Mary A Johnson (NPI# 1699851634, PAC ID# 8426014325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699851634 |
| PAC ID by PECOS | 8426014325 |
| Professional Enrollment ID | I20041203000231 |
| Full Name | Mary A Johnson |
| Address |
3276 S Liberty St Canton MS 39046-4516 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250038 | MERIT HEALTH MADISON |
| Address | Phone | Organization |
|---|---|---|
| 3276 S Liberty St, Canton, MS 39046-4516 |
| Street Address |
3276 S LIBERTY ST |
| City | CANTON |
| State | MS |
| Zip | 39046-4516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rashad Smith | Physical Therapy | 3425 N Liberty St, Canton, MS 39046-3761 | |
| Marvin E Williams Ii | Occupational Therapy | Smart Therapy LLC | 3425 N Liberty St, Canton, MS 39046-3761 |
| James O Farrell Jr. | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Marcus Harris | Physical Therapy | Visions Physical Therapy | 908 E Peace St, Canton, MS 39046-4024 |
| Michael K Jones | Chiropractic | 134 E Peace St, Canton, MS 39046-4520 | |
| Reginald D Rigsby | Family Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Parvesh K Goel | Internal Medicine | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| Phyllis Hammond | Clinical Social Worker | Psp Medical Clinic LLC | 1171 Hart St, Canton, MS 39046-4805 |
| David M Heumann | Physical Therapy | Peak Healthcare | 1421 E Peace St, Canton, MS 39046-4938 |
| Janay L Harper | Podiatry | 1145 E Tisdale Ave, Canton, MS 39046-4965 | |
| Find all physicians in zip 39046 | |||
| City | CANTON |
| Zip Code | 39046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary A 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.