CHARLES DAVID JOHNSON


Address: 417 Fruitland Park Rd, Wiggins, MS 39577-8312
Phone: 6016064401

CHARLES DAVID JOHNSON (NPI# 1437538410) 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) 1437538410
Entity Type Individual
Full Name CHARLES DAVID JOHNSON
Credential AGACNP
Practice Address 417 Fruitland Park Rd
Wiggins
MS 39577-8312
Practice Telephone 6016064401
Mailing Telephone 6016064401
Enumeration Date 2015-05-24
Last Update Date 2019-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R875364 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 03600303 05

Other Providers CHARLES JOHNSON

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1528591724 Charles Johnson Counselor 512 Sapphire St, Opelousas, LA 70570-3536 2017-04-05
1265976047 Charles Johnson Counselor 1320 Harvard Ave, Shreveport, LA 71103-2521 2016-12-13
1831560390 Charles James Johnson Pharmacist 300 W. 4th Street, Dequincy, LA 70633-3404 2015-10-09
1598006827 Charles Dustin Johnson Counselor 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 2013-03-12
1932444924 Charles William Johnson Family Medicine 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 2012-12-03
1063744571 Charles Miller Johnson Jr. Licensed Practical Nurse 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 2010-02-08
1235333147 Charles Johnson Physical Therapy Assistant 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 2007-06-13
1750592978 Charles Johnson II Radiology 4601 Washington St, Hollywood, FL 33021-7647 2007-05-28

Office Location

Street Address 417 FRUITLAND PARK RD
City WIGGINS
State MS
Zip Code 39577-8312

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689057721 John Thames Emergency Medicine 1428 Azalea Dr S, Wiggins, MS 39577 2015-07-07
1235468190 Stone County School District Local Education Agency (LEA) 214 Critz Street, Wiggins, MS 39577 2009-12-23
1043452493 Stone County Hospital, Inc General Acute Care Hospital 1434 E Central Ave., Wiggins, MS 39577 2009-04-01
1245274414 James Walter Holmes Family Medicine 975 Hall Street, Wiggins, MS 39577 2006-06-16
1891223186 Christine L Ladner Nurse Practitioner 1434 Central Ave E, Wiggins, MS 39577 2017-05-31
1790962637 The Vision Center Pa Optometrist 1113 Central Ave E, Wiggins, MS 39577 2008-01-23
1821009465 County Discount Drugs, Inc. Durable Medical Equipment & Medical Supplies 820 Hall St, Wiggins, MS 39577-2100 2006-08-10
1154430940 Batson Physical Therapy, Inc. Clinic/Center 711 Hall St, Wiggins, MS 39577-2105 2006-08-29
1033723937 Katherine B Tyree Physical Therapist 711 Hall St, Wiggins, MS 39577-2105 2020-09-08
1114569340 Johelen K Trisler Physical Therapy Assistant 711 Hall St, Wiggins, MS 39577-2105 2019-10-09
Find all providers in zip 39577

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437413770 Joshua Carmi Alderman IIi Nurse Practitioner 1434 Central Ave E, Wiggins, MS 39577-9602 2012-07-02
1225202864 William Bryan Gibboney Nurse Practitioner 1434 Central Ave E, Wiggins, MS 39577-9602 2008-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306450358 Sara Leanne Davis Nurse Practitioner 230 Possum Ridge Rd, Hollandale, MS 38748-3755 2020-09-06
1598385130 Christy Busby Nurse Practitioner 128 Warren St, Pontotoc, MS 38863-1519 2020-04-23
1104459742 Amanda Paige Michael Nurse Practitioner 200 Quail Run, Booneville, MS 38829-9001 2020-02-21
1891328340 U Matter LLC Nurse Practitioner 2440 N Hills St Ste 126, Meridian, MS 39305-2634 2020-02-12
1255978367 Tanya Haley Mcgee Nurse Practitioner 229 Old Yorkville Rd S, Columbus, MS 39702-8440 2019-12-08
1447893888 Spectrum The Other Clinic Nurse Practitioner 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 2019-10-17
1053962068 Lauren Lanier Guthrie Nurse Practitioner 102 Friars Cv, Clinton, MS 39056-3411 2019-09-23
1588212229 David Buckheister Nurse Practitioner 612 Liz Cir, Gulfport, MS 39503-3712 2019-08-27
1821583196 Amanda Houston Trent Nurse Practitioner 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 2018-06-28
1093224446 Jennifer Hurley Nurse Practitioner 2809n Denny Ave, Pascagoula, MS 39581-5301 2017-09-28
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Competitor

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City WIGGINS
Zip Code 39577

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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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