Jason C Davis (NPI# 1114257789, PAC ID# 6507088374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114257789 |
| PAC ID by PECOS | 6507088374 |
| Professional Enrollment ID | I20190627003447 |
| Full Name | Jason C Davis |
| Organization Legal Name | PEACHTREE IMMEDIATE CARE FP, LLC |
| Address |
3991 Hwy 78 W Snellville GA 30039-3929 |
| Phone Number | 6787868677 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274559323 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1480 Baxter St, Suite A, Athens, GA 30606-6393 | 7065430228 | PEACHTREE IMMEDIATE CARE FP, LLC |
| 1275 Hwy 54 W, Suite 201, Fayetteville, GA 30214-4538 | 7704613776 | PEACHTREE IMMEDIATE CARE FP, LLC |
| 3827 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2804 | 7702228900 | PEACHTREE IMMEDIATE CARE FP, LLC |
| 3991 Hwy 78 W, Snellville, GA 30039-3929 | 6787868677 | PEACHTREE IMMEDIATE CARE FP, LLC |
| Organization Legal Name | PEACHTREE IMMEDIATE CARE FP, LLC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin I Von Pelser-berensberg | Physician Assistant | Peachtree Immediate Care Fp, LLC | 9390 The Landing Dr, Douglasville, GA 30135-7180 |
| Sandeep Singh | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Linda Leiser | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 13093 Brown Bridge Rd, Covington, GA 30016-9109 |
| Darren Dillard | Internal Medicine | Peachtree Immediate Care Fp, LLC | 4400 Peachtree Rd Ne, Brookhaven, GA 30319-2729 |
| Nisha Bhika | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1220 Caroline St Ne, Suite A 230, Atlanta, GA 30307-2749 |
| Nida Rupani | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1850 E W Connector, Austell, GA 30106-1246 |
| Uwa Amoji | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1275 Hwy 54 W, Suite 201, Fayetteville, GA 30214-4538 |
| Nneka L Okpara | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 371 Newnan Crossing Byp, Suite 103, Newnan, GA 30265-3888 |
| Noushin Vastani | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 2575 Peachtree Pkwy, Suite 100, Cumming, GA 30041-7562 |
| Shawna Peterkin | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 3295 S Cobb Dr Se, Smyrna, GA 30080-4175 |
| Street Address |
3991 HWY 78 W |
| City | SNELLVILLE |
| State | GA |
| Zip | 30039-3929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Roseberry | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 3991 Hwy 78 W, Snellville, GA 30039-3929 |
| Elizabeth M Sipple | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 3991 Hwy 78 W, Snellville, GA 30039-3929 |
| Marjorie Burnette | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 3991 Hwy 78 W, Snellville, GA 30039-3929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Bender | Nurse Practitioner | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Lanonie Simpson | Nurse Practitioner | Minute Clinic LLC | 865 N Highland Ave, Atlanta, GA 30039 |
| Nana Atta-asamoah | General Practice | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Kasey Lila Lieu | Nurse Practitioner | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| David Bronaugh | Physician Assistant | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Bede Soon Tae Cha | Family Medicine | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Benjamin Abraham | Family Medicine | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Jaine Samuel | Nurse Practitioner | Minute Clinic LLC | 865 N Highland Ave, Atlanta, GA 30039 |
| Patricia M Barrington | Family Practice | Dr. B Abraham PC | 3020 Hwy 124, Snellville, GA 30039 |
| Collin T Adu | Physical Therapy | 1source Fitness and Sports-neuro Rehab LLC | 3931 Hwy 78 W, Suite B200a, Snellville, GA 30039-3907 |
| Find all physicians in zip 30039 | |||
| City | SNELLVILLE |
| Zip Code | 30039 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SNELLVILLE + 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.