Lazedra Monah Myisha Johnson (NPI# 1043860562, PAC ID# 7911330220) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043860562 |
| PAC ID by PECOS | 7911330220 |
| Professional Enrollment ID | I20191127000214 |
| Full Name | Lazedra Monah Myisha Johnson |
| Organization Legal Name | ANMED HEALTH |
| Address |
600 N Fant St Anderson SC 29621-5704 |
| Phone Number | 8645121787 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951215243 |
| Number of Group Practice Members | 253 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420027 | ANMED HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 600 N Fant St, Anderson, SC 29621-5704 | 8645121787 | ANMED HEALTH |
| 895 Tiger Blvd, Clemson, SC 29631-1480 | 8646546800 | ANMED HEALTH |
| Organization Legal Name | ANMED HEALTH |
| Physicians | 269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren R Broberg | Physician Assistant | Anmed Health | 160 Perpetual Sq, Anderson, SC 29621-1713 |
| Nicole Megan Portela | Nurse Practitioner | Anmed Health | 703 N Fant St, Anderson, SC 29621-1580 |
| Julie Brown Weathers | Physical Therapy | Anmed Health | 127 Walmart Dr, Hartwell, GA 30643-8435 |
| Vipin Verma | Internal Medicine | Anmed Health | 105 Buford Ave, Anderson, SC 29621-3313 |
| David W Finney | Family Medicine | Anmed Health | 895 Tiger Blvd, Clemson, SC 29631-1480 |
| Jessica G Bolden | Nurse Practitioner | Anmed Health | 109 Montgomery Dr, Anderson, SC 29621-3333 |
| Caitlin E Collier | Family Medicine | Anmed Health | 28 Chandler Ctr, Hartwell, GA 30643-7914 |
| Thomas J Way | Otolaryngology | Anmed Health | 1655 E Greenville St A, Anderson, SC 29621-2062 |
| Justin Mark Moore | Family Medicine | Anmed Health | 4120 Hwy 24, Anderson, SC 29626-5321 |
| James Williams | Family Medicine | Anmed Health | 16 Roberts Blvd, Williamston, SC 29697-1136 |
| Street Address |
600 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip | 29621-5704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Bryant | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Erin E. Reid | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Christopher M Davis | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Michael Seemuller | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| April N Mann | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Donna G Marcengill | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| David E Cothran Jr. | Nurse Practitioner | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Jeffrey C Yonce | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Dorenda G Truesdale | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Christian H Richey | Family Medicine | Anmed Health | 600 N Fant St, Anderson, SC 29621-5704 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ning Sun | Nurse Practitioner | Trinity Family Practice | 4144 Clemson Blvd, Anderson, SC 29621-1108 |
| Christine J Lawrence | Family Medicine | Trinity Family Practice | 4144 Clemson Blvd, Anderson, SC 29621-1108 |
| Calvin Don Bryant | Family Practice | 4144 Clemson Blvd, Anderson, SC 29621-1108 | |
| Robin Michelle Koenig | Chiropractic | 4120 Clemson Blvd, Anderson, SC 29621-1176 | |
| Julie Chesson | Nurse Practitioner | Woodruff Road Urgent Care Center PC | 3710 Clemson Blvd, Anderson, SC 29621-1317 |
| Michael Milici | Optometry | 3812 Liberty Hwy 1, Anderson, SC 29621-1344 | |
| Sharon J Barthelmes | Nurse Practitioner | 3424 Clemson Blvd, Anderson, SC 29621-1357 | |
| Clayton W Wickiser | Chiropractic | Wickiser Physical Medicine LLC | 122 E W Pkwy, Anderson, SC 29621-1361 |
| Megan M Bowers | Nurse Practitioner | Wickiser Physical Medicine LLC | 122 E W Pkwy, Anderson, SC 29621-1361 |
| Owen J Murry Jr. | Nurse Practitioner | Anderson Skin and Cancer Clinic | 2022 Cardinal Cir, Anderson, SC 29621-1504 |
| Find all physicians in zip 29621 | |||
| City | ANDERSON |
| Zip Code | 29621 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANDERSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lazedra Monah Myisha 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.