Matthew A Johnson (NPI# 1073595799, PAC ID# 0446225387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1073595799 |
| PAC ID by PECOS | 0446225387 |
| Professional Enrollment ID | I20080129000490 |
| Full Name | Matthew A Johnson |
| Organization Legal Name | CENTRA MEDICAL GROUP, LLC |
| Address |
915 S Main St Farmville VA 23901-2211 |
| Phone Number | 4344143978 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 467 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 Ambriar Plz, Amherst, VA 24521-4741 | 4349469565 | CENTRA MEDICAL GROUP, LLC |
| 412 Namozine St, Burkeville, VA 23922-3184 | 4347675511 | CENTRA MEDICAL GROUP, LLC |
| 915 S Main St, Farmville, VA 23901-2211 | 4344143978 | CENTRA MEDICAL GROUP, LLC |
| 935 S Main St, Farmville, VA 23901-2211 | 4343155340 | CENTRA MEDICAL GROUP, LLC |
| 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 4349473033 | CENTRA MEDICAL GROUP, LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP, LLC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie R Taylor | Nurse Practitioner | Centra Medical Group, LLC | 130 Enterprise Dr, Danville, VA 24540-4070 |
| Amie E Kennedy | Certified Nurse Midwife | Centra Medical Group, LLC | 2007 Graves Mill Rd, Forest, VA 24551-2656 |
| Assaad M Mounzer | Urology | Centra Medical Group, LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Erin M Baird | Certified Nurse Midwife | Centra Medical Group, LLC | 2007 Graves Mill Rd, Forest, VA 24551-2656 |
| Terry Lea Yeager | Certified Registered Nurse Anesthetist | Centra Medical Group, LLC | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 |
| Michelle Adams | Nurse Practitioner | Centra Medical Group, LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Tracy J Langebeck | Nurse Practitioner | Centra Medical Group, LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Arthur Frank Selden | Clinical Psychologist | Centra Medical Group, LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Benjamin Taylor Colston | Physician Assistant | Centra Medical Group, LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Dean G Gianakos | Internal Medicine | Centra Medical Group, LLC | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 |
| Street Address |
915 S MAIN ST |
| City | FARMVILLE |
| State | VA |
| Zip | 23901-2211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Bailey | Nurse Practitioner | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Grace Esare-nkrumah | Family Medicine | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Maria Luisa Ganan Almond | Psychiatry | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Patricia A Babbitt | Physician Assistant | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Kenneth E Saum | Thoracic Surgery | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| James David Danner | Emergency Medicine | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Mary E Cabrera | Family Medicine | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Sreekumaran K Nair | Neurology | 915 S Main St, Suite A, Fort Worth, TX 76104-3408 | |
| Stephen W Stone | Physician Assistant | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Michelle M Donoghue | Nurse Practitioner | Centra Medical Group LLC | 915 S Main St, Farmville, VA 23901-2211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Blaisdell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Rhian Mccann | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jonathan Lundberg | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jennifer Mohan | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Sarah Parker | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Shashidharan B Ayer | Nephrology | 1801 E 3rd St, Farmville, VA 23901-0245 | |
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| St Claire R La Roche | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Edwina C Wilson | Family Medicine | Central Virginia Health Services Inc | 833 Buffalo St, Farmville, VA 23901-1111 |
| Find all physicians in zip 23901 | |||
| City | FARMVILLE |
| Zip Code | 23901 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FARMVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Matthew A Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.