MAUREEN JOHNSON


Address: 1401 Tift Ave N, Suite B, Tifton, GA 31794-3585
Phone: 2293825554

MAUREEN JOHNSON (NPI# 1598042616) 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) 1598042616
Entity Type Individual
Full Name MAUREEN JOHNSON
Credential PA-C
Practice Address 1401 Tift Ave N
Suite B
Tifton
GA 31794-3585
Mailing Address Po Box 7258
Tifton
GA 31793-7258
Practice Telephone 2293825554
Practice Fax Number 2293820530
Mailing Telephone 9542709246
Enumeration Date 2011-11-03
Last Update Date 2011-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2219 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MAUREEN JOHNSON

NPI Name Taxonomy Address Enumeration
1023674900 Maureen T Johnson Technician 41 Forrester St Sw Apt 1, Washington, DC 20032-2109 2019-05-15
1649577818 Maureen Ann Johnson Occupational Therapist 124 E 23rd Ave, Anchorage, AK 99503-2010 2011-02-23
1497822985 Maureen Anne Johnson Dental Hygienist 210 Wood Lake Dr Se, Suite B, Rochester, MN 55904-5529 2006-11-29
1891709481 Maureen Dorothy Johnson Dietitian, Registered 11 Thorn Berry Pl, The Woodlands, TX 77381-4311 2006-07-28
1215445390 Maureen Elizabeth Johnson Counselor 601 Franklin St, Winona, MN 55987-3822 2018-01-11
1427507078 Maureen L. Johnson Counselor 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851 2016-09-23
1821340209 Maureen Catherine Johnson Speech-Language Pathologist 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 2012-10-09
1871865162 Maureen P Johnson Counselor 790 E Broward Blvd, Fort Lauderdale, FL 33301-2095 2012-02-01
1386950475 Maureen Johnson Physical Therapist 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 2010-08-26
1609102847 Maureen Johnson Registered Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2009-10-22

Office Location

Street Address 1401 TIFT AVE N
SUITE B
City TIFTON
State GA
Zip Code 31794-3585

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134151079 Tina Marie Sapp Radiologic Technologist 1401 Tift Ave N, Tifton, GA 31794-3585 2006-07-07
1952708984 Jeremy Beck Nurse Practitioner 1401 Tift Ave N, Tifton, GA 31794-3585 2014-11-19
1497182455 Mia M Luke Radiologic Technologist 1401 Tift Ave N, Ste E, Tifton, GA 31794-3585 2013-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234043 Deloris Lunsford Licensed Practical Nurse 903 Washington St., Tifton, GA 31794 2020-01-17
1194383075 William Jordan Kinnett Registered Nurse 1205 Tift Ave N, Tifton, GA 31794 2019-06-05
1598321200 Courtlyn Christanna Fussell Pharmacist 2201 Hwy 41 N, Tifton, GA 31794 2019-05-17
1376027722 Martha Gibbs Nurse Practitioner Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 2018-09-21
1427541044 Rebekah F Cottle Speech-Language Pathologist 2227 Highway 41 North, Tifton, GA 31794 2018-06-08
1790280857 Tift Regional Health System Inc Ophthalmology 1803 Old Ocilla Road, Tifton, GA 31794 2018-03-29
1568975431 Skyler Clark Pharmacist 2201 North 12th Street, Tifton, GA 31794 2017-11-14
1538606306 Imagine Peace Counseling LLC Counselor 223 E 2nd Street, Suite B, Tifton, GA 31794 2017-01-31
1073056347 Jessica Tumbling Contractor 219 Savannah Way, Tifton, GA 31794 2016-11-18
1992159503 Joseph Thomas Seagraves Jr. Nurse Practitioner 901 East 18th Street, Tifton, GA 31794 2016-04-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558739003 Garrett Blalock Physician Assistant 901 18th St E, Tifton, GA 31794-3648 2015-09-14
1508930082 Terry Lee Morgan Physician Assistant 1111 20th St E, Tifton, GA 31794-3689 2006-11-17
1033149398 Kimmie A Carden Physician Assistant 2735 Central Ave S, Tifton, GA 31794-5645 2006-07-03
1073576930 Treasure F Payne Physician Assistant 39 Kent Rd, Suite 5, Tifton, GA 31794-1649 2006-04-10
1629062724 Jerry Sullivan Physician Assistant 2225 Us Highway 41 N, Tifton, GA 31794-2749 2005-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245838374 Erica Elizabeth West Physician Assistant 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 2020-10-12
1801402888 Meredith Gaines Physician Assistant 603 W 1st St Unit 1, Rome, GA 30161-3067 2020-09-16
1770108805 Kelsey Lynne Greeff Physician Assistant 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 2020-06-15
1518596733 Rebecca Faye Tsyrlin Physician Assistant 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 2020-04-08
1487291878 Ashley Cohen Physician Assistant 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 2019-12-04
1932757606 Andrea J Holley Physician Assistant 1629 Austin Meadows Dr, Decatur, GA 30032-3888 2019-08-27
1265089759 Alexis Chester Jones Physician Assistant 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 2019-08-20
1841851680 Lauren Price Fogarty Physician Assistant 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 2019-06-24
1386208262 Jessica A Drews Physician Assistant 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 2019-04-26
1174187421 Krisna Patel Physician Assistant 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 2019-04-23
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Competitor

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City TIFTON
Zip Code 31794

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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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