MRS. MAE D JOHNSON (NPI# 1912905464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912905464 |
| Entity Type | Individual |
| Full Name | MRS. MAE D JOHNSON |
| Credential | FNP |
| Practice Address |
1107 Memorial Dr Suite 300 Dalton GA 30720-8662 |
| Practice Telephone | 7062263139 |
| Practice Fax Number | 7062786606 |
| Mailing Telephone | 7062263139 |
| Mailing Fax Number | 7062786606 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN027354 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000670326B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588817035 | Mae Johnson | Registered Nurse | 18 Bridle Path Ct, Sicklerville, NJ 08081-5645 | 2008-10-28 |
| Street Address |
1107 MEMORIAL DR SUITE 300 |
| City | DALTON |
| State | GA |
| Zip Code | 30720-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671323 | Wallace R Weeks | Family Medicine | 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 | 2005-07-07 |
| 1649677709 | Kenneth Jeremy Micheff | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-12-04 |
| 1568865947 | Shirin Noorani | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-09-30 |
| 1053720441 | Susan Marina Yates | Nurse Practitioner | 1107 Memorial Dr, Suite 100, Dalton, GA 30720-8668 | 2014-08-11 |
| 1679992341 | Jennifer Wright | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 |
| 1699199497 | Natasha Micheff | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-02-13 |
| 1215366844 | Ashley Miller | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 |
| 1639418874 | Shanna E. Avila | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-02-07 |
| 1235482001 | Lyndsey Renee Randolph | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-10-18 |
| 1356699169 | Amanda L Smidt | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700819158 | Trudy Ann Ketteler | Registered Nurse | 522 State Street, Dalton, NE 69131-0407 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240069 | Wenqiu Jennings | Registered Nurse | 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 | 2020-09-17 |
| 1982226502 | Lakesha Armstrong | Registered Nurse | 386 Bakers Ferry Trl, Martinez, GA 30907-4955 | 2020-05-18 |
| 1881227924 | Margaret Ree Chapman | Registered Nurse | 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 | 2020-02-18 |
| 1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
| 1134762255 | Charmante Cyrius | Registered Nurse | 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 | 2019-10-21 |
| 1417509191 | Ayodeji Moses Oluloro | Registered Nurse | 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 | 2019-07-12 |
| 1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
| 1750855599 | Tanya D Miller | Registered Nurse | 1724a Old Reynolds St, Waycross, GA 31501-1036 | 2019-01-15 |
| 1770050080 | Gussie Baccus | Registered Nurse | 115 Wellington Trl, Covington, GA 30016-8629 | 2018-10-25 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
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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.