Physician Compare National (NPI:1669745238)

HEALTHCARE PROVIDER: JOCELYN LORANGE-HERRON SEBESTYEN PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669745238
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062652506
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130705000519
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEBESTYEN
	Individual professional last name
Provider First Name	JOCELYN
	Individual professional first name
Provider Middle Name	LORANGE-HERRON
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9638343924
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	217
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3340 PADDOCK PKWY
	Group Practice or individual's line 1 address
City	SUWANEE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300249119
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6786796210
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y