Elisabeth Jackson Gaines in Atlanta - Physician Assistant
Elisabeth Jackson Gaines - NPI 1194706234
Elisabeth Jackson Gaines is a Physician Assistant in Atlanta, Georgia. Elisabeth Jackson Gaines practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elisabeth Jackson Gaines is 1194706234. The last update date is 2020-12-07.
Elisabeth Jackson Gaines's current location address is 1835 Savoy Dr, Atlanta, Georgia. You can contact this provider via phone number 7709420457 and fax number 7709427699. The mailing address for Elisabeth Jackson Gaines is 1835 Savoy Dr, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisabeth Jackson Gaines |
|---|---|
| Address | 1835 Savoy Dr, Atlanta, Georgia |
| Phone Number | 7709420457 |
| Fax Number | 7709427699 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194706234 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2020-12-07 |
Provider Mailing Address Detail
| Address | 1835 Savoy Dr |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303411072 |
| Phone Number | 7709420457 |
| Fax Number | 7709427699 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3791 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003101476B | GA | -- | |
| 202I970546 | GA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Elisabeth Jackson Gaines by the Centers for Medicare & Medicaid Services?
The Elisabeth Jackson Gaines has been issued the NPI (National Provider Identifier) 1194706234. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Elisabeth Jackson Gaines's physical address?
The Elisabeth Jackson Gaines is physically located at 1835 Savoy Dr, in the city of Atlanta, GA, with the postal code 303411072.
What is the Elisabeth Jackson Gaines's area of specialization and corresponding taxonomy classification?
The Elisabeth Jackson Gaines's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1194706234 assigned to Elisabeth Jackson Gaines?
The Elisabeth Jackson Gaines was issued its 1194706234 on 2005-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Elisabeth Jackson Gaines most recently updated?
The details pertaining to the Elisabeth Jackson Gaines, including its address, specialty, and other relevant information, were last refreshed on 2020-12-07.