Jennifer Burke Johnson (NPI# 1235445537, PAC ID# 5395986004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1235445537 |
| PAC ID by PECOS | 5395986004 |
| Professional Enrollment ID | I20190903001760 |
| Full Name | Jennifer Burke Johnson |
| Organization Legal Name | FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC |
| Address |
100 Gross Crescent Cir Fort Oglethorpe GA 30742-3643 |
| Phone Number | 7068582000 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8527323633 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110236 | CHI MEMORIAL HOSPITAL - GEORGIA |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | 7068582000 | FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC |
| Organization Legal Name | FORT OGLETHORPE EMERGENCY PHYSICIANS GROUP LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Davenport | Nurse Practitioner | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Michael C Preston | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Shannon Heath Trowell | Internal Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Timothy A Clark | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Christopher I Simmons | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| John P Owensby | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Steven C Perlaky | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Street Address |
100 GROSS CRESCENT CIR |
| City | FORT OGLETHORPE |
| State | GA |
| Zip | 30742-3643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Davenport | Nurse Practitioner | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jesse Miller Epps Iii | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Derek L Duran | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Kenneth M Watson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Jeremy D Johnston | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Michael C Preston | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Shannon Heath Trowell | Internal Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Timothy A Clark | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Joseph Foy Rivers | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Steven D Petarra | Anesthesiology | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg A Willis | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742-3510 |
| Thomas D Weldon | Obstetrics/gynecology | Chattanooga Womens Specialists PC | 2009 Old Lafayette Rd, Ft Oglethorpe, GA 30742-3510 |
| Christina M Woodard | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Tennessee PC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Christopher I Simmons | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| John P Owensby | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Steven C Perlaky | Emergency Medicine | Fort Oglethorpe Emergency Physicians Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| David C Bosshardt | Internal Medicine | Memorial Health Partners Foundation, Inc | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Julianne C Ray | Physician Assistant | Seven States Hospitalist Group LLC | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 |
| Lindsay C Crawford | Nephrology | Yium, Shenouda and Miller Ptrshp | 201 Thomas Rd, Fort Oglethorpe, GA 30742-3659 |
| Christopher V Poole | Nephrology | Yium, Shenouda and Miller Ptrshp | 201 Thomas Rd, Fort Oglethorpe, GA 30742-3659 |
| Find all physicians in zip 30742 | |||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT OGLETHORPE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jennifer Burke 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.