Gary Michael Jacobson (NPI# 1760475594, PAC ID# 7618164450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1760475594 |
| PAC ID by PECOS | 7618164450 |
| Professional Enrollment ID | I20101207000159 |
| Full Name | Gary Michael Jacobson |
| Organization Legal Name | VASCULAR SURGICAL ASSOCIATES, PC |
| Address |
55 Whitcher St Suite 220 Marietta GA 30060-1168 |
| Phone Number | 7704230595 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1993 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 6709862212 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Whitcher St, Suite 220, Marietta, GA 30060-1168 | 7704230595 | VASCULAR SURGICAL ASSOCIATES, PC |
| 61 Whitcher St Ne, Suite 3150, Marietta, GA 30060-1180 | 7704230595 | VASCULAR SURGICAL ASSOCIATES, PC |
| 120 Stonebridge Pkwy, Suite 320, Woodstock, GA 30189-3769 | 7708747631 | VASCULAR SURGICAL ASSOCIATES, PC |
| Organization Legal Name | VASCULAR SURGICAL ASSOCIATES, PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Rose Romeyn | Physician Assistant | Vascular Surgical Associates, PC | 120 Stonebridge Pkwy, Suite 320, Woodstock, GA 30189-3769 |
| Michael Corey | Vascular Surgery | Vascular Surgical Associates, PC | 61 Whitcher St Ne, Suite 3150, Marietta, GA 30060-1180 |
| David Howell Hafner | Vascular Surgery | Vascular Surgical Associates, PC | 55 Whitcher St, Suite 220, Marietta, GA 30060-1168 |
| Po El Park | Physician Assistant | Vascular Surgical Associates, PC | 120 Stonebridge Pkwy, Suite 320, Woodstock, GA 30189-3769 |
| Laura Pride | Physician Assistant | Vascular Surgical Associates, PC | 120 Stonebridge Pkwy, Suite 320, Woodstock, GA 30189-3769 |
| John Eldred Jones | Vascular Surgery | Vascular Surgical Associates, PC | 61 Whitcher St Ne, Suite 3150, Marietta, GA 30060-1180 |
| Katelyn Katelyn Suchajda | Physician Assistant | Vascular Surgical Associates, PC | 120 Stonebridge Pkwy, Suite 320, Woodstock, GA 30189-3769 |
| Arun Chervu | Vascular Surgery | Vascular Surgical Associates, PC | 55 Whitcher St, Suite 220, Marietta, GA 30060-1168 |
| Jeffrey Neil Winter | Vascular Surgery | Vascular Surgical Associates, PC | 61 Whitcher St Ne, Suite 3150, Marietta, GA 30060-1180 |
| Shariq Sayeed | Vascular Surgery | Vascular Surgical Associates, PC | 61 Whitcher St Ne, Suite 3150, Marietta, GA 30060-1180 |
| Street Address |
55 WHITCHER ST SUITE 220 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-1168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Howell Hafner | Vascular Surgery | Vascular Surgical Associates, PC | 55 Whitcher St, Suite 220, Marietta, GA 30060-1168 |
| Francisco F Puentes | Endocrinology | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 130, Marietta, GA 30060-1129 |
| Martha X Aguilera | General Surgery | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 130, Marietta, GA 30060-1129 |
| Sandeep Jaglan | Nephrology | Georgia Kidney Associates, Inc. | 55 Whitcher St, Suite 460, Marietta, GA 30060-1171 |
| James Gregory Boron | General Surgery | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 130, Marietta, GA 30060-1129 |
| Kayla M Cato | Nurse Practitioner | Georgia Kidney Associates, Inc. | 55 Whitcher St, Suite 460, Marietta, GA 30060-1171 |
| Indira Chervu | Nephrology | Georgia Kidney Associates, Inc. | 55 Whitcher St, Suite 460, Marietta, GA 30060-1171 |
| Regan Howe | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 350, Marietta, GA 30060-1129 |
| Kimone M James | Internal Medicine | Georgia Kidney Associates, Inc. | 55 Whitcher St, Suite 460, Marietta, GA 30060-1171 |
| Ateet B Patel | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 350, Marietta, GA 30060-1129 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | MARIETTA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Gary Michael Jacobson.
| 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.