JOHNNY JOHNSON (NPI# 1477888196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477888196 |
| Entity Type | Individual |
| Full Name | JOHNNY JOHNSON |
| Credential | PA |
| Practice Address |
4211 Joe Ramsey Blvd Suite 100 Greenville TX 75401 |
| Practice Telephone | 9034085838 |
| Practice Fax Number | 9034085839 |
| Mailing Telephone | 9034087700 |
| Mailing Fax Number | 9034087802 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00777 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RHC NUMBER | 45-3870 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1215471255 | Johnny L Johnson | Non-emergency Medical Transport (VAN) | 702 Weston St, Minden, LA 71055-3662 | 2016-12-09 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1699117341 | Johnny Sumu Johnson | Home Health | 806 White Fields Way, Arlington, TX 76002-3057 | 2013-07-23 |
| 1669754438 | Johnny Edward Johnson Jr. | Rehabilitation Practitioner | 8040 Maple Park St, Las Vegas, NV 89131-5289 | 2011-09-16 |
| 1164595187 | Johnny Johnson Jr. | Dentist | 3840 Tampa Rd, Palm Harbor, FL 34684-3600 | 2006-11-16 |
| 1588692628 | Johnny Emanuel Johnson Jr. | Obstetrics & Gynecology | 4545 E 9th Ave Ste 300, Denver, CO 80220-3903 | 2006-06-29 |
| 1891265500 | Johnny Hickman Johnson | Licensed Practical Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2018-11-26 |
| 1386911667 | Johnny Johnson | Behavioral Analyst | 1108 E Hammer Ln, North Las Vegas, NV 89081-2976 | 2011-11-30 |
| 1841517646 | Johnny Johnson Jr. | Social Worker | 1552 Union Rd, Suite E, Gastonia, NC 28054-5523 | 2010-05-03 |
| Street Address |
4211 JOE RAMSEY BLVD SUITE 100 |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1710121439 | Amanda Nicole Ramos | Social Worker | 2718 Wesley, Greenville, TX 75401 | 2009-04-24 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116664 | Jennifer C Whitmire | Physician Assistant | St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 | 2011-04-18 |
| 1306143219 | Alexis Pierino Goss | Physician Assistant | 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 | 2011-02-13 |
| 1205915360 | Dannie Burton Jonas | Physician Assistant | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2006-11-02 |
| 1952324246 | Toni Smith-whiteeagle | Physician Assistant | 5005 Live Oak St, Greenville, TX 75402 | 2006-07-26 |
| 1699719682 | Gary Marc Trube | Physician Assistant | 800 Moye Blvd, Greenville, NC 27834-3777 | 2006-06-16 |
| 1255384335 | Dean A Schrader | Physician Assistant | 8333 Crestview Dr, Greenville, MI 48838-8133 | 2006-05-18 |
| 1043262983 | Katherine Johnson Anderson | Physician Assistant | 215 Halton Rd, Greenville, SC 29607-3509 | 2006-05-17 |
| 1891767398 | Allen J Sours Jr. | Physician Assistant | Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 | 2006-02-07 |
| 1053383273 | Zenith Nelson | Physician Assistant | Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
| 1851379366 | Emily K Keel | Physician Assistant | 2380 Arlington Blvd, Emergency Medicine, Greenville, NC 27834 | 2006-01-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on JOHNNY JOHNSON.
| 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.