Beverly Ann Johnson (NPI# 1255434742, PAC ID# 2365592011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1255434742 |
| PAC ID by PECOS | 2365592011 |
| Professional Enrollment ID | I20180123001202 |
| Full Name | Beverly Ann Johnson |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA |
| Address |
10820 Marvin Jones Blvd Dowling Park FL 32064-8243 |
| Phone Number | 8508774134 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6608775499 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10820 Marvin Jones Blvd, Dowling Park, FL 32064-8243 | 8508774134 | DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA |
| 1707 Riggins Rd, Tallahassee, FL 32308-5317 | 8508774134 | DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina A Keown | Nurse Practitioner | Dermatology Associates of Tallahassee Pa | 4233 Camelot Xing, Valdosta, GA 31602-6926 |
| Armand B Cognetta | Dermatology | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| William Harris Green | Dermatology | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Lauren Beth Bardhi | Nurse Practitioner | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| David J Dolson | Pathology | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Sean Dempsey Hughes | Physician Assistant | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Sara Holifield Roberts | Physician Assistant | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Jennie Merchant | Physician Assistant | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Christopher Michael Wolfe | Dermatology | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Kaisa Maija Vanderkooi | Dermatology | Dermatology Associates of Tallahassee Pa | 1707 Riggins Rd, Tallahassee, FL 32308-5317 |
| Street Address |
10820 MARVIN JONES BLVD |
| City | DOWLING PARK |
| State | FL |
| Zip | 32064-8243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Workman | Chiropractic | 216 Duval St Nw, Live Oak, FL 32064-1723 | |
| Andrew Clyde Bass | General Practice | 315 Scriven Ave Sw, Live Oak, FL 32064-2222 | |
| Bruce C Ornstein | Podiatry | 609 5th St Sw, Suite 4, Live Oak, FL 32064-2239 | |
| Michael W Wood | Chiropractic | 328 Howard St W, Live Oak, FL 32064-2306 | |
| Michelle D Morris | Nurse Practitioner | Live Oak Hma Medical Group, LLC | 1116 Sw 11th St, Live Oak, FL 32064-3608 |
| David G Riehn | Anesthesiology | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Gabriel B Mufuka | Internal Medicine | 1116 11th St Sw, Live Oak, FL 32064-3608 | |
| Daniel J Messcher | Family Medicine | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| Margaret M Grissinger | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| William C Chisholm | Emergency Medicine | Suwannee Emergency Group LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Find all physicians in zip 32064 | |||
| City | DOWLING PARK |
| Zip Code | 32064 |
| Specialty | DERMATOLOGY |
| City + Specialty | DOWLING PARK + DERMATOLOGY |
Please comment or provide details below to improve the information on Beverly Ann 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.