Dr Olivia Marie Granillo Johnson, MD | |
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
(931) 380-4072 | |
Not Available |
Full Name | Dr Olivia Marie Granillo Johnson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 1224 Trotwood Ave, Columbia, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437316106 | NPI | - | NPPES |
3710089 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48469 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 48469 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Havely Springs Physician Services Pc | 3678934726 | 70 |
Entity Name | Saint Thomas Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
Entity Name | Maury Regional Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
Entity Name | Havely Springs Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710494174 PECOS PAC ID: 3678934726 Enrollment ID: O20230804002770 |
Mailing Address | Practice Location Address |
---|---|
Dr Olivia Marie Granillo Johnson, MD 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 Ph: (615) 396-4694 | Dr Olivia Marie Granillo Johnson, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 380-4072 |
Bethany G Summerford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Jessica Joseph-alexis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1220 Trotwood Ave Ste 401, Columbia, TN 38401 Phone: 931-388-8622 | |
Dr. Hany Nimr Rezk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
Anthony Donald Haase Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043 | |
Christopher R Edwards, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Cheryl Buttram Clayton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
John Spencer Jensen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797 |