| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Aston, Emily Kate LCSW | 463b Ernest Biles Dr Jackson GA 30233-2229 | 770-358-5252 | 1041C0700X | 1760881700 |
| Austin, Tiffany Ann LCSW | 169 Dempsey Ave Ste 2 Jackson GA 30233-2019 | 404-731-9268 | 1041C0700X | 1629627195 |
| Ayoola, Ms. Serah Iyabode DPT | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 225100000X | 1831329663 |
| Barber, Laura AGNP | 922 Mcdonough Rd Jackson GA 30233-1522 | 770-775-7832 | 363LG0600X | 1417618273 |
| OTHER AANPCB : AG12210118 |
| Barron, Dr. James Edward D.M.D. | 2978 Highway 36 W Jackson GA 30233 | 770-504-2170 | 122300000X | 1235303223 |
| Bass Burch, Dana B PA | 794 Mcdonough Rd Suite 111 Jackson GA 30233-1572 | 470-251-5300 | 363AM0700X | 1992943195 |
| Belew, Valerie | 247 Weavers Lake Front Rd Jackson GA 30233-6102 | 770-401-0772 | 101YP2500X | 1952992877 |
| Bell, Darlene | 124 N Oak St Jackson GA 30233 | 404-971-3836 | 171M00000X | 1245690924 |
| Bender, John Stephen DDS | 180 Macon Ave Jackson GA 30233-2632 | 770-820-5822 | 122300000X | 1881720282 |
| Bethel, Iceesho RRT | 310 Hickory Rd Jackson GA 30233-6271 | 706-476-4988 | 332B00000X | 1619227576 |
| Biles, Lezlie F MD | 146 Sylvan Dr Jackson GA 30233-1548 | 770-775-4540 | 208000000X | 1033267364 |
| MEDICAID GA : 894425821C |
| Boyles, Ms. Lynn A LCSW | 463 Ernest Biles Dr Ste B Jackson GA 30233-2229 | 770-775-6645 | 1041C0700X | 1902012925 |
| Burns, Clarissa Diann NP | 176 Lyons St Jackson GA 30233-2134 | 404-688-1350 | 363LF0000X | 1568092518 |
| Cain, Ms. Angela Michelle FNP-C | 1502 W 3rd St Jackson GA 30233-1979 | 770-914-0116 | 363LF0000X | 1255801916 |
| MEDICAID GA : 003261746A |
| Crutcher-dubose, Mrs. Carol Ann COTA/L | 922 Mcdonough Rd Jackson GA 30233-1522 | 214-551-4855 | 224Z00000X | 1932332749 |
| Culliton, Elisa LMSW | 463b Ernest Biles Dr Jackson GA 30233-2229 | 770-358-5252 | 104100000X | 1073118451 |
| Danovic, Jon D D.C. | 356 E 3rd St Jackson GA 30233-2042 | 770-775-2415 | 111N00000X | 1518031525 |
| Downing, Erin SLP | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 235Z00000X | 1669513966 |
| Drake, Ms. Taylor CCC-SLP | 331 Maple Ridge Dr Jackson GA 30233-5042 | 678-850-0248 | 235Z00000X | 1043979305 |
| Dreaden, Young NP | 2978 Hwy 36w Jackson GA 30233 | 770-504-2112 | 363LF0000X | 1306225057 |
| Edenfield, Dr. Adam PT, DPT | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7865 | 225100000X | 1992350607 |
| Edouard, Dr. Raymond MD | 1502 W 3rd St Jackson GA 30233-1979 | 678-774-0430 | 363LF0000X | 1427509165 |
| Evans, Dr. John Sanford MD | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 207P00000X | 1144260878 |
| MEDICAID GA : PENDING |
| Fears, Joyce L | 227 S Mulberry St Jackson GA 30233-2058 | 770-957-5561 | 183500000X | 1902428584 |
| Fernandes, Elizabeth PA-C | 1502 Highway 16 E Jackson GA 30233-5202 | 678-774-0430 | 363A00000X | 1316057979 |
| OTHER GA AMERIGROUP : 10033117 || OTHER GA WELLCARE : 319977 || MEDICAID GA : 100002125A |
| Finderson, Mr. Steven PA | 2978 Highway 36 W Jackson GA 30233-6150 | 770-504-2112 | 363AM0700X | 1235518549 |
| Fortson, Dr. Dennis Keith D.M.D | 151 S Harkness St Jackson GA 30233-1832 | 770-775-4550 | 1223G0001X | 1548607765 |
| MEDICAID GA : 000136694A |
| Fowlkes, Dr. Joseph MD | 2978 Highway 36 W Jackson GA 30233 | 770-504-2144 | 207R00000X | 1568661320 |
| Freeman, Ms. Regen Vachelle M.A.,CCC-SLP | 511 Oakland Cir Jackson GA 30233-1561 | 404-392-9576 | 235Z00000X | 1518122936 |
| Gardner, Aleta Maria M.D. | 2978 Highway 36 W Jackson GA 30233 | 770-504-2168 | 207Q00000X | 1750575130 |
| Grey, Janene PT ASSISTANT | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 225200000X | 1205988722 |
| Grossman, Dr. Michael Robert D.O | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 207P00000X | 1710929708 |
| MEDICAID GA : 204624381C |
| Hageman, Taylor Gail LCSW | 463 Ernest Biles Dr # B Jackson GA 30233-2229 | 678-551-9210 | 101YM0800X | 1780342493 |
| Hardy, Angela K LAPC | 463 Ernest Biles Dr Suite B Jackson GA 30233-2229 | 770-358-8326 | 101YP2500X | 1437374535 |
| Hatcher, Mrs. Karmon D. SLP | 314 Barnes Rd Jackson GA 30233-5482 | 678-350-5779 | 235Z00000X | 1073523312 |
| Hayes, April PHYSICAL THERAPIST | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 225100000X | 1568514008 |
| Head, Shirley | 464 W 3rd St Ste 107 Jackson GA 30233-1856 | 770-775-3991 | 225100000X | 1356459036 |
| OTHER GA LICENSE# : 001138 |
| Hogan, Mr. Stanley Lamar BSRPH | 4 2nd St Jackson GA 30233-1920 | 770-775-3663 | 183500000X | 1386083939 |
| MEDICAID GA : 00029807A |
| Holm, Mrs. Bonnie Kay LPC | 10 3rd St Ste 200 Jackson GA 30233-1900 | 770-845-9344 | 101YP2500X | 1558638197 |
| MEDICAID GA : 003134052A |
| Humphries, Shawn Edward MPT | 252 Strickland Pasture Rd Jackson GA 30233-4019 | 706-329-5108 | 225100000X | 1609873454 |
| Izzo, Peter M.D. | 1502 W 3rd St Jackson GA 30233-1979 | 678-774-0430 | 207Q00000X | 1063755700 |
| Jacobson, Joshua Michael | 463b Ernest Biles Dr Jackson GA 30233-2229 | 770-504-5645 | 101YP2500X | 1023381670 |
| Jarrett, Mrs. Leslie Diane NP | 2978 Highway 36 W Jackson GA 30233-6150 | 770-504-2112 | 364SF0001X | 1316326523 |
| Johnson, Ms. Cynthia T. NP | 152 S Mckibben St Jackson GA 30233-2022 | 678-603-0369 | 363LF0000X | 1447763594 |
| Johnson, Julie B PHYSICAL THERAPIST | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 225100000X | 1508918939 |
| Jones, Ms. Valerie Michelle LPN | 463 Ernest Biles Dr Jackson GA 30233-2229 | 770-358-8326 | 164W00000X | 1528233434 |
| Keese, Amanda PT ASSISTANT | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 225200000X | 1992857320 |
| Lee, Maja N. FNP | 1050 Mcdonough Rd Jackson GA 30233-1524 | 770-775-7861 | 163W00000X | 1881862431 |
| Leggett, Dr. Derrell Levohn M.D. | 794 Mcdonough Rd Suite 108 Jackson GA 30233-1572 | 470-251-5300 | 207L00000X | 1306025630 |
| MEDICAID GA : 003118346B |
| Lester, Mr. Gary Ronald LCSW | 176 Indian Springs St Jackson GA 30233-2124 | 678-447-5063 | 1041C0700X | 1760626444 |
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