TIERRA SIMONE JOHNSON (NPI# 1871986331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871986331 |
| Entity Type | Individual |
| Full Name | TIERRA SIMONE JOHNSON |
| Other Name | TIERRA SIMONE WELLS |
| Credential | NP-C, APRN |
| Practice Address |
3780 Eisenhower Pkwy Macon GA 31206-0800 |
| Practice Telephone | 4786335500 |
| Practice Fax Number | 4787845496 |
| Mailing Telephone | 4786335500 |
| Mailing Fax Number | 4787845496 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN216891 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194181172 | Tierra Johnson | Occupational Therapist | N83w13696 Fndulc Ave, Menomonee Falls, WI 53051-7277 | 2016-01-06 |
| Street Address |
3780 EISENHOWER PKWY |
| City | MACON |
| State | GA |
| Zip Code | 31206-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492720 | Harry S Strothers IIi | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2005-07-21 |
| 1538621172 | Michael Prasad Reddy-miller | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-03 |
| 1982166757 | Latora Williams | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1316409063 | Jean-philippe Morisset | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1184186033 | Michael Tyler Land | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-01 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1407318215 | Philomise Moncion | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1902398282 | Parth Kiritkumar Patel | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-03 |
| 1013409317 | Shuichi Nakai | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-01 |
| 1841797289 | Christal Marie Uthaman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1073063228 | Eisenhower Parkway Dental Group, LLC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206 | 2016-10-12 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
| 1427664465 | Shanna Lynn Beaulieu | Nurse Practitioner | 781 Spring St Ste 230, Macon, GA 31201-2185 | 2020-09-16 |
| 1467070557 | Raquel Simmons | Nurse Practitioner | 670 Ivy Brook Way, Macon, GA 31210-5520 | 2020-07-06 |
| 1174159800 | Jamie K Polk | Nurse Practitioner | 3951 Ridge Ave Ste C, Macon, GA 31210-5064 | 2020-03-13 |
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1730730581 | Lindsay Fernandez | Nurse Practitioner | 102 Saint Johns Pl, Macon, GA 31210-8606 | 2019-09-24 |
| 1003468240 | Skylar Nelson | Nurse Practitioner | 330 Hospital Dr Ste 200, Macon, GA 31217-8034 | 2019-07-09 |
| 1861051880 | Courtney Elizabeth Avery | Nurse Practitioner | 540 Charter Blvd Ste 400, Macon, GA 31210-4882 | 2019-06-12 |
| 1376101196 | Detra K Dixon | Nurse Practitioner | 227 Amalie Dr, Macon, GA 31220-2667 | 2019-06-05 |
| Find all providers in MACON | ||||
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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.