MEDICARE: JESSICA FOSSE CRC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1154125748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FOSSE CRC

Provider Business Mailing Address
First Line	:	1160 JOHNSON FY RD NE UNIT 1409
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30342-2338
Country	:	US
Telephone Number	:	423-619-7794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 MOUNT VERNON RD STE G
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-4245
Country	:	US
Telephone Number	:	770-815-6853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/03/2025

Similar Medicare Providers

1053321687 — MRS. TATIANA Y. MATTHEWS MS
Practice Location Address:

1730 MOUNT VERNON RD STE G
ATLANTA, GA
30338-4245

Practice Phone: 707-815-6853
Practice Fax:

1477173920 — MR. RYAN WILLIAM FLANAGAN
Practice Location Address:

1730 MOUNT VERNON RD STE B
ATLANTA, GA
30338-4245

Practice Phone: 770-353-2001
Practice Fax:

1033987078 — ROSS MILLS
Practice Location Address:

1730 MOUNT VERNON RD STE G
ATLANTA, GA
30338-4245

Practice Phone: 770-815-6853
Practice Fax:

1154321594 — DR. CASEY NEWMAN LOCARNINI M.D.
Practice Location Address:

1730 MOUNT VERNON RD STE B
DUNWOODY, GA
30338-4245

Practice Phone: 770-353-2001
Practice Fax: 770-353-2010

1417011099 — PACIFIC MEDICAL LLC
Practice Location Address:

1730 MOUNT VERNON RD , SUITE B
DUNWOODY, GA
30338-4245

Practice Phone: 770-353-2001
Practice Fax: 770-353-2010

1093109274 — LOTUS CHIROPRACTIC CARE LLC
Practice Location Address:

1730 MOUNT VERNON RD STE C
DUNWOODY, GA
30338-4245

Practice Phone: 470-719-9539
Practice Fax:

Directions to “ JESSICA FOSSE CRC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.