MALINDA JOHNSON (NPI# 1801014329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801014329 |
| Entity Type | Individual |
| Full Name | MALINDA JOHNSON |
| Credential | PA-C, OTR |
| Practice Address |
354 Newnan Crossing Byp Ste 200 Newnan GA 30265-2434 |
| Mailing Address |
860 Omni Blvd Ste 303 Newport News VA 23606-4477 |
| Practice Telephone | 7704604747 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | 008486 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110006226 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE | VVS858A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Wellford St, Fredericksburg, VA 224013176 | 5403611830 | 5403611829 |
| 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 7578811137 | 7578811138 |
| 6160 Kempsville Cir Ste 200b, Norfolk, VA 23502 | 7573213300 | 7573213330 |
| 6262 Veterans Pkwy, Columbus, GA 319093540 | 7063246661 | |
| 860 Omni Blvd Ste 107, Newport News, VA 23606 | 7578732562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442555 | Malinda Johnson | Nurse Practitioner | 1203 W Carpenter St, Jerseyville, IL 62052-1374 | 2018-10-08 |
| 1568961290 | Malinda M Johnson | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2018-02-08 |
| 1558703579 | Malinda Johnson | Case Manager/Care Coordinator | 1086 Mound St, Springfield, OH 45505-1191 | 2013-07-18 |
| 1306977814 | Malinda A Johnson | Physician Assistant | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2007-03-08 |
| 1174585806 | Malinda K Johnson | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2006-04-06 |
| Street Address |
354 NEWNAN CROSSING BYP STE 200 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003880964 | Domenic Scalamogna | Orthopaedic Surgery | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2006-02-15 |
| 1982254330 | Esi Cudjoe | Nurse Practitioner | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2019-09-18 |
| 1538640891 | Courtney Burch | Nurse Practitioner | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2018-08-24 |
| 1689929671 | Tonya M Kinsey | Physical Therapist | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2012-07-17 |
| 1851596563 | Daniel Patrick Delozier | Physician Assistant | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2323 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1386129724 | Hannah Joy Gravitt | Physician Assistant | 2462 Highway 34 E, Newnan, GA 30265-2372 | 2018-10-02 |
| 1063864130 | Norman Miller Gibby Jr. | Physician Assistant | 775 Poplar Rd Ste 130, Newnan, GA 30265-8301 | 2016-07-12 |
| 1053568915 | Michele Lore | Physician Assistant | 701 Newnan Crossing Bypass, Newnan, GA 30263 | 2008-08-22 |
| 1447454426 | Clerk Surgical Assisting Services | Physician Assistant | 20 Ozmore St, Newnan, GA 30263-1038 | 2007-06-13 |
| 1295823623 | Franchon Renee Carter | Physician Assistant | 59 Hospital Road, Newnan, GA 30263 | 2006-10-11 |
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1225012602 | Sandra Lynn Morris | Physician Assistant | 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263-2321 | 2005-11-30 |
| 1235781675 | Michael James Anderson | Physician Assistant | 1825 Highway 34 E, Newnan, GA 30265-6423 | 2019-07-16 |
| 1124503933 | Alexis Noelle Rook | Physician Assistant | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2018-09-27 |
| Find all providers in NEWNAN | ||||
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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.