TIFFANY JOHNSON (NPI# 1104334846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104334846 |
| Entity Type | Individual |
| Full Name | TIFFANY JOHNSON |
| Practice Address |
1040 Noble Vines Dr Apt 2 Clarkston GA 30021-1345 |
| Mailing Address |
Po Box 3973 Decatur GA 30031-3973 |
| Practice Telephone | 4046261842 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F01180323 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012193 | Tiffany Monique Johnson | Physical Therapy Assistant | 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258-4988 | 2020-10-28 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1790307403 | Tiffany Johnson | Nurse Practitioner | 109 Stephanie Dr, West Monroe, LA 71291-6975 | 2020-05-15 |
| 1912544727 | Tiffany L Johnson | Case Management | 10412 W Custer Ave, Milwaukee, WI 53225-3218 | 2019-11-30 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1649832080 | Tiffany Lynnjoy Johnson | Home Health Aide | 519 Quicksilver Trl, Fort Mill, SC 29708-6507 | 2019-07-06 |
| 1427532373 | Tiffany Johnson | Registered Nurse | 1425 109th Ln Nw, Coon Rapids, MN 55433-4214 | 2018-09-17 |
| 1669915880 | Tiffany Johnson | Specialist/Technologist | 823 Fm 1528, Cooper, TX 75432 | 2016-11-19 |
| 1538617352 | Tiffany Lawrence Johnson | Registered Nurse | 500 Governor's Dr Sw, Huntsville, AL 35801 | 2016-09-21 |
| 1386098515 | Tiffany Johnson | Technician, Other | 503 Ne 2nd Ave, Hillsboro, OR 97124-3015 | 2016-04-13 |
| Street Address |
1040 NOBLE VINES DR APT 2 |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1881865624 | Vanessa Phan | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| Find all providers in zip 30021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033767223 | William Bodnar | Nurse Practitioner | 3701 College Ave, Clarkston, GA 30021-2508 | 2019-08-30 |
| 1619537636 | Samina A. Damani | Nurse Practitioner | 3700 Market St Ste E, Clarkston, GA 30021-2600 | 2019-06-20 |
| 1457911281 | Megan Clemence | Nurse Practitioner | 7210 N Main St Ste 200, Clarkston, MI 48346-1575 | 2019-06-14 |
| 1821577479 | Jerrica Kallio | Nurse Practitioner | 909 Verdi Way, Clarkston, GA 30021-1057 | 2018-08-13 |
| 1346731866 | Wanda M Lewis | Nurse Practitioner | 10112 Windy Knoll Ct, Clarkston, MI 48348-2182 | 2018-05-21 |
| 1720596802 | Kenzie Gardner | Nurse Practitioner | 7643 Olde Sturbridge Trl, Clarkston, MI 48348-4613 | 2018-01-11 |
| 1245767631 | Eric Dudenhofer Arnp Ps | Nurse Practitioner | 1271 Highland Ave # B, Clarkston, WA 99403-2846 | 2017-05-16 |
| 1710343181 | Teri Massey | Nurse Practitioner | 518 Sunrise Dr, Clarkston, MI 48348-1493 | 2016-01-14 |
| 1275998833 | Joyce John | Nurse Practitioner | 4378 Bluff Pointe, Clarkston, MI 48348-5081 | 2015-12-28 |
| 1235259748 | Charmaine R Allen-johnson | Nurse Practitioner | 619 Diagonal St, Clarkston, WA 99403-2041 | 2007-03-29 |
| Find all providers in CLARKSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.