Jacob L Fleming (NPI# 1083692289, PAC ID# 6204800329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083692289 |
| PAC ID by PECOS | 6204800329 |
| Professional Enrollment ID | I20050331000303 |
| Full Name | Jacob L Fleming |
| Organization Legal Name | RESURGENS, PC |
| Address |
5671 Peachtree Dunwoody Rd Ne Suite 900 950 Atlanta GA 30342-5022 |
| Phone Number | 4048479999 |
| Gender | M |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1153224142 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 3400 C Old Milton Pkwy, Suite 145, Alpharetta, GA 30005-3707 | 7706674280 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 1100 Lake Hearn Dr, Suite 150, Atlanta, GA 30342-1547 | 4042555512 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5919 | 7709331963 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 5505 Peachtree Dunwoody Rd, Suite 100, Atlanta, GA 30342-1705 | 4044251674 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 5671 Peachtree Dunwoody Rd, Suite 160, Atlanta, GA 30342-5001 | 4048479999 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 | 4048479999 | RESURGENS, PC |
| 4700 Nelson Brogdon Blvd, Suite 100, Buford, GA 30518-5403 | 4702384110 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 320 Hospital Rd, Canton, GA 30114-2432 | 7704795535 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 7707205366 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 2287 Salem Serd, Conyers, GA 30013-2025 | 7707600660 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 100 Mountain View Dr, Suite 200, Cumming, GA 30040-2434 | 7702058800 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 7708443230 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 2000 Howard Farm Dr, Suite 150, Cumming, GA 30041-6075 | 7702926100 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 2859 N Decatur Rd, Decatur, GA 30033-5911 | 4043290656 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 1336 Hwy 54 W, Bldg 500, Fayetteville, GA 30214-4574 | 7704611238 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 270 Chastain Rd, Kennesaw, GA 30144-3012 | 7704218005 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 780 Canton Rd Ne, Suite 230, Marietta, GA 30060-8928 | 7707921234 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 11660 Alpharetta Hwy 550, Roswell, GA 30076-3883 | 7706648600 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 1400 Hembree Rd, Suite 150, Roswell, GA 30076-5711 | 7706199976 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 204 Village Ctr Pkwy, Stockbridge, GA 30281-9044 | 6785656364 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 913 Eagles Landing Pkwy, Suite 200, Stockbridge, GA 30281-5011 | 7705064466 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-8034 | 4789536033 | NORTHSIDE RADIOLOGY ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | RESURGENS, PC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Kolski | Physician Assistant | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Stephanie M Wordes | Physician Assistant | Resurgens, PC | 1495 Hickory Flat Hwy, Suite 200, Canton, GA 30115-4229 |
| Brooks W Ficke | Orthopedic Surgery | Resurgens, PC | 1285 Hembree Rd, 200a, Roswell, GA 30076-4995 |
| Angela E Cochran | Nurse Practitioner | Resurgens, PC | 105 Regency Park Dr, Mcdonough, GA 30253-6649 |
| Bennett D Grimm | Orthopedic Surgery | Resurgens, PC | 61 Whitcher Nest, Marietta, GA 30060-1142 |
| Chealon D Miller | Orthopedic Surgery | Resurgens, PC | 3211 Iris Dr, Covington, GA 30316 |
| Scott A Kelly | Physical Medicine and Rehabilitation | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Jason D Grabrovac | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Roderica E Cottrell | Physical Medicine and Rehabilitation | Resurgens, PC | 6635 Lake Dr, Morrow, GA 30260-2354 |
| Raymond C Hui | Orthopedic Surgery | Resurgens, PC | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 |
| Street Address |
5671 PEACHTREE DUNWOODY RD NE SUITE 900 950 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-5022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason D Grabrovac | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Matthew E Levine | Orthopedic Surgery | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Jeffrey N Hairston | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Sourendra Raut | Orthopedic Surgery | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Nathan Terrell | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Jason A Schneider | Orthopedic Surgery | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Jordan L Hall | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Victor J Crespo | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, GA 30342-5000 |
| Susan L Fleming | Nurse Practitioner | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Shelby T Ward | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ATLANTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jacob L Fleming.
| 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.