Charles David Johnson, AGACNP in Hattiesburg, MS

Charles David Johnson, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Hattiesburg, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Comprehensive Radiology Services, Pllc and his current practice location is 6051 U S Highway 49, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 288-7000.

Charles David Johnson is licensed to practice in Mississippi (license number R875364) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437538410.

Contact Information

	Charles David Johnson, AGACNP
	6051 U S Highway 49, Hattiesburg, MS 39401-7200
	(601) 288-7000
	(601) 450-0518

Map and Direction

Provider's Profile

Full Name	Charles David Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	6051 U S Highway 49, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles David Johnson graduated from nursing school in 2015

NPI Data:

NPI Number: 1437538410
Provider Enumeration Date: 05/24/2015
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4486969235
Enrollment ID: I20150824000046

Medical Identifiers

Medical identifiers for Charles David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437538410	NPI	-	NPPES
03600303	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R875364 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Comprehensive Radiology Services, Pllc	1759364946	23

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles David Johnson allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Radiology Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992731590 PECOS PAC ID: 1759364946 Enrollment ID: O20040609000828

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles David Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles David Johnson, AGACNP 15 Professional Pkwy Ste 126, Hattiesburg, MS 39402-2647 Ph: (601) 450-0521	Charles David Johnson, AGACNP 6051 U S Highway 49, Hattiesburg, MS 39401-7200 Ph: (601) 288-7000

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Charles David Johnson, AGACNP - Medicare Nurse Practitioner in Hattiesburg, MS