Savannah Bryanna Jackson (NPI# 1558876524, PAC ID# 5991051690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558876524 |
| PAC ID by PECOS | 5991051690 |
| Professional Enrollment ID | I20180711001880 |
| Full Name | Savannah Bryanna Jackson |
| Organization Legal Name | PRIMARY CARE GROUP OF WEST GEORGIA |
| Address |
100 Professional Park Suite 204 Carrollton GA 30117 |
| Phone Number | 7708343351 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709772197 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| Address | Phone | Organization |
|---|---|---|
| 100 Professional Park, Suite 204, Carrollton, GA 30117 | 7708343351 | PRIMARY CARE GROUP OF WEST GEORGIA |
| Organization Legal Name | PRIMARY CARE GROUP OF WEST GEORGIA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| Street Address |
100 PROFESSIONAL PARK SUITE 204 |
| City | CARROLLTON |
| State | GA |
| Zip | 30117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Huff | Optometry | 702 Bankhead Hwy, Carrollton, GA 30117-1962 | |
| James Charnitski | Chiropractic | 1223 N Park St, Carrollton, GA 30117-2261 | |
| Alexander M Griffin | Chiropractic | 102 Cedar St, Carrollton, GA 30117-2403 | |
| Edgar B Jenkins | Chiropractic | 102 Cedar St, Carrollton, GA 30117-2403 | |
| Peter G Lazarnick | Chiropractic | Peter G. Lazarnick, P.C. | 486 Bankhead Hwy, Carrollton, GA 30117-2445 |
| Shawn Horan | Physical Therapy | Accel Physical Therapy Inc | 120 Cunningham Dr, Suite F, Carrollton, GA 30117-2818 |
| Kyle Walker | Physical Therapy | Accel Physical Therapy Inc | 120 Cunningham Dr, Suite F, Carrollton, GA 30117-2818 |
| Eric L Morante | Physical Therapy | Accel Physical Therapy Inc | 120 Cunningham Dr, Suite F, Carrollton, GA 30117-2818 |
| Michael B Hubier | Physical Therapy | Accel Physical Therapy Inc | 120 Cunningham Dr F, Carrollton, GA 30117-2844 |
| Joseph S Palin | Gastroenterology | 214 E Ward St, Carrollton, GA 30117-3114 | |
| Find all physicians in zip 30117 | |||
| City | CARROLLTON |
| Zip Code | 30117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARROLLTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Savannah Bryanna 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.