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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 03600303 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
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 |
Street Address |
417 FRUITLAND PARK RD |
City | WIGGINS |
State | MS |
Zip Code | 39577-8312 |
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 Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
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 |
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.