Jacquelyn Macey PA-C LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JACQUELYN MACEY PA-C LLC

Practice address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689

Phone

(770) 985-9330

NPI assigned

Mar 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacquelyn Denise Macey, PA-C

Title

Physicaian Assistant

Phone

(850) 582-1221

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1336608942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 TOWN BLVD NE UNIT 2302",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193662",
            "telephone_number": "850-582-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-985-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN MACEY PA-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MACEY",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICAIAN ASSISTANT",
        "authorized_official_telephone_number": "850-582-1221",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Snellville, GA
• Providers in Snellville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.