MR. SCOTT BRADLEY JOHNSON (NPI# 1609888155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609888155 |
Entity Type | Individual |
Full Name | MR. SCOTT BRADLEY JOHNSON |
Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
Mailing Address |
3919 Creekwood Ln Augusta GA 30907-2423 |
Practice Telephone | 7067330188 |
Practice Fax Number | 7064816703 |
Mailing Telephone | 7068689008 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
1033630033 | Scott Charles Johnson | Counselor | 40853 Cecina Way, Bermuda Dunes, CA 92203-1171 | 2017-06-29 |
1487106753 | Scott Johnson | Counselor | 104 Usher St, Bennettsville, SC 29512-2710 | 2016-11-02 |
1861840738 | Scott Johnson | Contractor | 6139 S Garrison St, Littleton, CO 80123-3437 | 2016-06-01 |
1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
1376825356 | Scott Andrew Johnson | Physical Therapist | 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 | 2011-09-15 |
1801125075 | Scott Rene Johnson | Pharmacist | 6803 Pinehearth Ct, Spring, TX 77379 | 2009-12-16 |
1437367919 | Scott Alan Johnson | Physical Therapist | 91 Goldengate Drive, Centerville, OH 45459 | 2007-05-18 |
1063629293 | Scott Marvin Johnson | Pharmacist | 15100 N 90th St, Scottsdale, AZ 85260-2769 | 2007-05-17 |
1275740458 | Scott Johnson | Marriage & Family Therapist | 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 | 2007-05-17 |
Street Address |
1 FREEDOM WAY |
City | AUGUSTA |
State | GA |
Zip Code | 30904-6258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 2255R0406X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Rehabilitation, Blind |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790021012 | Farrell Matthews Jr. | Specialist/Technologist | 2807 Washington Rd, B-104, Augusta, GA 30909-7100 | 2012-12-13 |
1366878266 | Todd J Turansky | Specialist/Technologist | 1 Freedom Way, Cnvamc Blind Rehabilitation Center Unit 1b-uptown, Augusta, GA 30904-6258 | 2013-09-24 |
1174860506 | Laurel A. Tucker | Specialist/Technologist | 1 Freedom Way, Vamc Blind Rehabilitation Center (271 Br), Augusta, GA 30904-6258 | 2013-01-04 |
1841214897 | Timothy William Johnson | Specialist/Technologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780624817 | Gale R Watson | Specialist/Technologist | 1670 Clairmont Rd, Atlanta Va Medical Center 151-r, Decatur, GA 30033-4004 | 2006-06-07 |
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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.