Word Johnston (NPI# 1952305567, PAC ID# 3173540358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952305567 |
| PAC ID by PECOS | 3173540358 |
| Professional Enrollment ID | I20100803000398 |
| Full Name | Word Johnston |
| Organization Legal Name | COVINGTON COUNTY HOSPITAL |
| Address |
603 S Main St Green Tree Family Medical Clinic Mt Olive MS 39119-8902 |
| Phone Number | 6017973405 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183517253 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251325 | COVINGTON COUNTY HOSPITAL CAH |
| 250124 | MAGEE GENERAL HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250094 | MERIT HEALTH WESLEY |
| 250058 | SOUTH CENTRAL REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 701 S Holly Ave, Collins, MS 39428-3894 | COVINGTON COUNTY HOSPITAL | |
| 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 | 6017973405 | COVINGTON COUNTY HOSPITAL |
| Organization Legal Name | COVINGTON COUNTY HOSPITAL |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bria Goff | Nurse Practitioner | Covington County Hospital | 3275 Hwy 49 E, Collins, MS 39428-3275 |
| Bryan G Bennett | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Lacey Blakeney | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Thomas R Blackledge Jr. | Family Medicine | Covington County Hospital | 800 3rd St Sw, Medical Center of Magee, Magee, MS 39111-3951 |
| Melissa Coulson | Nurse Practitioner | Covington County Hospital | 104 W Main St, 20 Family Care Seminary, Seminary, MS 39479-9027 |
| Andrea M Bruce | Family Medicine | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Crystal P Mcnabb | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Harpreet Sood | Family Medicine | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Terri Bickham | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Laura J Davis | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Street Address |
603 S MAIN ST GREEN TREE FAMILY MEDICAL CLINIC |
| City | MT OLIVE |
| State | MS |
| Zip | 39119-8902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey Blakeney | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Crystal P Mcnabb | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Nicole Lott | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Annie Jenkins | Nurse Practitioner | Covington County Hospital | 603 S Main St, Mt Olive, MS 39119-8902 |
| City | MT OLIVE |
| Zip Code | 39119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MT OLIVE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Word Johnston.
| 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.