MR. SHERRON JOHNSON (NPI# 1588276505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588276505 |
| Entity Type | Individual |
| Full Name | MR. SHERRON JOHNSON |
| Credential | NP |
| Practice Address |
1980 Wrights Way Jonesboro GA 30236-7205 |
| Mailing Address |
Po Box 870321 Morrow GA 30287-0321 |
| Practice Telephone | 7703676868 |
| Mailing Telephone | 7704720011 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN204192 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496746 | Sherron Mychelle Johnson | Case Manager/Care Coordinator | 215 W Fairview St, Apt 201, Tulsa, OK 74106-5111 | 2017-02-20 |
| Street Address |
1980 WRIGHTS WAY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1619404993 | Johnna Suzanne Boggs | Nurse Practitioner | 3410 E Johnson Ave, Jonesboro, AR 72401-1876 | 2017-05-17 |
| 1275065500 | Jason Kinder | Nurse Practitioner | 3213 Springwood Dr, Jonesboro, AR 72404-7750 | 2017-03-27 |
| 1710588462 | Elizabeth Jean Mcquay | Nurse Practitioner | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-11-07 |
| 1487269726 | Rachael Richardson | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2020-09-14 |
| 1902464639 | Roza Brown | Nurse Practitioner | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2019-05-29 |
| 1932664067 | Philip Ray Faughn | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2019-02-03 |
| 1326536681 | Stella Michelle Lundry | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2018-04-23 |
| 1750899266 | Kelly Michele Mccain | Nurse Practitioner | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2018-01-18 |
| 1295259224 | Michael W Ball | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2017-08-01 |
| Find all providers in JONESBORO | ||||
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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.