JOHNNY ROGER TERRY (NPI# 1104459932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104459932 |
| Entity Type | Individual |
| Full Name | JOHNNY ROGER TERRY |
| Practice Address |
115 W Oglethorpe Hwy Hinesville GA 31313 |
| Mailing Address |
Po Box 1084 Glennville GA 30427-1084 |
| Practice Telephone | 9123340524 |
| Practice Fax Number | 5083550524 |
| Mailing Telephone | 9123340524 |
| Mailing Fax Number | 5083550524 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 2273 | 0001177 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Gloucester St, Brunswick, GA 315207146 | 9123340524 | 5083550524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851629810 | Johnny B Terry Jr. | Physician Assistant | 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1817 | 2009-12-02 |
| Street Address |
115 W OGLETHORPE HWY |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| 1063814598 | Cynthia Stafford | Registered Nurse | 1060 Harmon Avenue, Ft Stewart, GA 31313 | 2014-09-16 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318538 | Angela Lashun Williams | Counselor | 1715 Shaw Rd, Hinesville, GA 31313-8229 | 2019-04-06 |
| 1104078666 | Gloria Harris Daughtery | Counselor | 318 S Welborn St, Suite C, Hinesville, GA 31313-3127 | 2008-10-15 |
| 1619166204 | Malinda Graham & Associates | Counselor | 445 E G Miles Pkwy, Suite 106, Hinesville, GA 31313-3230 | 2007-10-18 |
| 1700915931 | Gateway Behavioral Health Services | Counselor | 760 S Main St, #a, Hinesville, GA 31313-4613 | 2007-03-05 |
| 1811306814 | Kejuiana L. Johnson | Counselor | 407 N Main St, Hinesville, GA 31313-2509 | 2014-08-05 |
| 1073751954 | Gloria M. Hance | Counselor | 215 E Court St, Hinesville, GA 31313-3606 | 2009-01-30 |
| 1558519090 | Cynthia Green-jones | Counselor | 445 E G Miles Pkwy, Suite 106, Hinesville, GA 31313-3230 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
| 1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
| 1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
| 1861007064 | Tara Tanksley Stallings | Counselor | 1734 Jenkins St, Augusta, GA 30904-3736 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.