Kathleen S Johnson (NPI# 1104819689, PAC ID# 1658322599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1104819689 |
| PAC ID by PECOS | 1658322599 |
| Professional Enrollment ID | I20050208000579 |
| Full Name | Kathleen S Johnson |
| Organization Legal Name | DEKALB WOMENS SPECIALISTS |
| Address |
5295 Stone Mountain Hwy Suite N Stone Mountain GA 30087 |
| Phone Number | 4045082000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1951398619 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| Address | Phone | Organization |
|---|---|---|
| 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 | 4045082000 | DEKALB WOMENS SPECIALISTS |
| Organization Legal Name | DEKALB WOMENS SPECIALISTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy T Reynolds | Obstetrics/gynecology | Dekalb Womens Specialists | 2633 N Decatur Rd, Decatur, GA 30033-6103 |
| Albert Scott Jr. | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Trudy Seivwright | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Jessica Je'nae Miller | Nurse Practitioner | Dekalb Womens Specialists | 2633 N Decatur Rd, Decatur, GA 30033-6103 |
| Street Address |
5295 STONE MOUNTAIN HWY SUITE N |
| City | STONE MOUNTAIN |
| State | GA |
| Zip | 30087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Scott Jr. | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Trudy Seivwright | Obstetrics/gynecology | Dekalb Womens Specialists | 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Andrew Stevens | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Jose Roberto Aveiga | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Kathrine Mallard Meacham | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Ketreena Roshawn Footman | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Jonathan D Norton | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Robert Lee Felber Iii | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012 |
| Anastasia Thomas | Podiatry | Instep Podiatry, LLC | 5385 Five Forks Trickum Rd F, Stone Mountain, GA 30087-3018 |
| Cheri Lipscomb | Nurse Practitioner | Piedmont Professional Services, LLC | 5435 Five Forks Trickum Rd, Stone Mountain, GA 30087-3045 |
| Stephanie Wiggins Martin | Nurse Practitioner | Tlc of Georgia LLC | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 |
| Brandy Camille Long | Nurse Practitioner | Tlc of Georgia LLC | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 |
| Find all physicians in zip 30087 | |||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | STONE MOUNTAIN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kathleen S 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.