Jessica Faye Hall (NPI# 1386084655, PAC ID# 9830328079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386084655 |
| PAC ID by PECOS | 9830328079 |
| Professional Enrollment ID | I20140210000951 |
| Full Name | Jessica Faye Hall |
| Organization Legal Name | NORTHEAST DERMATOLOGY PA |
| Address |
220 Graces Way Columbia SC 29229-1613 |
| Phone Number | 8037364560 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830190750 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 220 Graces Way, Columbia, SC 29229-1613 | 8037364560 | NORTHEAST DERMATOLOGY PA |
| Organization Legal Name | NORTHEAST DERMATOLOGY PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor C Dieter | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Lee S Carson | Dermatology | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Devon Elizabeth Driver | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Street Address |
220 GRACES WAY |
| City | COLUMBIA |
| State | SC |
| Zip | 29229-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor C Dieter | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Lee S Carson | Dermatology | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Devon Elizabeth Driver | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Eddis Iii | Optometry | 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4206 | |
| Tameka Irvin | Certified Clinical Nurse Specialist (cns) | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Jeffrey S Anderson | Emergency Medicine | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Virginia L Mcclain | Family Medicine | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Madhuri V Juvekar | Family Practice | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Jean J Champion-martin | Optometry | 332 Long Pointe Ln, Columbia, SC 29229-5508 | |
| Sarah A Riley | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 121 Clemson Rd, Columbia, SC 29229-6545 |
| Keyonta M Crawford | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 121 Clemson Rd, Columbia, SC 29229-6545 |
| Oliver P Harden | Internal Medicine | 61 Shoreline Dr, Columbia, SC 29229-7300 | |
| William Eugene Phillips | Diagnostic Radiology | Oroville Hospital | 34 Shoreline Dr, Columbia, SC 29229-7302 |
| Find all physicians in zip 29229 | |||
| City | COLUMBIA |
| Zip Code | 29229 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLUMBIA + 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.