Kim Johnson (NPI# 1811374424, PAC ID# 7416256417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811374424 |
| PAC ID by PECOS | 7416256417 |
| Professional Enrollment ID | I20160426000624 |
| Full Name | Kim Johnson |
| Organization Legal Name | GEORGIA MEDICAL GROUP, LLC |
| Address |
2410 Ingleside Ave Macon GA 31204-2036 |
| Phone Number | 4788457462 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214294016 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110201 | COLISEUM NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2410 Ingleside Ave, Macon, GA 31204-2036 | 4788457462 | GEORGIA MEDICAL GROUP, LLC |
| Organization Legal Name | GEORGIA MEDICAL GROUP, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Harold | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Darrell Thompson | Nurse Practitioner | Georgia Medical Group, LLC | 260 W Clinton St, Gray, GA 31032-5464 |
| Yvonne P Mcallister | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Hilary K Ellwood | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Street Address |
2410 INGLESIDE AVE |
| City | MACON |
| State | GA |
| Zip | 31204-2036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Harold | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Paul A Mossman | Family Medicine | 2410 Ingleside Ave, Macon, GA 31204-2036 | |
| Yvonne P Mcallister | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Hilary K Ellwood | Family Medicine | Georgia Medical Group, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Britt S Mcrae | Nurse Practitioner | Your Doctor's After Hours, LLC | 2410 Ingleside Ave, Macon, GA 31204-2036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Biggs Ii | Chiropractic | 2410 Riverside Dr, Macon, GA 31204-1779 | |
| Andrew J Arena | Chiropractic | Arena Chiropractic Clinic PC | 2410 Riverside Dr, Macon, GA 31204-1779 |
| Melissa V Green | Audiologist | 3759 Vineville Ave, Macon, GA 31204-1854 | |
| Kimberly Crump Johnson | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Lauren Lambeth | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Daryl F Remick | Family Medicine | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Ashley J Dykes | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Erin Caves | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Ronda Toole | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Shandora D Hayman Jones | Nurse Practitioner | Vineville Internal Medicine LLC | 3448 Vineville Ave, Macon, GA 31204-1867 |
| Find all physicians in zip 31204 | |||
| City | MACON |
| Zip Code | 31204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MACON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim 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.