Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Elisabeth Jackson Gaines I, PA-C

Individual provider Physician Assistant · NPI 1194706234

Mrs. Elisabeth Jackson Gaines I, PA-C is a Physician Assistant in Douglasville, Georgia. Graduated from University of South Alabama College of Medicine in 1999, 27 years ago. Practices with Nsh Cancer Institute Professional Services G LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4586 Timber Ridge Dr Ste 200
Douglasville, GA 30135-7514
Phone: (770) 942-0457
Fax: (770) 942-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003791 (GA)

Record details

NPI number1194706234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Nsh Cancer Institute Professional Services G Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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