Kurt D Johnson (NPI# 1598754913, PAC ID# 7315082872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598754913 |
| PAC ID by PECOS | 7315082872 |
| Professional Enrollment ID | I20100309000002 |
| Full Name | Kurt D Johnson |
| Organization Legal Name | CROSSGATES HMA MEDICAL GROUP LLC |
| Address |
201 N College St Suite 102 Brandon MS 39042-4439 |
| Phone Number | 6018253074 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628100427 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250096 | CROSSGATES RIVER OAKS HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 N College St, Suite 102, Brandon, MS 39042-4439 | 6018253074 | CROSSGATES HMA MEDICAL GROUP LLC |
| Organization Legal Name | CROSSGATES HMA MEDICAL GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shuja Yousuf | Internal Medicine | Crossgates Hma Medical Group LLC | 346 Crossgates Blvd, Suite 101, Brandon, MS 39042-2608 |
| Todd H Perkins | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| John B Madden | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| Kimberly Johnson Gross | Nurse Practitioner | Crossgates Hma Medical Group LLC | 348 Crossgates Blvd, Suite 1500, Brandon, MS 39042-2687 |
| Galen W Poole | General Surgery | Crossgates Hma Medical Group LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Street Address |
201 N COLLEGE ST SUITE 102 |
| City | BRANDON |
| State | MS |
| Zip | 39042-4439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd H Perkins | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| John B Madden | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence E Tamburino | Podiatry | 103 Service Dr, Brandon, MS 39042-2401 | |
| Meseret Teferra | Internal Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Arbie B Hinton | Family Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Esquanickia Fletcher | Nurse Practitioner | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Darryl Wheat | Clinical Social Worker | 1700 W Government St, Bldg A Suite G, Brandon, MS 39042-2420 | |
| Mylissa Hodges | Occupational Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Twanda Vershun Longino | Physical Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Kristy L Taylor | Qualified Speech Language Pathologist | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Constantine P Zouboukos | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| David L Smith | Infectious Disease | Flowood River Oaks Hma Medical Group, LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Find all physicians in zip 39042 | |||
| City | BRANDON |
| Zip Code | 39042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRANDON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kurt D 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.