| Beverly R Jackson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley B Allen | Physician Assistant | Archbold Medical Group, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| James A Thompson | Certified Clinical Nurse Specialist (cns) | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Felicia M Yearby | Nurse Practitioner | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Ann T Lucas | Clinical Psychologist | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Todd A Hanscom | Chiropractic | 409 E Jackson St, Thomasville, GA 31792-4615 | |
| David A Miller | Physical Medicine and Rehabilitation | 421 E Jackson St, Thomasville, GA 31792-4694 | |
| Albert I Richardson | General Surgery | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Karen B Lee | Nurse Practitioner | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Stephen W Pearce | Certified Registered Nurse Anesthetist (crna) | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Robert D Webb | Ophthalmology | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Find all physicians in zip 31792 | |||
| City | THOMASVILLE |
| Zip Code | 31792 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | THOMASVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Morgan Charlotte Jackson.
| 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.