Tiffany D Jackson (NPI# 1053556399, PAC ID# 6608161427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1053556399 |
| PAC ID by PECOS | 6608161427 |
| Professional Enrollment ID | I20170925003048 |
| Full Name | Tiffany D Jackson |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
222 S Herlong Ave Rock Hill SC 29732-1158 |
| Phone Number | 8033291234 |
| Gender | F |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420002 | PIEDMONT MEDICAL CENTER |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 340190 |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043772424 | MID ATLANTIC EMERGENCY MEDICAL ASSOCIATES PLLC |
| 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 8033291234 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Pena | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 |
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Michael Coletta | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
222 S HERLONG AVE |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ellis Rawls | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kamran Borhanian | General Surgery | Piedmont Physician Network LLC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Gerald W Bennett | Family Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Joseph C Okoye | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Robert W. Baker | Anesthesiology | Anesthesia Associates of Rock Hill Pa | 222 S Herlong Ave, Rock Hill, SC 29732-1952 |
| Troy Michael Mitchell | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Brian P Mika | Psychiatry | Piedmont Physician Network LLC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Nathaniel J Kesner | Internal Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Frederick J Rosenblum | Pulmonary Disease | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Jeana Marie Church | Family Medicine | Southeastern Hospitalist Services, PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ROCK HILL + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Tiffany D 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.