Jerwanda Lavette Johnson (NPI# 1902320062, PAC ID# 1355600636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902320062 |
| PAC ID by PECOS | 1355600636 |
| Professional Enrollment ID | I20180111002407 |
| Full Name | Jerwanda Lavette Johnson |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
2130 Anderson Mill Rd Marietta GA 30060 |
| Phone Number | 7707937750 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2130 Anderson Mill Rd, Marietta, GA 30060 | 7707937750 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
2130 ANDERSON MILL RD |
| City | MARIETTA |
| State | GA |
| Zip | 30060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Leah C. Shupe | Nurse Practitioner | Skin Cancer Specialists P C | 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1008 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARIETTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jerwanda Lavette 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.