MR. TERRANCE ALSHARRON JOHNSON SR. (NPI# 1366872483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366872483 |
| Entity Type | Individual |
| Full Name | MR. TERRANCE ALSHARRON JOHNSON SR. |
| Credential | CSFA |
| Practice Address |
6337 Love St Ste A Austell GA 30168-4717 |
| Mailing Address |
Po Box 2264 Roswell GA 30077-2264 |
| Practice Telephone | 4703852201 |
| Practice Fax Number | 6783241439 |
| Mailing Telephone | 6783343792 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467908988 | Terrance Roderick Johnson | Driver | 24110 Rosewood St, Oak Park, MI 48237-2240 | 2016-08-26 |
| 1144557083 | Terrance Johnson | Social Worker | 108 E Walnut Ave, Merchantville, NJ 08109-2517 | 2009-11-13 |
| 1033223904 | Terrance A Johnson | Family Medicine | 1128 Highland Parkway, Suite 200, Picayune, MS 39466-9197 | 2006-08-18 |
| 1356836258 | Terrance Duane Johnson | Behavior Technician | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2018-06-25 |
| 1194721290 | Terrance L Johnson | Specialist | 3807 Greenleaf Ave Nw, Bemidji, MN 56601-5817 | 2005-06-23 |
| Street Address |
6337 LOVE ST STE A |
| City | AUSTELL |
| State | GA |
| Zip Code | 30168-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204392 | Niquetta Adell Flowers | Counselor | 6621 Crossing Creek Pt., Austell, GA 30168 | 2017-09-27 |
| 1215456637 | Rashanda Knight | Occupational Therapist | 6581 Coventry Point, Austell, GA 30168 | 2017-09-18 |
| 1750757431 | Fragments Ministry Inc. | Transportation Broker | 5793 James Road, Austell, GA 30168 | 2015-08-17 |
| 1851443303 | Kathleen S Jarboe | Registered Nurse | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-01-17 |
| 1104975648 | Deborah Bryan | Social Worker | 6133 Love Street, Austell, GA 30168 | 2007-01-10 |
| 1982252250 | Yosefa Stokes | Nurse Practitioner | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2019-08-29 |
| 1255840989 | K&n Compression Therapy Services, LLC | Durable Medical Equipment & Medical Supplies | 3915 Cascade Rd, Atlanta, GA 30168 | 2017-09-26 |
| 1205049285 | William M Battles | Psychiatry & Neurology | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-05-07 |
| 1427198878 | Douglas County Community Services Board | Community/Behavioral Health | 1707 North Blairs Bridge Road, Austell, GA 30168 | 2007-02-07 |
| 1942381363 | Aleah Hudson Morrow | Counselor | 2710 Jefferson St, Ste 6, Austell, GA 30168 | 2006-10-19 |
| Find all providers in zip 30168 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843815 | Kendra Chavis | Physician Assistant | 1700 Hospital South Dr, Suite #200, Austell, GA 30106-6810 | 2016-06-30 |
| 1831367119 | Britni Lynn Lockwood | Physician Assistant | 3875 Austell Rd, Suite 201, Austell, GA 30106-1103 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
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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.