Joel M Johnson, MD | |
1007 Greenfield Drive, Tifton, GA 31794-3795 | |
(229) 382-9733 | |
(229) 387-6161 |
Full Name | Joel M Johnson |
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Gender | Male |
Speciality | Surgery |
Location | 1007 Greenfield Drive, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649247370 | NPI | - | NPPES |
00374646A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 030799 (Georgia) | Primary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Mailing Address | Practice Location Address |
---|---|
Joel M Johnson, MD 1007 Greenfield Dr, Tifton, GA 31794-3795 Ph: (229) 382-9733 | Joel M Johnson, MD 1007 Greenfield Drive, Tifton, GA 31794-3795 Ph: (229) 382-9733 |
Dr. Tracy Lynn Chason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Drive, Tifton, GA 31794 Phone: 229-392-9733 | |
Timothy Fuller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-2284 | |
Forte David Mceachin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161 | |
William H Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161 | |
Dr. William Leslie Hornback Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 | |
Dr. Paul Thomas Cartwright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 |