Jessica E Collins (NPI# 1760433288, PAC ID# 5991751984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1760433288 |
PAC ID by PECOS | 5991751984 |
Professional Enrollment ID | I20170104000301 |
Full Name | Jessica E Collins |
Organization Legal Name | MAHMOOD A SIDDIQUI MD PC |
Address |
144 Medical Ctr Dr B Copperhill TN 37317-5000 |
Phone Number | 4234969214 |
Gender | F |
Credential | PA |
Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | PHYSICIAN ASSISTANT |
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 |
341328 | MURPHY MEDICAL CENTER INC |
Address | Phone | Organization |
---|---|---|
144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 | 4234969214 | MAHMOOD A SIDDIQUI MD PC |
Organization Legal Name | MAHMOOD A SIDDIQUI MD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacie M Nelson | Nurse Practitioner | 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 | |
Stacie M Nelson | Nurse Practitioner | 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 | PHYSICIAN ASSISTANT |
City + Specialty | COPPERHILL + PHYSICIAN ASSISTANT |
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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.