TREECIE LEE JOHNSON


Address: 1046 Ridge Ave Sw, Atlanta, GA 30315-1640
Phone: 4046881350

TREECIE LEE JOHNSON (NPI# 1265781777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265781777
Entity Type Individual
Full Name TREECIE LEE JOHNSON
Other Name TREECIE LEE MILLER
Credential NP
Practice Address 1046 Ridge Ave Sw
Atlanta
GA 30315-1640
Mailing Address Po Box 6687
Atlanta
GA 30315-0687
Practice Telephone 4046881350
Practice Fax Number 4046882962
Mailing Telephone 4046881350
Mailing Fax Number 4046882962
Enumeration Date 2012-08-30
Last Update Date 2015-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN221171 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1046 RIDGE AVE SW
City ATLANTA
State GA
Zip Code 30315-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235123993 Southside Medical Center, Inc. Clinic/Center 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2005-09-08
1902427669 Jacqueline Hamilton Dietitian, Registered 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2020-05-04
1588290670 Rutubula Pettaway Social Worker 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2020-03-20
1063975944 Donnamarie Wilson Registered Nurse 1046 Ridge Ave Sw, Atlanta, GA 30315 2019-04-09
1225598030 Joi Raines Nurse Practitioner 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2019-03-20
1417432006 Taylor Breann Gonzalez Advanced Practice Midwife 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2018-09-28
1154810299 Keli Chapman Midwife 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2018-05-03
1730680992 Dena Boykin Dental Hygienist 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2018-02-23
1063913234 Sadaf Rehmani Dental Hygienist 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2018-02-23
1629519251 Anita Khimani Clinic/Center 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2017-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083181341 Erin Cole Specialist/Technologist Lakewood Ave Se, Atlanta, GA 30315 2018-10-25
1942701081 Julie Crocker Dental Hygienist 1046 Ridge Ave. Sw, Atlanta, GA 30315 2018-02-23
1457695850 Dominica Aquino Morales-gibson Physical Therapist 2850 Springdale Road Sw, Atlanta, GA 30315 2012-11-26
1912264813 Maxwell Uhakheme Internal Medicine 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 2012-04-16
1427329093 Sulonda Smith Counselor 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 2012-01-13
1407152507 Gerald Leroy Griffin Pharmacist 520 Boulevard, Atlanta, GA 30315 2011-02-07
1245404854 Tunisia Finch Cornelius Dermatology 1039 Grant St Se Ste A-11, Atlanta, GA 30315 2008-04-15
1356512180 Chandra Blakely Counselor 215 Lakewood Way, Suite 205, Atlanta, GA 30315 2008-03-19
1104043967 Alvin H. Clair, M.d.p.c. Dermatology 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 2007-04-20
1396877742 Scott M Russell Speech-Language Pathologist 1364 Clifton Road, Atlanta, GA 30315 2007-03-12
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578020103 Stacey Leigh Newpher Nurse Practitioner 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 2019-03-01
1144702226 Veneah Shante Hall Nurse Practitioner 440 Moreland Ave Se, Atlanta, GA 30316-1926 2018-09-05
1205181229 Wienelmine Estime Nurse Practitioner 315 Blvd. N.e., #528, Amc/ Professional Buildings, Atlanta, GA 30312 2012-07-16
1336458280 Atlanta Surgical Assistance Nurse Practitioner 105 Collier Rd Nw Ste 1080, Atlanta, GA 30309-1753 2010-09-27
1265689665 Chelsea S Henson Nurse Practitioner 980 Johnson Ferry Rd Ste 660, Atlanta, GA 30342-1608 2008-08-27
1275725269 Rebecca Shan Baker Nurse Practitioner 740 Ferst Drive Nw, Atlanta, GA 30332-0470 2007-08-14
1568534188 Valerie L English Nurse Practitioner 2805 Metropolitan Pkwy Sw, Atlanta, GA 30315-7915 2006-11-15
1023010816 Nancy Lynn Saunders Nurse Practitioner 3114 Mercer University Dr, Suite 100, Atlanta, GA 30341-4144 2005-08-11
1225598030 Joi Raines Nurse Practitioner 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 2019-03-20
1104382951 Chanda L Johnson Nurse Practitioner 550 Peachtree St Ne Ste 1275, Atlanta, GA 30308-2240 2019-02-18
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Competitor

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City ATLANTA
Zip Code 30315

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Dataset Information

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.

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