GLEN JOHNSON (NPI# 1891788980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891788980 |
| Entity Type | Individual |
| Full Name | GLEN JOHNSON |
| Credential | MA |
| Practice Address |
274 Big A Road Toccoa GA 30577-6002 |
| Practice Telephone | 7068867412 |
| Practice Fax Number | 7068861115 |
| Mailing Telephone | 7068867412 |
| Mailing Fax Number | 7068861115 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 3575 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000889908A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124375423 | Glen Howard Johnson | Dentist | University of Washington School of Dentistry, Restorative Dentistry Box 357456, Seattle, WA 98195-0001 | 2012-08-07 |
| 1427291608 | Glen Ralph Johnson | Pharmacist | 901 Santa Fe Trl, Macon, GA 31220-3724 | 2009-04-17 |
| 1992758353 | Glen Lee Johnson | Psychologist | 5123 N Royal Dr, Traverse City, MI 49684-9201 | 2006-05-18 |
| 1619971561 | Glen F Johnson | Physician Assistant | 524 Beaumont Rd, Fayetteville, NC 28304-4443 | 2005-06-09 |
| 1699149831 | Glen Johnson | Physical Therapy Assistant | 231 Warner St, Toms River, NJ 08755-1028 | 2015-11-28 |
| 1841527256 | Glen R Johnson | Marriage & Family Therapist | 25500 Hawthorne Blvd, Suite 2200, Torrance, CA 90505-6829 | 2009-11-05 |
| 1649499138 | Glen R Johnson | Family Medicine | 2636 South Loop W, Suite 925, Houston, TX 77054-2680 | 2007-04-24 |
| 1750505566 | Glen Eric Johnson | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2007-04-12 |
| 1720138399 | Glen Ric Johnson | Chiropractor | 4702 Northwest Hwy, Garland, TX 75043-4912 | 2007-01-12 |
| 1326157298 | Glen Eric Johnson | Psychiatry & Neurology | 3940 West 4100 South, West Valley City, UT 84120 | 2006-08-30 |
| Street Address |
274 BIG A ROAD |
| City | TOCCOA |
| State | GA |
| Zip Code | 30577-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858200 | Russell R Burken | Dermatology | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-18 |
| 1659655462 | Morgan Toole Cummings | Physician Assistant | 274 Big A Road, Toccoa, GA 30577 | 2011-09-29 |
| 1306036892 | Toccoa Clinic Medical Assoc | Durable Medical Equipment & Medical Supplies | 274 Big A Road, Toccoa, GA 30577-6002 | 2007-07-31 |
| 1477644060 | George Gray Kitchens | Otolaryngology | 274 Big A Road, Toccoa, GA 30577-6002 | 2006-09-27 |
| 1477546802 | Ralph E Reed | Ophthalmology | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-31 |
| 1851384978 | Joyce Mccollum | Nurse Practitioner | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-24 |
| 1245223361 | Jack A Harris | Ophthalmology | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-24 |
| 1285627463 | Alexandra Ivester | Nurse Practitioner | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-24 |
| 1356334569 | Suzanna G Duckett | Psychiatry & Neurology | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-24 |
| 1699768804 | Margaret A Kopchick | Dermatology | 274 Big A Road, Toccoa, GA 30577-6002 | 2005-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1518313733 | Shellei Adams | Occupational Therapist | 23 Big A Rd, Toccoa, GA 30577 | 2016-05-06 |
| 1902212814 | Rebecca Coursey | Counselor | 1763 Fernside Dr., Avita Community Partners, Toccoa, GA 30577 | 2014-07-11 |
| 1427478742 | Cynthia Hemphill Wansley | Pharmacist | 3886 Georgia Highway 17, Toccoa, GA 30577 | 2014-04-25 |
| 1265850168 | Karen Kelley Colwell | Pharmacist | 3886 Hwy 17, Toccoa, GA 30577 | 2014-03-29 |
| 1972808160 | Cossar Chiropractic | Chiropractor | 2766 Ga Hwy 17, Toccoa, GA 30577 | 2011-01-19 |
| 1811216070 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 130 Haynes St, Toccoa, GA 30577 | 2010-05-26 |
| 1942435516 | Meadows Surgical Arts | Specialist | 203 Remsdale Rd, Toccoa, GA 30577 | 2009-05-26 |
| 1609011816 | Bryan Gerald Wood | Pharmacist | 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 | 2008-12-03 |
| Find all providers in zip 30577 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191191 | Ashley Deneen Wright | Audiologist | 2500 Hospital Blvd Ste 450, Roswell, GA 30076-4919 | 2020-07-10 |
| 1932726833 | Brittany Mackey Coy | Audiologist | 950 15th St # 126d, Augusta, GA 30901-2608 | 2020-06-26 |
| 1568085777 | Lauren E Hall | Audiologist | 6084 Lakeview Rd, Warner Robins, GA 31088-9174 | 2020-05-21 |
| 1518591536 | Carlotta A Cuthbertson | Audiologist | 2781 Joel Pl, Atlanta, GA 30360-1415 | 2020-02-28 |
| 1306489851 | Alexis Brooke Goldberg | Audiologist | 960 Johnson Fy Rd Ne Ste 144, Atlanta, GA 30342-1601 | 2019-10-28 |
| 1316580137 | Tia Mcdonald | Audiologist | 5200 Greystone Summit Dr Apt 1013, Columbus, GA 31909-7556 | 2019-10-24 |
| 1558917252 | Hannah Grace Laplante | Audiologist | 2301 Newnan Crossing Blvd E Ste 160, Newnan, GA 30265-2542 | 2019-08-18 |
| 1700432242 | Leah Kristen Horn | Audiologist | 1670 Clairmont Rd # 126, Decatur, GA 30033-4004 | 2019-08-12 |
| 1194378109 | Katie Miller | Audiologist | 3225 Cumberland Blvd Se Ste 175, Atlanta, GA 30339-6407 | 2019-07-18 |
| 1720631047 | Greater Atlanta Hearing P C | Audiologist | 564 Peachtree Pkwy Ste 106, Cumming, GA 30041-7401 | 2019-07-17 |
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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.