DR. JACKIE H JOHNSON JR. (NPI# 1679707541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679707541 |
| Entity Type | Individual |
| Full Name | DR. JACKIE H JOHNSON JR. |
| Credential | MD |
| Practice Address |
216 Corder Rd Warner Robins GA 31088 |
| Mailing Address |
Po Box 6479 Warner Robins GA 31095 |
| Practice Telephone | 4789235872 |
| Practice Fax Number | 4789296266 |
| Mailing Telephone | 4789235872 |
| Mailing Fax Number | 4789296266 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME114525 | FL | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 068744 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116022302 | VA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003134708A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 N 4th St, Cordele, GA 310153660 | 2292730435 | 2292734665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130112 | Jackie Glen Johnson | Case Management | 434 Ashlawn Dr, Midlothian, TX 76065-5612 | 2019-12-05 |
| 1770745457 | Jackie Eugene Johnson Sr. | Counselor | 1020 Sw Taylor St Ste 650, Portland, OR 97205-2506 | 2008-06-25 |
| 1982185021 | Jackie Johnson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2018-08-27 |
| 1982114344 | Jackie Jerome Johnson Sr. | Counselor | 1715 26th St, Lubbock, TX 79411-1524 | 2017-10-11 |
| 1861940108 | Jackie Johnson | Massage Therapist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2016-09-15 |
| 1740692318 | Jackie Johnson | Behavioral Analyst | 2605 Rainbow Glow St, North Las Vegas, NV 89030-3709 | 2014-05-29 |
| 1407166119 | Jackie Johnson | Student in an Organized Health Care Education/Training Program | 111 South St., Somerville, MA 02143 | 2010-10-15 |
| 1740516251 | Jackie Ann Johnson | Licensed Practical Nurse | 627 Smithview Dr, Maryville, TN 37803-6100 | 2009-10-19 |
| 1053320218 | Jackie Ray Johnson | Nurse Anesthetist, Certified Registered | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2006-08-05 |
| Street Address |
216 CORDER RD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294386 | David K Grogan | Physician Assistant | 216 Corder Rd, Warner Robins, GA 31088 | 2005-06-13 |
| 1205316296 | Jeffrey N. Cofie | Optometrist | 216 Corder Rd, Warner Robins, GA 31088-3604 | 2018-08-18 |
| 1710290754 | Tamara Alanna Beckett | Optometrist | 216 Corder Rd, Warner Robins, GA 31088-3604 | 2010-07-20 |
| 1124249982 | Curtis Clayton Howell II | Nurse Anesthetist, Certified Registered | 216 Corder Rd, Warner Robins, GA 31088-3604 | 2007-05-01 |
| 1912039595 | Stephen D Summerow | Optometrist | 216 Corder Rd, Warner Robins, GA 31088 | 2007-03-09 |
| 1306867387 | Michael B Minix | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2006-07-22 |
| 1518903608 | Clyde Kent Price | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2006-06-20 |
| 1801860796 | Gayton Health Centre | Optometrist | 216 Corder Rd, Warner Robins, GA 31088 | 2006-02-15 |
| 1376516567 | Gayton Health Centre | Specialist | 216 Corder Rd, Warner Robins, GA 31088 | 2006-02-09 |
| 1144224627 | Johnny L Gayton | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2005-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235289448 | Warner Robins Partners | Ophthalmology | 220 Corder Road, Warner Robins, GA 31088 | 2007-01-11 |
| 1396825600 | M Gary Carter, Md Pa | Ophthalmology | 1035 N Houston Rd, Warner Robins, GA 31093-1505 | 2006-10-17 |
| 1346338795 | Emmanuel R Solomon | Ophthalmology | 2203 Watson Blvd Ste W, Warner Robins, GA 31093-8013 | 2006-10-11 |
| 1306867387 | Michael B Minix | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2006-07-22 |
| 1518903608 | Clyde Kent Price | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2006-06-20 |
| 1144224627 | Johnny L Gayton | Ophthalmology | 216 Corder Rd, Warner Robins, GA 31088 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.